title: Sushi-roll wrap of Seprafilm for ileostomy limbs facilitates ileostomy closure.
abstract: BACKGROUND
  Sodium hyaluronate and carboxymethylcellulose membrane (Seprafilm) reduced postoperative intraabdominal adhesion. In this study, we examined whether Seprafilm reduces operative difficulties in ileostomy closure.
  
  
  METHODS
  During the creation of the ileostomy, Seprafilm was cut in half and used to wrap both the ileum and mesentery. Patients who underwent ileostomy closure before February 2008 (without Seprafilm, Group T, n = 18) and after March (with Seprafilm, Group S, n = 18) were enrolled in this study. All operations were performed by surgical residents. Operative time and perioperative complications were analyzed.
  
  
  RESULTS
  The mean operative time of Group S (106.88 min) was significantly less than that of Group T (120.6 min). The amount of intraoperative bleeding in Groups S and T was not significantly different and there were no major complications.
  
  
  CONCLUSIONS
  Seprafilm applied to the two limbs of the ileostomy and mesentery facilitate ileostomy closure done by non-expert surgeons.
authors: Department of Surgery, Saitama Medical Center, Jichi Medical University, Omiya-ku, Saitama, Japan. kawamura@omiya.jichi.ac.jp
authors: Y J
authors: YJ
authors: Kawamura
authors: N
authors: N
authors: Kakizawa
authors: K-Y
authors: KY
authors: Tan
authors: K
authors: K
authors: Mizokami
authors: J
authors: J
authors: Sasaki
authors: S
authors: S
authors: Tsujinaka
authors: T
authors: T
authors: Maeda
authors: Y
authors: Y
authors: Kuwahara
authors: F
authors: F
authors: Konishi
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical / Q000379:methods; D016022:Case-Control Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006820:Hyaluronic Acid / Q000627:therapeutic use*; D007081:Ileostomy; D007082:Ileum / Q000601:surgery; D008297:Male; D008643:Mesentery / Q000601:surgery; D008875:Middle Aged; D011183:Postoperative Complications / Q000517:prevention & control; D011336:Probability; D019651:Plastic Surgery Procedures / Q000379:methods*; D012189:Retrospective Studies; D018570:Risk Assessment; D018709:Statistics, Nonparametric; D000267:Tissue Adhesions / Q000517:prevention & control; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology
chemical_list: C118198:Seprafilm; D006820:Hyaluronic Acid