title: [Ileostomy closure in a colorectal surgery unit. Comparative analysis of different techniques].
abstract: BACKGROUND
  The objective of this study is to assess whether the results of loop ileostomy closure in terms of morbidity and hospital stay are influenced by the type of anastomosis and suture used.
  
  
  METHODS
  All patients who underwent loop ileostomy closure were reviewed. A retrospective cohort study comparing morbidity and hospital stay according to the type of anastomosis (TT/LL) and the type of suture (hand sewn/mechanical) was performed.
  
  
  RESULTS
  From January 2003 to November 2011 a total of 167 loop ileostomy closures were analized. The groups were: type of anastomosis (TT 95/LL 72) and type of suture (manual 105/stapled 62). In 76% of the observed population the underlying disease was cancer. Mortality occurred in one case. The stratified morbidity analysis by type of complications showed no significant differences between the groups in terms of local (7.4% TT, LL 8.3%, 6.7% hand sewn, stapled 9.7%), general (TT 9.5%, 16.7% LL, hand sewn 6.7%, 6.5% stapled) and surgical (TT 15.8%, 19.4% LL, hand sewn 17.1%, 17.7% stapled) complications, nor in the rate of reoperations (TT 6.3%, 6.9% LL, hand sewn 6.7%, 6.5% stapled) and hospital stay in days (TT 7.8, 8 LL, hand sewn 8.6, stapled 6.7) CONCLUSIONS: Closure of loop ileostomy can be performed regardless of the type of suture or anastomosis used, with the same rate of morbidity and hospital stay.
authors.affiliation: Servicio de Coloproctología, Unidad de Cirugía General y del Aparato Digestivo, Hospital Vall d'Hebrón, Barcelona, España.
authors.forename: Francesc
authors.initials: F
authors.lastname: Vallribera Valls
authors.affiliation: Servicio de Coloproctología, Unidad de Cirugía General y del Aparato Digestivo, Hospital Vall d'Hebrón, Barcelona, España. Electronic address: b.villanueva@hotmail.com.
authors.forename: Borja
authors.initials: B
authors.lastname: Villanueva Figueredo
authors.affiliation: Servicio de Coloproctología, Unidad de Cirugía General y del Aparato Digestivo, Hospital Vall d'Hebrón, Barcelona, España.
authors.forename: Luis Miguel
authors.initials: LM
authors.lastname: Jiménez Gómez
authors.affiliation: Servicio de Coloproctología, Unidad de Cirugía General y del Aparato Digestivo, Hospital Vall d'Hebrón, Barcelona, España.
authors.forename: Eloi
authors.initials: E
authors.lastname: Espín Bassany
authors.affiliation: Servicio de Coloproctología, Unidad de Cirugía General y del Aparato Digestivo, Hospital Vall d'Hebrón, Barcelona, España.
authors.forename: José Luis
authors.initials: JL
authors.lastname: Sánchez Martinez
authors.affiliation: Servicio de Coloproctología, Unidad de Cirugía General y del Aparato Digestivo, Hospital Vall d'Hebrón, Barcelona, España.
authors.forename: Marc
authors.initials: M
authors.lastname: Martí Gallostra
authors.affiliation: Servicio de Coloproctología, Unidad de Cirugía General y del Aparato Digestivo, Hospital Vall d'Hebrón, Barcelona, España.
authors.forename: Manuel
authors.initials: M
authors.lastname: Armengol Carrasco
mesh_terms: D000714:Anastomosis, Surgical / Q000379:methods; D015331:Cohort Studies; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D007902:Length of Stay / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013536:Suture Techniques
keywords: Anastomosis; Cierre de ileostomía; Ileostomy closure; Ileostomía en asa; Loop ileostomy; Morbimortalidad; Morbimortality