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العنوان
Iliostomy and Mucuos fistula with and without posterior wall anastomosis after right hemicolectomy: A comparative study of short term outcomes /
المؤلف
Syam,Sara Gomaa.
هيئة الاعداد
باحث / Sara Gomaa Syam
مشرف / TAREK YOUSSEF AHMED
مشرف / MAHMOUD AHMED FARGHALY
تاريخ النشر
2018
عدد الصفحات
100p.:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة العظام والطب الرياضي
تاريخ الإجازة
1/1/2018
مكان الإجازة
جامعة عين شمس - كلية الطب - جراحة العظام
الفهرس
Only 14 pages are availabe for public view

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Abstract

It was concluded from this study that if posterior wall anastomosis is done in right technique it‘ll give same outcomes as without anastomosis
Right technique means, tension free, nippling of ileostomy, no gaps between sutures.
The difference is in the reversal, as we got from our statistics that revealed more pain, more recovery period, long hospital stay, more wound infection and wound complications in those cases without posterior wall anastomosis.
Increasing of all of these complications is due to relaparotomy, or even if single incision, it is larger with more adhesions and operative time than in the stoma wound in cases with anastomosis.
While in, we just do direct attack to stoma site with closure of side wound with lesser complications.
In the current study, we consider the most valuable short term advantage of stoma with posterior wall anastomosis is the short hospital stay and the less need for parenteral analgesia. This improves rates of patients getting back to their normal activity postoperatively.