الفهرس 
Rectal CarcinomaOnly 14 pages are availabe for public view
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Abstract
The protective loop ileostomy, commonly performed during rectal
cancer surgery as one of the most reliable methods to reduce the sequelae
of pelvic sepsis caused by anastomotic leakage if occurred. However, to
date, the timing of ileostomy closure varies across hospitals as there is no
consensus regarding the best time for its reversal. Limited evidence is
available regarding the optimal time for ileostomy closure.
Protective ileostomy repair is a relatively simple surgical technique;
however, it can be associated with significant morbidity. The following two
types of complications are associated with an ileostomy: complications
associated with the stoma itself (pre-closure complications), wherein skin
irritation, electrolytes imbalance, and psychological effects are commonly
noted, and complications associated with ileostomy closure operation (postclosure complications), among which superficial surgical site infection
(SSI) and paralytic ileus are common.
A Cochrane review reported that temporary ileostomy is associated
with fewer anastomotic leakages. Matthiesen et al. reported that ileostomy
reduces the need for urgent reoperation. Stoma closure is usually performed
after 8 – 12 weeks. However, quality of life (QoL) is affected due to
stoma-related complications during this time period. Early closure of
temporary stoma might reduce both stoma-related morbidity and patient
discomfort. Alves et al. reported that reversal of temporary stoma 8 – 10
days after surgery is feasible.
Other studies have also found that outcome did not differ
significantly between early and late stoma closure regarding morbidity and
mortality.
The results of our study can be summarized as follows:
In this study, in group A; 70.0% of them was males and 30.0% was
females, while the group B; 63.3% was males and 36.7% was
females.
The present study showed that, there was no statistically significant
difference between group A and group B regarding Hospital stay.
There was non statistically significant difference between group A
and group B regarding duration of operation and bleeding of
operation.
In our study, the overall complication rate in our study was 36.7% in
group A and 40.0% in group B. There was no statistically significant
difference between group A and group B regarding Complication.
Quality of life was better in group of early closure of ileostomy after
LAR.
Having the stoma related complications, there were significant
differences between study groups regarding skin irritation with two
patient in the early-closure group and eight patients in the delayed
closure group (P = 0.037). Other Stoma related complications showed
no statistically significant differences between the two groups.