New technique for enterostomy of extremely low-birth-weight infants—intestinal anchoring with gauze

详细信息    查看全文

• 作者：Kazuhiro Kondo ; Kazuo Chijiiwa ; Motoi Mukai ; Takeshi Iwamura ; Hiromitsu Matsuda ; Masatoki Kaneko ; Yuki Kodama ; Hiroshi Sameshima ; Tsuyomu Ikenoue
• 关键词：Extremely low-birth-weight infants ; Enterostomy ; Anchoring ; Gauze
• 刊名：Journal of Pediatric Surgery
• 出版年：2008
• 出版时间：September 2008
• 年：2008
• 卷：43
• 期：9
• 页码：1755-1760
• 全文大小：947 K

文摘

Background

In enterostomy for extremely low-birth-weight infants (<1000 g), the technique of anchoring the intestine for a stoma to the abdominal wall is very difficult because of the small size and fragile nature of the intestine. Here we describe a novel technique for intestinal anchoring in such infants.

Methods

In our approach to enterostomy, the intestine is anchored only by a strip of gauze packed into the subcutaneous space. No suturing is performed. The efficacy of this technique was evaluated in 21 infants with less than 1000 g of body weight who have intestinal perforation or obstruction.

Results

Two patients (9.5 % ) had complications that were related to the enterostomy. The complications were parastomal and intrastomal intestinal prolapse, both of which were treated successfully by reoperation. Eighteen patients (86 % ) survived to closure of the enterostoma.

Conclusions

Intestinal anchoring with gauze is an easy and effective technique for enterostomy in extremely low-birth-weight infants and can be applied in selected cases.