2021 Volume 57 Issue 3 Pages 600-606
Purpose: Sutureless enterostomy was invented to prevent stoma-related complications in extremely low birthweight neonates; however, its efficacy remains unknown. In this study, we aimed to evaluate the usefulness of sutureless enterostomy.
Methods: We retrospectively examined neonates (weighing less than 1 kg within 10 days after birth) who underwent enterostomy between 2015/1/1 and 2018/12/31. The early and late periods were defined as the first 30 days postoperation and over 30 days, respectively.
Results: Four patients (5 cases) underwent sutureless enterostomy (Sutureless), whereas five patients (5 cases) underwent conventional enterostomy (Conventional). The median gestational age, birth weight, age at operation, duration of operation, and blood loss volume for the Sutureless group were 24 weeks and 3 days, 605 g, 5 days, 91 min, and 3.0 ml, and those for the Conventional group were 24 weeks and 1 day, 632 g, 7 days, 95 min, and 22.0 ml, respectively. The Sutureless group had two postoperative complications (two cases and one case in the early and late periods, respectively), whereas the Conventional group had four (two cases and three cases in the early and late periods, respectively). Two patients in the Sutureless group required emergency operations owing to stoma-related complications in the late period, whereas in the Conventional group, one patient in the early period and one patient in the late period required emergency operation.
Conclusions: Sutureless enterostomy may be associated with reduced bleeding volume and stoma-related complications in the early period and with more emergency operations in the late period. Further research on stoma closure timing may be warranted.
