caa a22 4500 606249079 CHVBK 20210128101354.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-015-1212-0 doi (NATIONALLICENCE)springer-10.1007/s12262-015-1212-0 Ostomy Closures in Children: Variations in Perioperative Care Do Not Change the Outcome [Elektronische Daten] [Yusuf Çavuşoğlu, Ayşe Karaman, Çağatay Afşarlar, İbrahim Karaman, Derya Erdoğan, İsmet Özgüner] This study aimed to evaluate ostomy closure applications and outcomes and determine the effect of personal differences among surgeons on patient postoperative course. Ninety-eight patients who underwent elective ostomy (ileostomy and colostomy) closure for 8years at a pediatric surgery training department were investigated. Postoperative complications included superficial surgical site infection (SSI; 9.4%), organ/cavity infection (1%), small bowel adhesions (8.2%), and incisional hernia (1%). SSI and postoperative complications were not affected by the preoperative antibiotic regimen used. Operation duration, pre- and postoperative antibiotic use durations, postoperative inpatient period, ostomy type, primary diagnosis, performance of abdominal exploration, SSI, and postoperative complications were not significantly different. However, the time of nasogastric (NG) tube withdrawal, time to oral feeding initiation, abdominal closure method used, and preoperative antibiotic regimen were significantly different among different surgeons. We conclude that while surgeons used different preoperative antibiotic regimens and abdominal closure methods and stipulated different times for NG tube withdrawal and oral feeding initiation, the postoperative course and prognosis were unaffected Thus, the pre- and postoperative inpatient period and antibiotic use duration can be decreased in children by procedure standardization using practice guidelines; the procedures can also be performed with a more aesthetic, acceptable incision. Association of Surgeons of India, 2015 Ostomy nationallicence Colorectal surgery nationallicence Treatment outcome nationallicence Antibiotic prophylaxis nationallicence Surgical wound infection nationallicence Anastomosis nationallicence Surgical nationallicence Çavuşoğlu Yusuf Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Hospital, 06080, Altındağ, Ankara, Turkey aut Karaman Ayşe Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Hospital, 06080, Altındağ, Ankara, Turkey aut Afşarlar Çağatay Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Hospital, 06080, Altındağ, Ankara, Turkey aut Karaman İbrahim Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Hospital, 06080, Altındağ, Ankara, Turkey aut Erdoğan Derya Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Hospital, 06080, Altındağ, Ankara, Turkey aut Özgüner İsmet Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Hospital, 06080, Altındağ, Ankara, Turkey aut Indian Journal of Surgery Springer India 77(2015-12-01), 1131-1136 0972-2068 77<1131 2015 77 12262 https://doi.org/10.1007/s12262-015-1212-0 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-015-1212-0 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Çavuşoğlu Yusuf Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Hospital, 06080, Altındağ, Ankara, Turkey aut NATIONALLICENCE 700 1- Karaman Ayşe Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Hospital, 06080, Altındağ, Ankara, Turkey aut NATIONALLICENCE 700 1- Afşarlar Çağatay Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Hospital, 06080, Altındağ, Ankara, Turkey aut NATIONALLICENCE 700 1- Karaman İbrahim Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Hospital, 06080, Altındağ, Ankara, Turkey aut NATIONALLICENCE 700 1- Erdoğan Derya Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Hospital, 06080, Altındağ, Ankara, Turkey aut NATIONALLICENCE 700 1- Özgüner İsmet Department of Pediatric Surgery, Dr. Sami Ulus Maternity and Children's Hospital, 06080, Altındağ, Ankara, Turkey aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 1131-1136 0972-2068 77<1131 2015 77 12262