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Surgical Case Reports

Table 1 Shows baseline characteristics of the included participants

From: Hidden ileostomy as a rescue procedure in major colorectal surgeries: a novel technique to prevent re-laparotomy in anastomotic leak cases

Cases Age Gender Indication ASA BMI Preoperative colonoscopy findings Performed operation Operative time Type of anastomosis Level of anastomosis
Case 1 45 Male Perforated sigmoid diverticulitis with 4-quadrant purulent peritonitis 1 23 Non Open segmental sigmoid colectomy 195 min End to end, 31 mm double-stapling technique At sacral promontory
Case 2 55 Male Sigmo-vesical fistula 2 25 Fistula by 30 cm above the anorectal junction Laparoscopic segmental sigmoid colectomy + defect repair at the urinary bladder 200 min End to end, 31 mm double-stapling technique Just below the sacral promontory
Case 3 84 Male Sigmoid cancer 3 19 Sigmoid cancer by 35 cm above the anorectal junction Laparoscopic oncologic high anterior resection 210 min End to end, 31 mm double-stapling technique Just below the sacral promontory
Case 4 81 Female Hartmann reversal, post-open sigmoidectomy by perforation 3 27 Rectum stump by 14 cm Open Hartmann reversal 160 min End to end, 25 mm double-stapling technique Just below the sacral promontory
Case 5 70 Female Chronic recurrent sigmoid diverticulitis 2 28 Sigmoid diverticulosis Laparoscopic segmental high anterior rectum resection 192 min End to end, 31 mm double-stapling technique Just below sacral promontory
Case 6 82 Female Sigmoid cancer 3 31 Rectosigmoid cancer 15 cm above the anorectal junction Open oncologic high anterior resection 204 min End to end, 31 mm double-stapling technique Just below sacral promontory
Case 7 80 Female Hartmann reversal, post-debulking op by peritoneal carcinomatosis by ovarian cancer 3 18 Rectum stump by 14 cm Open Hartmann reversal, ileum segment resection 213 min End to end, 25 mm double-stapling technique Just below sacral promontory
Case 8 59 Male Sigmoid stenosis by peritoneal metastasis of gastric cancer 2 26 Sub-obstructing sigmoid metastasis 35 cm ab anal verge Open debulking surgery, oncologic sigmoid colectomy, 4 cm segmental resection of the ileum Side to end handsewn anastomosis At sacral promontory
Cases Estimated blood loss (ml) Intraoperative air leak test Removal of hidden ileostomy Postoperative coloscopy Pathology Neoadjuvant therapy Loop related complication Anastomotic leak Hospital stay
Case 1 200 No leak On OPD 8 Wide Benign No No No 10
Case 2 200 No leak On OPD 9 Wide Benign No No No 11
Case 3 100 No leak On OPD 8 Wide Cancer, pT3 pN0 (0/14) L0 VO R0 cM0 No No No 10
Case 4 500 No leak On OPD 8 Wide Benign No No No 10
Case 5 100 No leak On OPD 7 Wide Benign No No No 10
Case 6 500 No leak On OPD 10 Anastomosis by 13 cm Cancer, pT2 pN1b (3/12) L1 VO R0 cM0 No No Yes, on a postoperative day, 10 28
Case 7 300 No leak On OPD 9 Not done Limited peritoneal carcinomatosis No No No 16
Case 8 700 No leak On operative day 9 Not done Peritoneal carcinomatosis by gastric cancer Yes, for gastric cancer, gastrectomy on 11.2016 No No 17
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