Short-Term Outcome of Loop Ileostomy Closure Under Local Anesthesia: Results of a Feasibility Study

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Abstract
Mies that are never closed, factors that should be borne in mind when fashioning temporary stomas. We investigated loop ileostomy closure under local anesthesia as a way to avoid these problems. METHODS: As a feasibility study, 15 successive patients underwent closure of a loop ileostomy under local anesthesia. The patients' experience of the procedure, postoperative pain, analgesia requirements, and oral intake were prospectively evaluated. RESULTS: Procedures could be comfortably completed under safe doses of local anesthesia. Use of standard nasogastric tubes was avoided and immediately postoperatively patients were able to resume a full oral diet. Discharge was on the second postoperative day (median). Complications were paralytic ileus for two days (1 patient), anastomotic leakage (1 patient), and superficial wound infection (1 patient). CONCLUSION: Reversal of loop ileostomy can be performed safely and comfortably under local anesthesia. Postoperative results compare favorably with those of routine procedures. aDepartment of Surgery, Division of Abdominal Surgery, University Medical Centre St. Radboud, PO Box 9101, 6500 HB, Nijmegen, The Netherlands © The ASCRS 2004...

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