1 May 2017Article
Intraoperative continuous intestinal loop warming technique A prospective randomised trial
Francesco Rulli 1Mario Stefani 1Myftar Torba 2Arvin Dibra 3Erina Alushi 1Filadelfo Coniglione 1Mostafa Shalaby 4Pierpaolo Sileri 4
Affiliations
Article Info
1 Dept. of Surgical Sciences, Catholic University “Our Lady of Good Council”, Tirana, Albania
2 Department of Surgery Trauma University Hospital, Tirana, Albania
3 Vice Dean of the Faculty of Medicine and Surgery, Catholic University “Our Lady of Good Council”, Tirana, Albania
4 Department of General Surgery UOC B, University of Rome Tor Vergata, Rome, Italy
Ann. Ital. Chir., 2017, 88(3), 237-241;
Published: 1 May 2017
Copyright © 2017 Annali Italiani di Chirurgia
This work is licensed under a Creative Commons Attribution 4.0 International License.
Abstract
AIM: The aim of this study is to evaluate if the Intraoperative Continuous Intestinal Loop Warming (ICLW) is a valid trick to decrease the postoperative paralytic ileus. METHODS: The subjects were patients who underwent emergency open abdominal surgery for either benign or malignant diseases. Patients were divided into two groups; group A patients who was secluded for ICLW, and a control group B who was not secluded for ICLW. The primary outcomes were the time of recovery of bowel movement, 30 days postoperative mortality and morbidity, morbidity was graded by the Clavien-Dindo classification of surgical complications. Secondary outcomes were operative time, and length of hospital stay. RESULTS: A total numbers of 100 patients were randomly assigned in this prospective study. The mean time of bowel function recovery in the group A was 41.52 hours, whereas for group B was 67.20 hours, these differences were statistically significant with a P value < 0.05. In group B the bowel function recovery for 64% of the patients took between 72-96 hours furthermore, the longest time for peristaltic recovery was 96 hours which was only observed in patients of group B. There were no intra-operative complication in both groups. There is no difference in the two groups in term of 30 day postoperative morbidity. CONCLUSIONS: Intra-operative continuous intestinal loop warming technique is a simple, safe and low cost technique. It seems that intra-operative continuous intestinal loop warming technique maintain tissues hydration and conserve the body temperature limiting the stress response and help in decreasing the incidence of postoperative paralytic ileus.
Keywords
- Paralytic Ileus
- Postoperative Care
- Warming