Abstract
Diverting loop ileostomies are common procedures for protecting high-risk anastomoses. There is little consensus on the most ideal technique both in terms of cost efficiency and outcome. Data for this study were collected from 101 patients who underwent loop ileostomy reversal between 2009 and 2014 at Morristown Medical Center. Of the 101 patients included in the review, 57 received a hand-sewn anastomosis (HS-A) and 44 received a stapled anastomosis (S-A). Average total hospital charges for stapled anastomoses were significantly greater than that for hand-sewn anastomoses, as were total operating room supply costs. When the total cost of the operation itself was considered, S-A cases were still found to be significantly greater than HS-A cases. Hospital room charges, total lab charges, pathology charges, and EKG/ECG charges were all greater for S-A cases than HS-A cases. Overall costs were greater for S-As than hand-sewn anastomoses and because of a lack of difference in procedure length, stapler supply costs were not offset. Complication rates and length of stay were also similar between the techniques. We found S-A cases to be more costly and have a greater cost/hour than HS-A cases.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 615-619 |
| Number of pages | 5 |
| Journal | American Surgeon |
| Volume | 84 |
| Issue number | 5 |
| State | Published - May 1 2018 |
| Externally published | Yes |
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All Science Journal Classification (ASJC) codes
- Surgery
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Outcome and cost analysis of hand-sewn and stapled anastomoses in the reversal of loop ileostomy. / Nemeth, Zoltan H.; Bogdanovski, Dorian A.; Hicks, Addison S.; Paglinco, Samantha R.; Sawhney, Rohan; Pilip, Stefanie A.; Stopper, Patricia B.; Rolandelli, Rolando.
In: American Surgeon, Vol. 84, No. 5, 01.05.2018, p. 615-619.Research output: Contribution to journal › Article
TY - JOUR
T1 - Outcome and cost analysis of hand-sewn and stapled anastomoses in the reversal of loop ileostomy
AU - Nemeth, Zoltan H.
AU - Bogdanovski, Dorian A.
AU - Hicks, Addison S.
AU - Paglinco, Samantha R.
AU - Sawhney, Rohan
AU - Pilip, Stefanie A.
AU - Stopper, Patricia B.
AU - Rolandelli, Rolando
PY - 2018/5/1
Y1 - 2018/5/1
N2 - Diverting loop ileostomies are common procedures for protecting high-risk anastomoses. There is little consensus on the most ideal technique both in terms of cost efficiency and outcome. Data for this study were collected from 101 patients who underwent loop ileostomy reversal between 2009 and 2014 at Morristown Medical Center. Of the 101 patients included in the review, 57 received a hand-sewn anastomosis (HS-A) and 44 received a stapled anastomosis (S-A). Average total hospital charges for stapled anastomoses were significantly greater than that for hand-sewn anastomoses, as were total operating room supply costs. When the total cost of the operation itself was considered, S-A cases were still found to be significantly greater than HS-A cases. Hospital room charges, total lab charges, pathology charges, and EKG/ECG charges were all greater for S-A cases than HS-A cases. Overall costs were greater for S-As than hand-sewn anastomoses and because of a lack of difference in procedure length, stapler supply costs were not offset. Complication rates and length of stay were also similar between the techniques. We found S-A cases to be more costly and have a greater cost/hour than HS-A cases.
AB - Diverting loop ileostomies are common procedures for protecting high-risk anastomoses. There is little consensus on the most ideal technique both in terms of cost efficiency and outcome. Data for this study were collected from 101 patients who underwent loop ileostomy reversal between 2009 and 2014 at Morristown Medical Center. Of the 101 patients included in the review, 57 received a hand-sewn anastomosis (HS-A) and 44 received a stapled anastomosis (S-A). Average total hospital charges for stapled anastomoses were significantly greater than that for hand-sewn anastomoses, as were total operating room supply costs. When the total cost of the operation itself was considered, S-A cases were still found to be significantly greater than HS-A cases. Hospital room charges, total lab charges, pathology charges, and EKG/ECG charges were all greater for S-A cases than HS-A cases. Overall costs were greater for S-As than hand-sewn anastomoses and because of a lack of difference in procedure length, stapler supply costs were not offset. Complication rates and length of stay were also similar between the techniques. We found S-A cases to be more costly and have a greater cost/hour than HS-A cases.
UR - http://www.scopus.com/inward/record.url?scp=85048270617&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85048270617&partnerID=8YFLogxK
M3 - Article
C2 - 29966558
AN - SCOPUS:85048270617
VL - 84
SP - 615
EP - 619
JO - American Surgeon
JF - American Surgeon
SN - 0003-1348
IS - 5
ER -