Outcome and cost analysis of hand-sewn and stapled anastomoses in the reversal of loop ileostomy

Zoltan H. Nemeth, Dorian A. Bogdanovski, Addison S. Hicks, Samantha R. Paglinco, Rohan Sawhney, Stefanie A. Pilip, Patricia B. Stopper, Rolando Rolandelli

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)615-619
Number of pages5
JournalAmerican Surgeon
Volume84
Issue number5
StatePublished - May 1 2018
Externally publishedYes

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Ileostomy
Hand
Costs and Cost Analysis
Hospital Charges
Electrocardiography
Operating Rooms
Length of Stay
Pathology

All Science Journal Classification (ASJC) codes

  • Surgery

Cite this

Nemeth, Z. H., Bogdanovski, D. A., Hicks, A. S., Paglinco, S. R., Sawhney, R., Pilip, S. A., ... Rolandelli, R. (2018). Outcome and cost analysis of hand-sewn and stapled anastomoses in the reversal of loop ileostomy. American Surgeon, 84(5), 615-619.
Nemeth, Zoltan H. ; Bogdanovski, Dorian A. ; Hicks, Addison S. ; Paglinco, Samantha R. ; Sawhney, Rohan ; Pilip, Stefanie A. ; Stopper, Patricia B. ; Rolandelli, Rolando. / Outcome and cost analysis of hand-sewn and stapled anastomoses in the reversal of loop ileostomy. In: American Surgeon. 2018 ; Vol. 84, No. 5. pp. 615-619.
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Nemeth, ZH, Bogdanovski, DA, Hicks, AS, Paglinco, SR, Sawhney, R, Pilip, SA, Stopper, PB & Rolandelli, R 2018, 'Outcome and cost analysis of hand-sewn and stapled anastomoses in the reversal of loop ileostomy', American Surgeon, vol. 84, no. 5, pp. 615-619.

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 journalArticle

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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

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Nemeth ZH, Bogdanovski DA, Hicks AS, Paglinco SR, Sawhney R, Pilip SA et al. Outcome and cost analysis of hand-sewn and stapled anastomoses in the reversal of loop ileostomy. American Surgeon. 2018 May 1;84(5):615-619.