Publications by authors named "Kevin Allart"

2 Publications

  • Page 1 of 1

Short-term Outcomes of Day-Case Stoma Closure: A Prospective, Observational Study.

Dis Colon Rectum 2021 Apr 26. Epub 2021 Apr 26.

Department of Digestive Surgery, Amiens University Hospital, Amiens, France SSPC (Simplification of Surgical Patients Care) Clinical Research Unit, University of Picardie Jules Verne, Amiens, France Department of Anaesthesia, Amiens University Hospital, Amiens, France.

Background: Elective stoma closure is a common, standardized procedure in digestive surgery.

Objective: To evaluate the feasibility of day-case surgery for elective stoma closure.

Design: A prospective, single-center, non-randomized study of consecutive patients undergoing day-case elective stoma closure.

Setting: A French tertiary hospital between January 2016 and June 2018.

Patients: Elective stoma closure performed by local incision with an American Society of Anesthesiologists score of I, II or stabilized III.

Outcome Measures: The primary endpoint was the day case surgery success rate in the overall population (all patients having undergone elective stoma closure) and in the per protocol population (patients not fulfilling any of the preoperative or perioperative exclusion criteria). The secondary endpoints (in the per protocol population) were the overall morbidity rate (according to the Clavien-Dindo classification), the major morbidity rate (Clavien score ≥ 3), and day case surgery quality criteria (unplanned consultation, unplanned hospitalization, and unplanned reoperation).

Results: Between January 2016 and June 2018, 236 patients (the overall population; mean ± standard deviation age: 54 ± 17; 120 men (51%)) underwent elective stoma closure. Fifty of these patients (21%) met all the inclusion criteria and constituted the per protocol population. The day case surgery success rate was 17% (40 out of 236 patients) in the overall population and 80% (40 out of 50 patients) in the per protocol population. In the per protocol population, the overall morbidity rate was 30% and the major morbidity rate was 6%. Of the 40 patients with successful day case surgery, the unplanned consultation rate and the unplanned hospitalization rate were both 32.5%. There were no unplanned reoperations.

Limitations: This was a single-center study.

Conclusion: In selected patients, day case surgery for elective stoma closure is feasible and has acceptable complication and readmission rates. Day-case elective stoma closure can therefore be legitimately offered to selected patients. See Video Abstract at http://links.lww.com/DCR/B583.
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http://dx.doi.org/10.1097/DCR.0000000000001905DOI Listing
April 2021

Laparoscopic repair of a perforated duodenal ulcer: another use of a round ligament flap.

Wideochir Inne Tech Maloinwazyjne 2018 Dec 30;13(4):542-545. Epub 2018 May 30.

Department of Digestive Surgery, Amiens University Hospital, Amiens, France.

Management of a perforated duodenal ulcer is most commonly performed by laparoscopy and consists of suture of the perforation after performing lavage of the peritoneal cavity. In most cases, a flap is created, and an omental flap is usually the preferred choice because of its simplicity and its proximity to the site of duodenal perforation. However, in some cases, the greater omentum cannot be used due to the severity of peritonitis or due to previous surgical removal. We report a laparoscopic technique for surgical repair of a perforated duodenal ulcer using a round ligament flap. The present manuscript and the associated video highlight some important technical aspects to easily perform this procedure.
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http://dx.doi.org/10.5114/wiitm.2018.76070DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6280083PMC
December 2018