Abstract
Retrospective analysis of patients who underwent SC following stoma formation for NEC between Jan 2009 and July 2015 was done. Early (EC) versus late closure (LC) was defined as less than 10weeks versus at or after 10weeks of stoma formation. Of 36 patients, M:F was 23:13. Indications for laparotomy were pneumoperitoneum (30) and gangrene (6). Postoperatively, 9/15 (60.0%) of EC group required ventilator support versus none in LC group (p<0.05). It took longer to establish full feeds following EC (12days) versus LC (8days). Median duration of postoperative hospital stay following EC was 31days (18-35) versus 7days (4-54) following LC. Three patients were re-operated for intestinal obstruction (two following EC, one following LC). Three patients developed incisional hernia after EC versus none after LC (p<0.05). One patient died after EC due to staphylococcus septicaemia. Early closure before 10weeks of formation for NEC patients is associated with significant morbidity, increased ventilator requirements and chances of developing incisional hernia.
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