Strobel, Rahel M.;
Schineis, Christian H. W.;
Lasierra Viguri, Leyre;
Stroux, Andrea;
Eschlböck, Sophie M.;
Lobbes, Leonard A.;
Pozios, Ioannis;
Seifarth, Claudia;
Weixler, Benjamin;
Kamphues, Carsten;
Beyer, Katharina;
Lauscher, Johannes C.
Standardized digital solution with surgical procedure manager (SPM®)—an opportunity for maximizing patient safety and efficiency in ileostomy reversal?
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Medientyp:
E-Artikel
Titel:
Standardized digital solution with surgical procedure manager (SPM®)—an opportunity for maximizing patient safety and efficiency in ileostomy reversal?
Beteiligte:
Strobel, Rahel M.;
Schineis, Christian H. W.;
Lasierra Viguri, Leyre;
Stroux, Andrea;
Eschlböck, Sophie M.;
Lobbes, Leonard A.;
Pozios, Ioannis;
Seifarth, Claudia;
Weixler, Benjamin;
Kamphues, Carsten;
Beyer, Katharina;
Lauscher, Johannes C.
Erschienen:
Frontiers Media SA, 2023
Erschienen in:
Frontiers in Surgery, 10 (2023)
Sprache:
Nicht zu entscheiden
DOI:
10.3389/fsurg.2023.1141017
ISSN:
2296-875X
Entstehung:
Anmerkungen:
Beschreibung:
<jats:sec><jats:title>Background</jats:title><jats:p>Standardization and digitalization are getting more and more essential in surgery. Surgical procedure manager (SPM®) is a freestanding computer serving as a digital supporter in the operating room. SPM® navigates step-by-step through surgery by providing a checklist for each individual step.</jats:p></jats:sec><jats:sec><jats:title>Methods</jats:title><jats:p>This was a single center, retrospective study at the Department for General and Visceral Surgery at Charité—Universitätsmedizin Berlin, Campus Benjamin Franklin. Patients who underwent ileostomy reversal without SPM® in the period of January 2017 until December 2017 were compared to patients who were operated with SPM® in the period of June 2018 until July 2020. Explorative analysis and multiple logistic regression were performed.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Overall, 214 patients underwent ileostomy reversal: 95 patients without SPM® vs. 119 patients with SPM®. Ileostomy reversal was performed by head of department/attendings in 34.1%, by fellows in 28.5% and by residents in 37.4%; <jats:italic>p</jats:italic> = 0.91. Postoperative intraabdominal abscess emerged more often in patients without SPM®: ten (10.5%) patients vs. four (3.4%) patients; <jats:italic>p</jats:italic> = 0.035. Multiple logistic regression showed a risk reduction for intraabdominal abscess {Odds ratio (OR) 0.19 [95% confidence interval (CI) 0.05–0.71]; <jats:italic>p</jats:italic> = 0.014} and for bowel perforation [OR 0.09 (95% CI 0.01–0.93); <jats:italic>p</jats:italic> = 0.043] in the group with use of SPM® in ileostomy reversal.</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>SPM® may reduce postoperative complications in ileostomy reversal such as intraabdominal abscess and bowel perforation. SPM® may contribute to patient safety.</jats:p></jats:sec>