TY  - JOUR
A1  - Strobel, Rahel M.
A1  - Schineis, Christian H. W.
A1  - Lasierra Viguri, Leyre
A1  - Stroux, Andrea
A1  - Eschlböck, Sophie M.
A1  - Lobbes, Leonard A.
A1  - Pozios, Ioannis
A1  - Seifarth, Claudia
A1  - Weixler, Benjamin
A1  - Kamphues, Carsten
A1  - Beyer, Katharina
A1  - Lauscher, Johannes C.
T1  - Standardized digital solution with surgical procedure manager (SPM®) — an opportunity for maximizing patient safety and efficiency in ileostomy reversal?
T2  - Frontiers in Surgery
N2  - Background: 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. 

Methods: 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. 

Results: 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%; p = 0.91. Postoperative intraabdominal abscess emerged more often in patients without SPM®: ten (10.5%) patients vs. four (3.4%) patients; p = 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]; p = 0.014} and for bowel perforation [OR 0.09 (95% CI 0.01–0.93); p = 0.043] in the group with use of SPM® in ileostomy reversal. 

Conclusions: SPM® may reduce postoperative complications in ileostomy reversal such as intraabdominal abscess and bowel perforation. SPM® may contribute to patient safety.
Y1  - 2023
UR  - https://opus.bibliothek.uni-augsburg.de/opus4/frontdoor/index/index/docId/123730
UR  - https://nbn-resolving.org/urn:nbn:de:bvb:384-opus4-1237308
SN  - 2296-875X
VL  - 10
SP  - 1141017
PB  - Frontiers Media SA
ER  -