Highlights
- •What is currently known about the topic?Stoma recycling in neonates is safe and has a range of potential benefits.Stoma recycling is not yet universal policy.
- •What new information is contained in the article?Further confirmation of recycling safety.Review of nursing experience and barriers to effective recycling.Suggested areas of improvement and an outline of a uniform policy.
Abstract
Aim
Recycling has been shown to improve growth, nutrition and facilitate early stoma closure.
We aim to review current practice and nursing experience at a tertiary paediatric
surgical unit and to evaluate possible areas for improvement.
Method
Retrospective study of all neonates who underwent a stoma closure between January
2018 and October 2020, alongside a nursing staff survey on experience and barriers
to effective recycling. Data presented as median (range) and number (percentage).
P value <0.05 was regarded as significant.
Results
A total of 71 neonates were included; median birthweight 869.5 (500–3600)g and gestation
26 (23–40) for a median of 15.5 (1–51) days. Rates of early stoma closure were similar
in both the recycling (RG) and non recycling groups (NRG); 15/29 vs. 21/42, p > 0.999.
Thirty-nine neonatal nurses responded to the survey with 36/39 (92%) having prior
experience of recycling. Time constraints were the main reason nurses felt it was
difficult to achieve effective recycling, with some also being worried about causing
damage. Increased training and parental involvement were two potential solutions suggested
by nurses to overcome these issues.
Conclusion
Despite the known benefits, less than half of our cohort had successful recycling
prior to stoma closure. Increased training, development of a uniform policy and involvement
of the parents may help to improve the rates of stoma recycling.
Level of evidence
Level III (Retrospective Comparative Study).
Keywords
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Article info
Publication history
Published online: March 31, 2022
Accepted:
March 18,
2022
Received in revised form:
February 2,
2022
Received:
July 28,
2021
Identification
Copyright
© 2022 Elsevier Inc. All rights reserved.
