Abstract
The results of an alternative to the classic diverting lateral colostomy when used to protect a high risk anastomosis are reported. Fourteen out of 122 patients undergoing colonic or colorectal resection had a restoration of intestinal continuity with a proximal closed loop colostomy — of these 11 did not require opening in the immediate post-operative period. These had an uneventful early post-operative course, and the return of the colostomy to the abdominal cavity was performed within 10 days post-operatively, without having been opened. In three cases where local or general complications occurred, the opening of the colonic loop led to the creation of a conventional temporary protective colostomy. This procedure allowed a reduction of the originally planned number of colostomies by 50%.
Résumé
Nous rapportons les résultats d'une alternative à la colostomie latérale classique utilisée pour protéger une anastomose à haut risque. 14 patients parmi 122 ayant subi une résection colo-rectale ont eu une rétablissement de la continuité intestinale avec une colostomie proximale laissée fermée, parmi ceux ci, 11 n'eurent pas besoin d'une ouverture dans la période post-opératoire immédiate. Celle-ci fût sans complication et la réintégration de la colostomie fût réalisée dans les 10 jours postopératoires. Dans trois cas où des complications locales ou générales survinrent l'ouverture de l'anse colique créa une colostomie de protection conventionnelle temporaire. Ce procédé permet une réduction de la moitié des colostomies originellement prévues.
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Vaxman, F., Ionescu, C., Volkmar, P. et al. The unopened colostomy: a procedure to protect colonic anastomosis. Int J Colorect Dis 8, 48–50 (1993). https://doi.org/10.1007/BF00341277
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DOI: https://doi.org/10.1007/BF00341277