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Early local complications following colostomy closure in cancer patients

  • Published:
Diseases of the Colon & Rectum

Abstract

Early surgical complications following colostomy closure in 65 cancer patients operated on at the Istituto Nazionale Tumori of Milan were evaluated retrospectively. The overall complication rate was 24.6 per cent, including infections (13.8 per cent), fistulas (6.1 per cent), wound dehiscence (3.0 per cent), and distal stenosis (1.5 per cent). Type and rate of complications were analyzed to find a correlation with type, site, and location of colostomy, technique of closure, presence or absence of drains, or time interval between construction and closure of colostomy. No statistically significant association between the aforementioned factors and occurrence and rate of complications was found. The authors think, therefore, that surgical attention, including meticulous manipulation of the stoma, avoidance of contamination of the wound, tension of sutures, dead spaces, and collection of blood in the wound, and use of antibiotics and antiseptics are the most important principles to minimize postoperative complications.

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Authors and Affiliations

  1. Istituto Nazionale per lo Studio e la Cura dei Tumori, Via Venezian 1, 20133, Milan, Italy

    Federico Bozzetti M.D., Maurizio Nava M.D., Rosaria Bufalino M.D., Velio Menotti M.D., Raffaele Marolda M.D., R. Doci M.D. & Leandro Gennari M.D.

Authors
  1. Federico Bozzetti M.D.
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  2. Maurizio Nava M.D.
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  3. Rosaria Bufalino M.D.
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  4. Velio Menotti M.D.
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  5. Raffaele Marolda M.D.
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  6. R. Doci M.D.
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  7. Leandro Gennari M.D.
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Bozzetti, F., Nava, M., Bufalino, R. et al. Early local complications following colostomy closure in cancer patients. Dis Colon Rectum 26, 25–29 (1983). https://doi.org/10.1007/BF02554674

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  • DOI: https://doi.org/10.1007/BF02554674

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