Abstract
The use of a temporary colostomy is essential in the management of trauma, carcinoma, iatrogenic perforations, diverticulitis, and a number of congenital anomalies of the colon. Closure of a colostomy can be associated with a signifiant complication rate and even mortality and should not be considered a minor procedure. This is a retrospective study of 114 patients undergoing closure of colostomy, in which an attempt was made to investigate and single out the factors determining complications of colostomy closure. The results point toward timing and technique of closure as the two main factors determining complications associated with colostomy closure.
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References
Barron J, Fallis LS. Colostomy closure by the intraperitoneal method. Dis Colon Rectum 1958; 1:466–70.
Knox AJ, Birkett FD, Collins CD. Closure of colostomy. Br J Surg 1971; 58:669–72.
Thomson JP, Hawley PR. Results of closure of loop transverse colostomies. Br Med J 1972; 3:459–62.
Yakimets WW. Complications of closure of loop colostomy. Can J Surg 1975; 18:366–70.
Beck PH, Conklin HB. Closure of colostomy. Ann Surg 1975; 181:795–8.
Adeyemo A, Gaillard WE Jr, Ali SD, Calhoun T, Kurtz LH. Colostomy—intraperitoneal or extraperitoneal closure? Am J Surg 1975; 130:273–4.
Finch DR. The results of colostomy closure. Br J Surg 1976; 63:397–9.
Barnett JE, Endrey-Walder P, Pheils MT. Closure of colostomy. Aust NZ J Surg 1976; 46:131–3.
Yajko RD, Norton LW, Bloemendal L, Eiseman B. Morbidity of colostomy closure. Am J Surg 1976; 132:304–6.
Wheeler MH, Barker J. Closure of colostomy—a safe procedure? Dis Colon Rectum 1977:20:29–32.
Mirelman D, Corman ML, Veidenheimer MC, Coller JA. Colostomies—indications and contraindications: Lahey Clinic experience, 1963–1974. Dis Colon Rectum 1978; 21:172–6.
Hines JR, Harris GD. Colostomy and colostomy closure. Surg Clin North Am 1977; 57:1379–92.
Garnjobst W, Leaverton GH, Sullivan ES. Safety of colostomy closure. Am J Surg 1978; 136:85–9.
Mitchell WH, Kovalcik PJ, Cross GH. Complications of colostomy closure. Dis Colon Rectum 1978; 21:180–2.
Smith R, Walt AJ: The morbidity and cost of the temporary colostomy. Dis Colon Rectum 1978; 21:558–61.
Todd GJ, Kutcher LM, Markowitz AM: Factors influencing the complications of colostomy closure. Am J Surg 1979; 137:749–51.
Samhouri F, Grodsinsky C. The morbidity and mortality of colostomy closure. Dis Colon Rectum 1979; 22:312–4.
Henry MM, Everett WG. Loop colostomy closure. Br J Surg 1979; 66:275–7.
Dolan PA, Caldwell FT, Thompson CH, Westbrook KC. Problems of colostomy closure. Am J Surg 1979; 137:188–91.
Machiedo GW, Casey KF, Blackwood JM. Colostomy closure following trauma. Surg Gynecol Obstet 1980; 151:58–60.
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Freund, H.R., Raniel, J. & Muggia-Sulam, M. Factors affecting the morbidity of colostomy closure. Dis Colon Rectum 25, 712–715 (1982). https://doi.org/10.1007/BF02629546
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DOI: https://doi.org/10.1007/BF02629546