Abstract
A retrospective analysis of 153 patients having intraperitoneal closure of transverse loop colostomies was performed. The mortality was 1.4 per cent. The morbidity rate was 15 per cent, including 7 per cent wound infections and 5.2 per cent fecal fistulas. The incidence of wound infection was not significantly improved by the use of systemic or nonabsorbable intestinal antibiotics. Intraperitoneal drainage alone or in combination with subcutaneous drainage resulted in the highest rate of wound infection. However, the use of intraperitoneal drains seems justified for the control of fecal fistula if it should occur. The lowest incidence of complication was noted when colostomies were closed in 2–4 months. Particular attention must be given to cases with diverticulitis as these have a greater morbidity. Factors which reduce morbidity appear to be directly related to clean and careful dissection of the bowel with a sound technique of anastomosis.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
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.
Thibodeau OA. Colostomy closure—a simple procedure? J Maine Med Assoc 1974;65:208–9.
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.
Yajko RD, Norton LW, Bloemendal L, Eiseman B. Morbidity of colostomy closure. Am J Surg 1976;132:304–6.
Finch DR. The results of colostomy closure. Br J Surg 1976;63:397–9.
Tomlinson RJ, Newman BM, Schofield PF. Is colostomy closure a hazardous procedure: A comparison of elemental diet and routine bowel preparation. Br J Surg 1976;63:799–800.
Wheeler MH, Barker J. Closure of colostomy—a safe procedure? Dis Colon Rectum 1977;20:29–32.
Jarrett LN, Balfour TW, Bourke JB. Mortality and morbidity in transverse loop colostomy closure. J R Coll Surg Edinb 1977;22:208–13.
Smit R, Walt AJ. The morbidity and cost of the temporary colostomy. Dis Colon Rectum 1978;21:558–61.
Mitchell WH, Kovalcik PJ, Cross GH. Complications of colostomy closure. Dis Colon Rectum 1978;21:180–2.
Mirelman D, Corman ML, Veidenheimer MC, Coller JA. Colostomies—indications and contraindications: Lahey Clinic experience, 1963–1974. Dis Colon Rectum 1978;21:172–6.
Garnjobst W, Leaverton GH, Sullivan ES. Safety of colostomy closure. Am J Surg 1978;136:85–9.
Garnjobst W. The cost of temporary colostomy (editorial). Dis Colon Rectum 1978;21:644.
Barron J, Fallis LS. Colostomy closure by the intraperitoneal method. Dis Colon Rectum 1958;1:466–70.
Dolan PA, Caldwell FT, Thompson CH, Westbrook KC. Problems of colostomy closure. Am J Surg 1979;137:188–91.
Tilson MD, Fellner BJ, Wright HK. A possible explanation for postoperative diarrhea after colostomy closure. Am J Surg 1976;131:94–7.
Hines JR, Harris GD. Colostomy and colostomy closure. Surg Clin North Am 1977;57:1379–92.
Arango A, Lester JL III, Martinez OV, Malinin TI, Zeppa R. Bacteriologic and systemic effects of intraoperative segmental bowel preparation with povidone iodine. Arch Surg 1979;114:154–7.
Sindelar WA, Mason GR. Irrigation of subcutaneous tissue with povidone-iodine solution for prevention of surgical wound infections. Surg Gynecol Obstet 1979;148:227–31.
Author information
Authors and Affiliations
About this article
Cite this article
Rosen, L., Friedman, I.H. Morbidity and mortality following intraperitoneal closure of transverse loop colostomy. Dis Colon Rectum 23, 508–512 (1980). https://doi.org/10.1007/BF02987089
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02987089