Same admission colostomy closure: A prospective, randomised study in selected patient groups

Background: Despite a recent trend towards primary repair, colostomy still has an important place in the management of different colorectal pathologies. Timing of colostomy closure is a debatable issue among general surgeons. We carried out a prospective, randomised study to compare the outcome afte...

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Bibliographic Details
Published in:The surgeon (Edinburgh) 2005-02, Vol.3 (1), p.11-14
Main Authors: Khalid, M.S., Moeen, S., Khan, A.W., Arshad, R., Khan, A.F.A.
Format: Article
Language:English
Subjects:
Abdominal Injuries - complications
Adolescent
Adult
Aged
Biological and medical sciences
Colostomy
conventional
Cost-Benefit Analysis
Digestive System Surgical Procedures - economics
Digestive System Surgical Procedures - methods
Female
General aspects
Humans
Intestine, Large - surgery
large bowel
Male
Medical sciences
Middle Aged
Prospective Studies
stoma
Stomach, duodenum, intestine, rectum, anus
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
trauma
Treatment Outcome
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Summary:Background: Despite a recent trend towards primary repair, colostomy still has an important place in the management of different colorectal pathologies. Timing of colostomy closure is a debatable issue among general surgeons. We carried out a prospective, randomised study to compare the outcome after same admission colostomy closure (SACC) and conventional delayed colostomy closure (CDCC) in patients with predominantly traumatic injury of the large bowel. Methods: Sixty patients, the majority with traumatic colorectal pathologies, were prospectively randomised to SACC [30 patients, 23 men, mean age 27.9 ± 9.7 (range, 18-65) years] or (CDCC) [30 patients, 24 men, mean age 28.6 ± 10.6 (range, 18-63) years]. All colostomies were closed using an intraperitoneal closure technique. Pre-operative data and post-operative outcomes were collected and analysed. Results: A total of seven patients (23.3%) with SACc developed complications compared with eight patients (26.6%) having CDCC (p=0.83). The mean hospital stay (p
ISSN:1479-666X
2405-5840
DOI:10.1016/S1479-666X(05)80004-6