Complications of colostomy closure

Parks, Sara C.; Hastings, Paul R.

doi:10.1016/s0002-9610(85)80153-7

Cited by 57 publications

(34 citation statements)

References 10 publications

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“…However, the surgical duration did not influence the incidence of complications in our series. Although extended surgical duration has been identified as an independent risk factor for SSI by some studies due to prolonged exposure to microorganisms in the operating environment and diminished efficiency of antimicrobial prophylaxis, other studies have shown that the duration of ostomy closures does not have an effect on the incidence of complications, which is supported by our findings [5,6]. The duration of ostomy closure was longer when Hartmann's pouch was employed versus separated and loop ostomies, which is similar to previous reports, and therefore, avoidance of the use of Hartmann's pouch if possible will be less traumatic for the patient [7].…”

Section: Discussionsupporting

confidence: 88%

“…Our SSI rate was 9.2 %. Rates of SSI due to ostomy closure vary between 0 and 36 % in the literature [4, <0.001 5,14,15]. The mean SSI rate was 14 % (17/118) in a similar study where the incisions were primarily closed after ostomy closure in children, and SSI rates did not differ according to bowel cleansing and preoperative and postoperative antibiotic regimens, which supports our own findings [10].…”

Section: Discussionsupporting

confidence: 83%

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Ostomy Closures in Children: Variations in Perioperative Care Do Not Change the Outcome

Çavuşoğlu¹,

Karaman²,

Afşarlar³

et al. 2015

Indian J Surg

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This study aimed to evaluate ostomy closure applications and outcomes and determine the effect of personal differences among surgeons on patient postoperative course. Ninety-eight patients who underwent elective ostomy (ileostomy and colostomy) closure for 8 years at a pediatric surgery training department were investigated. Postoperative complications included superficial surgical site infection (SSI; 9.4 %), organ/cavity infection (1 %), small bowel adhesions (8.2 %), and incisional hernia (1 %). SSI and postoperative complications were not affected by the preoperative antibiotic regimen used. Operation duration, pre-and postoperative antibiotic use durations, postoperative inpatient period, ostomy type, primary diagnosis, performance of abdominal exploration, SSI, and postoperative complications were not significantly different. However, the time of nasogastric (NG) tube withdrawal, time to oral feeding initiation, abdominal closure method used, and preoperative antibiotic regimen were significantly different among different surgeons. We conclude that while surgeons used different preoperative antibiotic regimens and abdominal closure methods and stipulated different times for NG tube withdrawal and oral feeding initiation, the postoperative course and prognosis were unaffected Thus, the preand postoperative inpatient period and antibiotic use duration can be decreased in children by procedure standardization using practice guidelines; the procedures can also be performed with a more aesthetic, acceptable incision.

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Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 83%

Ostomy Closures in Children: Variations in Perioperative Care Do Not Change the Outcome

Çavuşoğlu¹,

Karaman²,

Afşarlar³

et al. 2015

Indian J Surg

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“…Vários fatores de risco tem sido implicados na literatura no desenvolvimento de complicações após o fechamento de colostomia, por exemplo, experiência do cirurgião (5,11) , doença primária (2) , localização do estoma (12) , técnica operatória (13) e o tempo de intervalo entre a primeira operação e o seu fechamento (3,11,(14)(15)(16) . Infelizmente os resultados são conflitantes entre as séries relatadas.…”

Section: Discussionunclassified

“…Esses dados são questionados por alguns centros, que preconizam uma reconstrução mais precoce sem um aumento significativo nas taxas de complicações (10,11,22,25) . Os trabalhos ainda não demonstram claramente uma diferença significativa nos dois tipos de abordagem, levando ainda em consideração a diferença de reconstrução de uma colostomia terminal ou em alça em relação ás complicações (26,27) . Nosso serviço adota a prática de aguardar 90 dias para o fechamento de uma ostomia, nossos números de 6,53 meses para o fechamento reflete a sobrecarga do sistema de saúde o que atrasa a reoperação desses pacientes, talvez refletindo em um aumento da morbidade.…”

Section: No Pacientes Morbidade Mortalidadeunclassified

Morbimortalidade da reconstrução de transito intestinal colônica em hospital universitário: análise de 42 casos

Bahten¹,

Nicoluzzi²,

Silveira³

et al. 2006

Rev bras. colo-proctol.

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RESUMO: OBJETIVOS -Analisar as características demográficas, a mortalidade e morbidade associada ao procedimento. MÉTODOS -Estudo retrospectivo dos casos de reconstrução intestinal colônica um hospital universitário. Todos os pacientes INTRODUÇÃODesde a primeira descrição da realização de colostomia pelo francês Littré 1 , a utilização de estomas e suas indicações foram modificadas conforme a evolução da medicina. Sua utilização como auxílio terapêutico das afecções colorretais é bem definido, porém a carga de morbi-mortalidade associada à reconstrução do trânsito intestinal é ainda motivo de preocupações. As particularidades técnicas das cirurgias de reconstrução de trânsito, desde o preparo pré-operatório, meios de reconstrução e cuidados pós-operatórios são partes integrantes e importantes nos currículos das residências médicas em cirurgia geral. Relata-se na literatura taxas de morbidade variando de 0-50% e de mortalidade de 0-4,5% 2,3 associadas a esse procedimento cirúrgico, dessa forma o conhecimento dos resultados obtidos permite o conhecimento dos fatores relacionados a esses índices e sua análise a melhora do serviço prestado.

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“…The reported complications rate following colostomy creation ranges from 21-70%, so much so that some surgeons considered them inevitable. Parks and Hastings (1985) reported an overall 36% complication following colostomy closure, many of which required more than one operation. Colostomy/ileostomy and staged procedure for its closure is associated with high mortality and morbidity, and is financial burden because of repeated admission and prolonged hospital stay.…”

Section: Discussionmentioning

confidence: 99%

Primary Bowel Repair with Exteriorization of Anastomosis– A Hospital Based Study

Akram¹

2017

JMSCR

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Complications of colostomy closure

Cited by 57 publications

References 10 publications

Ostomy Closures in Children: Variations in Perioperative Care Do Not Change the Outcome

Ostomy Closures in Children: Variations in Perioperative Care Do Not Change the Outcome

Morbimortalidade da reconstrução de transito intestinal colônica em hospital universitário: análise de 42 casos

Primary Bowel Repair with Exteriorization of Anastomosis– A Hospital Based Study

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