Mortality and Morbidity Colostomy Closure

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Muhammad Arif

Abstract

A Retrospective review of 50 colostomy closure cases has been made: the patients were operated during 1984-85 in Surgical B Unit PGMI, LRH Peshawar, 40 were extra-peritoneal and 10 intra-peritoneal; 30 closures were performed in 2 layers and 20 in single layer. There were post-operative complications in 10 cases: one patient died of peritonitis and 9 cases developed complications ranging from infection to faecal fistula. Patients with complications stayed in the hospital for a longer period. The incidence of complications was more or less the same in intra-peritoneal closure except for incisional hernia which developed only in extra-peritoneal closure. Pre-operative barium studies, chemotherapeutic bowel preparation and insertion of a wound drain did not reduce the incidence of complications. The time for closure was 2-3 months after formation of colostomy.

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1.
Arif M. Mortality and Morbidity Colostomy Closure. J Postgrad Med Inst [Internet]. 2011 Aug. 18 [cited 2024 Apr. 12];2(1). Available from: https://www.jpmi.org.pk/index.php/jpmi/article/view/307
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Original Article

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