Morbidity of closure of colostomy

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Abstract
Eighty-six colostomy closures, with 61.6% of the cases resulting from trauma, are reviewed. The overall complication rate was 17.4% which included 7% wound infection, 3.5% anastomotic leak with fecal fistula, 2.3% partial bowel obstruction and 1% each of deep stitch abscess, wound dehiscence, incisional hernia and death due to intraabdominal sepsis. Age, sex and underlying disease had no demonstrable influence on the outcome of the operation. Closure of colostomy after 3 mo. of construction, mechanical and antibiotic bowel preparation, i.p. closure, end-to-end anastomosis and secondary skin closure were factors that appeared to influence the morbidity of the operation.

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