[Self-healing cecal fistulas for securing anastomoses of the colon and rectum--is this still indicated?].
During a period of 2.5 years self-healing coecostomies according to Stelzner (1970) were applied in 48 elective procedures to the left colon. The following operations were done by 16 different surgeons: left side hemicolectomy 5, sigma resection 24, anterior resection of the rectum 19, 13 of which had anastomoses less than 8 cm.


RESULTS
Mean postoperative hospital care 25.3 days, no clinical manifestation of anastomotic leaks, first passing of stool after a mean of 8.5 days. Lethality of 4.2% independent of anastomoses, spontaneous occlusion of fistulae after 42 +/- 26 days. 21% local not life-endangering complications occurred.
D002432:Cecum / Q000601:surgery*; D003108:Colonic Diseases / Q000601:surgery*; D003125:Colostomy; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control; D019736:Prostheses and Implants; D012002:Rectal Diseases / Q000601:surgery*; D013529:Surgical Wound Dehiscence / Q000517:prevention & control; D014945:Wound Healing
Selbstheilende Coecalfisteln zur Sicherung der Anastomosen mit dem Colon und Rectum--noch indiziert?