[Colostomy closure: is it an intervention without risk?].
OBJECTIVE
To examine whether colostomy closure is an operation with a high risk of complications.


METHODS
Retrospective study of colostomy closures in a 14-year period.


METHODS
60 patients, averaging 54 years, males in 63%. The main indication for colostomy was colorectal neoplasm (47%), followed by trauma (23%).


RESULTS
There were 15 Hartman's procedure reconstructions, 4 reconstructions of colostomy and mucous fistula, and 41 "simple" colostomy closures. The closure was extraperitoneal in 40%, suturing only the anterior colonic wall in 42%. We had 27 postoperative complications in 33% of the patients, without mortality. The average hospital stay was 8 days longer in the group with complications. The complication rate was 29% in the "simple" closure versus 42% in the reconstruction group (this difference was not statistically significant). The statistic analysis (chi-square and Mann-Whitney tests) showed no influence on morbidity of factors such as age, sex, previous disease, age of colostomy, and type and closure technique of colostomy.


CONCLUSIONS
Colostomy closure has a high rate of postoperative complications (33%). These are minor in almost all cases, without mortality.
Paredes
J P
JP
Servicio de Cirugía General, Hospital General de Galicia, Universidad de Santiago de Compostela.
Caínzos
M
M
García
J
J
Parada
P
P
Fernández
E
E
Paulos
A
A
Potel
J
J
D000328:Adult; D000368:Aged; D016009:Chi-Square Distribution; D003125:Colostomy / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000453:epidemiology; D012086:Reoperation / Q000009:adverse effects / Q000379:methods / Q000706:statistics & numerical data; D012189:Retrospective Studies; D012307:Risk Factors; D013030:Spain / Q000453:epidemiology; D018709:Statistics, Nonparametric
Cierre de colostomía: es una intervención sin riesgo?