title: The use of temporary diverting colostomy to manage elderly individuals with extensive perineal burns.
abstract: The regimen of burn treatment for five elderly individuals who had sustained burns that had involved the perineum included formation of colostomy to divert fecal passage. The inclusion of diverting colostomy in this group of patients had made the management of burn wound that had included eventual skin grafting technically easy. A total of 168 patients were admitted to the Burn Unit at the Kagoshima City Hospital between 1997 and 2000. There were 36 patients who had perineal involvement. Of these, there were five elderly patients aged 60 years or older. There were two men and three women who were between 60 and 81 years of age. The mean age was 72 years. The total body surface involvement varied between 7 and 55% with an average body surface involvement of 30%. The sigmoid colon was as the colostomy site. Although, two patients died of injury, the morbidities associated with colostomy procedure were nil.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Tokyo Women's Medical University, 8-1 Kawada Cho, Shinjuku Ku, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Nakazawa
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Ito
authors.forename: Kousuke
authors.initials: K
authors.lastname: Morioka
authors.forename: Yuji
authors.initials: Y
authors.lastname: Kikuchi
authors.forename: Takashi
authors.initials: T
authors.lastname: Honda
authors.forename: Tsukasa
authors.initials: T
authors.lastname: Isago
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002053:Burn Units; D002056:Burns / Q000503:physiopathology / Q000628:therapy*; D003125:Colostomy; D003672:Defecation / Q000502:physiology; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D010502:Perineum / Q000293:injuries*; D016896:Treatment Outcome