Feasibility analysis of loop colostomy closure in patients under local anesthesia.
OBJECTIVE
To verify prospectively the practicability of performing loop colostomy closure under local anesthesia and sedation.


METHODS
In this study, 21 patients underwent this operation. Lidocaine 2% and bupivacaine 0.5% were utilized. Pain was evaluated during the operation, on the first postoperative day and at hospital discharge. Intraoperative events, postoperative complications and the acceptability of this procedure were analyzed.


RESULTS
The mean duration of the operation was 133 minutes (range: 85 to 290 minutes). The mean postoperative hospitalization was four days (range: one to twelve days). No patients died. Complications occurred in two patients (9.4%): abdominal wall hematoma and operative wound infection. With regard to pain severity, scores of less than or equal to three were indicated in the intraoperative evaluation by 80% of the patients (17/21) and on the first postoperative day by 85% (18/21). At hospital discharge, 95.2% of the patients (20/21) said they were in favor of the local anesthesia technique.


CONCLUSIONS
Loop colostomy closure under local anesthesia and sedation is feasible, safe and acceptable to patients.
Abreu
Rone Antônio Alves de
RA
General and Digestive System Surgery Unit, Mandaqui Hospital Complex and Surgical Gastroenterology Division, Federal University of São Paulo (UNIFESP), Brazil. roneabreu@uol.com.br
Speranzini
Manlio B
MB
Fernandes
Luís C
LC
Matos
Delcio
D
D000328:Adult; D000772:Anesthesia, Local / Q000379:methods*; D003125:Colostomy / Q000379:methods*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010043:Outcome and Process Assessment, Health Care; D010147:Pain Measurement; D011446:Prospective Studies