OUTCOME OF COLOSTOMY CLOSURE WITHOUT PRIOR CONVENTIONAL BOWEL PREPARATION.

Abstract

Background; Colostomy closure is a routine procedure performed frequently by pediatric surgeons all over the world. It is an elective procedure that is assumed to be easy,yet, the literature indicates that this procedure still may be the source of significant complications, including death. Because of these facts, as well as the very good results encountered in our series, we decided to share our routines and surgical technique that we use during the colostomy closure procedure.

Results; Out of these 102 study cases, 66 (64.7%) were boys and 36 (35.3%) were girls while male to female ratio was 1.83:1. Mean age of our study cases was 6.19 ± 2.64 years (with minimum age was 2 years while maximum age was 12 years). Mean duration of surgery in our study cases was 105.88 ± 18.55 minutes (with minimum duration of the surgery was 65 minutes while maximum duration of the surgery was 145 minutes). Obesity was noted in 15 (14.7%) of our study cases. Anastomotic leakage was noted in 10 (9.8%), wound infection in 15 (14.7%) and prolonged hospital stay in 30 (29.4%) of our study cases. Conclusion; The results of this study indicate that colostomy closure without prior conventional bowel preparation is safe, reliable and cost effective mode of treatment. It can be applied to children of different age groups without any significant side effects and it provides less pre-operative hospital stay which is beneficial not only for the parents but also for the hospital authorities. So our study results recommend the use of colostomy closure without prior conventional bowel preparation with desired outcomes.

Keywords; Colostomy closure, wound infection, anastomotic leak.