Abstract

BEJARANO, Mónica; GONZALEZ, Adolfo  and  GARCIA P, Herney Andrés. Evaluation of social factors in relating to the development of complications associated with closure of colostomies and enterostomies. rev. colomb. cir. [online]. 2004, vol.19, n.4, pp.231-237. ISSN 2011-7582.

Colostomies and ileostomies are common procedures, but their closure is associated with a significant rate of complications. Our study sougth to describe the complications following the closure of colostomies and ileostomies at Hospital Mario Correa Rengifo and Hospital Universitario del Valle Evaristo García de Cali, Colombia, and to identify factors involved in the development of complications. The following items were evaluated: age, sex, indication for the ostomy, type of ostomy performed, surgeon´s training level, management by open abdomen, nutritional status of the patient, mechanical preparation of bowel, prophylactic antibiotics, timing of closure, condition of the skin at the time of closure, approach for closure of the skin, technique of closure of the colon, and presence of complications. We started with a design of cases and controls methodology including 163 patients; 40 of them exhibited sometype of complication following closure of the ostomy. We did not identify any factor significantly associated with the development of complications in the patients included in this study.

Keywords : ostomy; risk factors; surgical anastomosis; postoperative complications.

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