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Clinical Trial
. 2024 Mar 27;16(3):807-815.
doi: 10.4240/wjgs.v16.i3.807.

Early postoperative complications after transverse colostomy closure, a retrospective study

Fei Liu  1 , Xiao-Juan Luo  2 , Zi-Wei Li  1 , Xiao-Yu Liu  1 , Xu-Rui Liu  1 , Quan Lv  1 , Xin-Peng Shu  1 , Wei Zhang  1 , Dong Peng  3
Affiliations
Clinical Trial

Early postoperative complications after transverse colostomy closure, a retrospective study

Fei Liu et al. World J Gastrointest Surg. .

Abstract

Background: Ostomy is a common surgery usually performed to protect patients from clinical symptoms caused by distal anastomotic leakage after colorectal cancer (CRC) surgery and perforation or to relieve intestinal obstruction.

Aim: To analyze the complications after transverse colostomy closure.

Methods: Patients who underwent transverse colostomy closure from Jan 2015 to Jan 2022 were retrospectively enrolled in a single clinical center. The differences between the complication group and the no complication group were compared. Logistic regression analyses were conducted to find independent factors for overall complications or incision infection.

Results: A total of 102 patients who underwent transverse colostomy closure were enrolled in the current study. Seventy (68.6%) patients underwent transverse colostomy because of CRC related causes. Postoperative complications occurred in 30 (29.4%) patients and the most frequent complication occurring after transverse colostomy closure was incision infection (46.7%). The complication group had longer hospital stays (P < 0.01). However, no potential risk factors were identified for overall complications and incision infection.

Conclusion: The most frequent complication occurring after transverse colostomy closure surgery in our center was incision infection. The operation time, interval from transverse colostomy to reversal, and method of anastomosis might have no impact on the postoperative complications. Surgeons should pay more attention to aseptic techniques.

Keywords: A single clinical centre; Complications; Risk factors; Surgery; Transverse colostomy closure.

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Conflict of interest statement

Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.

Figures

Figure 1
Figure 1
Flow chart of patient selection.
Figure 2
Figure 2
Surgery procedure. A: Image of transverse loop stoma; B: Surgical site after transverse colostomy closure.
See this image and copyright information in PMC

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