Comparison of Intraperitoneal and Extraperitoneal Colostomy Closure Methods

International Journal of Medical Science

© 2023 by SSRG - IJMS Journal

Volume 10 Issue 4

Year of Publication : 2023

Authors : Hakan Baysal

10.14445/23939117/IJMS-V10I4P106

How to Cite?

Hakan Baysal, "Comparison of Intraperitoneal and Extraperitoneal Colostomy Closure Methods," SSRG International Journal of Medical Science, vol. 10,  no. 4, pp. 28-33, 2023. Crossref, https://doi.org/10.14445/23939117/IJMS-V10I4P106

Abstract:

In this study, we compare intraperitoneal and extraperitoneal colostomy closure methods and review the subject from various aspects. Between 1992 and 1996, 65 cases of closed colostomy due to different indications in our clinic were included in the study. The patients' characteristics, colostomy closure techniques, complications, and management were evaluated retrospectively. The mean age of these 65 (F/M = 38.4%/61.6%) patients was 55 (17-83). Colostomy was opened due to malignancy in 34 patients, intra-abdominal injuries and traumas in 15 patients, non-malignant obstruction in 8 patients, inflammatory diseases in 6 patients, post-operative fistula in 1 patient, and rectovaginal fistula in 1 patient, the period from the application of the colostomy to its closure ranged from 1 month to 1 year. The intraperitoneal method was used in 29 (44.6%) patients, and the extraperitoneal method was used in 36 (55.4%) patients for colostomy closure. Complications were observed in 9 (13.8%) of the cases. Fecal fistula developed in 4 patients, surgical site infection in 3 patients, and lung infection in 2 patients. Of the 4 cases that developed fecal fistula, 1 was closed with the extraperitoneal technique and 3 with the intraperitoneal technique. In our study, it was concluded that the extraperitoneal colostomy closure method is a preferable method depending on the experience of the surgeon since complications are less than the intraperitoneal method.

Keywords:

Colostomy, Peritoneum, Surgical procedures, Fistula, Infections.

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