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. 1975 Jun;181(6):795–798. doi: 10.1097/00000658-197506000-00005

Closure of colostomy.

P H Beck, H B Conklin
PMCID: PMC1343896  PMID: 1094967

Abstract

We analyzed the records of 77 cases of loop colostomy closure in Vietnam War Casualties. All records were complete from the date of injury to discharge following colostomy closure. Simple of the loop colostomy was performed in 44 patients and resection of the stoma and reanastomosis of bowel segments was performed in 33 patients. Average operating time for simple closure of the loop was 70 minutes compared to 115 minutes for resection and anastomosis. Nasogastric suction was used less frequently and for a shorter time with simple loop closure. The total postoperative complication rate was 9% with simple loop closure as compared to 24% for resection and anastomosis. Simple closure of the loop described in this report is technically easier and as safe as resection of the stoma and reanastomosis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Beall A. C., Jr, Bricker D. L., Alessi F. J., Whisennand H. H., DeBakey M. E. Surgical considerations in the management of civilian colon injuries. Ann Surg. 1971 Jun;173(6):971–978. doi: 10.1097/00000658-197106010-00015. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Cromar C. D. The evolution of colostomy. Dis Colon Rectum. 1968 Jul-Aug;11(4):256–280. doi: 10.1007/BF02617153. [DOI] [PubMed] [Google Scholar]
  3. Ganchrow M. I., Lavenson G. S., Jr, McNamara J. J. Surgical management of traumatic injuries of the colon and rectum. Arch Surg. 1970 Apr;100(4):515–520. doi: 10.1001/archsurg.1970.01340220191032. [DOI] [PubMed] [Google Scholar]
  4. Knox A. J., Birkett F. D., Collins C. D. Closure of colostomy. Br J Surg. 1971 Sep;58(9):669–672. doi: 10.1002/bjs.1800580910. [DOI] [PubMed] [Google Scholar]
  5. Lavenson G. S., Cohen A. Management of rectal injuries. Am J Surg. 1971 Aug;122(2):226–230. doi: 10.1016/0002-9610(71)90322-9. [DOI] [PubMed] [Google Scholar]
  6. Lung J. A., Turk R. P., Miller R. E., Eiseman B. Wounds of the rectum. Ann Surg. 1970 Dec;172(6):985–990. doi: 10.1097/00000658-197012000-00009. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Sullivan W. G., Miller R. E., Eiseman B. Closure of colonic stomas in patients injured in combat. Surg Gynecol Obstet. 1970 Dec;131(6):1045–1051. [PubMed] [Google Scholar]
  8. TUCKER J. W., FEY W. P. The management of perforating injuries of the colon and rectum in civilian practice. Surgery. 1954 Feb;35(2):213–220. [PubMed] [Google Scholar]
  9. Thomson J. P., Hawley P. R. Results of closure of loop transverse colostomies. Br Med J. 1972 Aug 19;3(5824):459–462. doi: 10.1136/bmj.3.5824.459. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. WOODHALL J. P., OCHSNER A. The management of perforating injuries of the colon and rectum in civilian practice. Surgery. 1951 Feb;29(2):305–320. [PubMed] [Google Scholar]
  11. Wanebo H. J., Hunt T. K., Mathewson C., Jr Rectal injuries. J Trauma. 1969 Aug;9(8):712–722. doi: 10.1097/00005373-196908000-00009. [DOI] [PubMed] [Google Scholar]
  12. ZIPERMAN H. H. The management of large bowel injuries in the Korean campaign. U S Armed Forces Med J. 1956 Jan;7(1):85–91. [PubMed] [Google Scholar]

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