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PubMed1994

[Postoperative results of colostomy and ileostomy closure. A retrospective analysis of three different closure techniques in 182 patients].

On 182 patients undergoing closure of a stoma 149 colostoma and 33 ileostoma closures were performed. The complication rate with 5-8% leakages in site of the anastomosis comes out very high. Furthermore the surgeon has to count with a high quote of wound infections. The complication rate of the ileostoma closures with 18% appears distinctly higher than those of the colostoma closures with 6.7%. One patient belonging to the group of colostoma closures died. The extraperitoneal closure with Turnbull's procedure was conspicuous by reason of the high rate of enterocutaneous fistulas and the high rate of incisional herniations, so that this method should only be used in special cases. We routinely enforce an intraperitoneal closure of the stoma. The resection with an end-to-end anastomosis in comparison to the suture of the anterior wall implies in our opinion neither advantages nor disadvantages.

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