Cierre temprano de colostomía temporal

Abstract

Colostomy is a surgical procedure to diverse colonic transit, which is performed in inflammatory diseases, traumatic wounds or neoplasic causes to inmediatly solve the problem. However, colostomies cause morbidities, social rejection, delay in labor reinsertion and psychologically affects to the patients; due to this we proposed to evaluate results of colostomy early closure in a prospective observational study including 67 patients in the Instituto Autonomo Hospital Universitario de Los Andes, from January 2009 to October 2011.Patients were gathered in Controls (patients with late closure, after a month) and cases (early closure, prior to 30 days). Our results show that of 67 patients in 31 patients an early closure of temporary diversion colostomy was performed, most of them of masculine gender with average age of 37 years and most frequent cause of performing this procedure was abdominal trauma. There were no statically significant difference concerning to postoperative complications as suture leaks and fistulae development among the groups. Nevertheless, abdominal wall abscess was greater and statistic significant in the early closure cases group compared than late closure group, with 31 vs 2 patients, like hospital stay and work reintegration with 71% for early closure group and 27,7% for late closure group. We can conclude that early closure of a temporary diversion colostomy is a safe and feasible surgical procedure, without increase of morbidities and obvious advantages to rehabilitation, less hospital stay labor reinsertion and psychological affection.