POSTOPERATIVE RESULTS OF COLOSTOMA AND IL EOSTOMA CLOSURE - A RETROSPECTIVE ANALYSIS OF 3 CLOSURE TECHNIQUES WITH 182 PATIENTS

On 182 patients undergoing closure of a stoma 149 colostoma and 33 ile ostoma closures were performed. The complication rate with 5-8 % leaka ges in site of the anastomosis comes out very high. Furthermore the su rgeon has to count with a high quote of wound infections. The complica tion rate of the ileostoma closures with 18 % appears distinctly highe r than those of the colostoma closures with 6.7 %. One patient belongi ng to the group of colostoma closures died. The extraperitoneal closur e with Turnbull's procedure was conspicuous by reason of the high rate of enterocutaneous fistulas and the high rate of incisional herniatio ns, so that this method should only be used in special cases. We routi nely enforce an intraperitoneal closure of the stoma. The resection wi th an end-to-end anastomosis in comparison to the suture of the anteri or wall implies in our opinion neither advantages nor disadvantages.