[Determining the time of closure of double-trunk and marginal colostomies]

An analysis of incidence of postoperative complications of restorative operations in 215 patients with double-barreled and marginal colostomies++ has shown that terms of performing the operations do not influence the character of the postoperative period. A cytological investigation has shown that inflammatory alterations make their appearance at early terms (up to 2 months) of the colostomies++ existence. Closure of the colostomies++ should be performed after elimination of causes of their appearance, when there are no pronounced inflammatory alterations of the intestinal wall of the colostomy and when the patient's condition is good. At early terms resection of the intestinal wall with the colostomy and the end-to-end anastomosis should be performed.