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Updated: Feb 15, 2026
09:41
Surgical Closure of Equine Abdomen, Prevention, and Management of Incisional Complications
Published on: May 10, 2024
1.8K
COLOSTOMY CLOSURE: RISK FACTORS FOR COMPLICATIONS
Alexandre Z Fonseca1, Edson Uramoto1, Otto M Santos-Rosa1
1Department of Surgery, University of Santo Amaro, São Paulo, SP, Brazil.
Summary
Restoring intestinal continuity after ostomy closure is complex. Factors like surgical time, ICU stay, and blood transfusions significantly impact complication rates, highlighting the need for careful patient management.
Area of Science:
- Gastrointestinal surgery
- Surgical outcomes research
Background:
- Restoration of intestinal continuity following ostomy is an elective surgical procedure.
- This procedure is associated with significant morbidity and mortality.
- Complications are multifactorial, influenced by patient-specific factors and surgical techniques.
Purpose of the Study:
- To identify epidemiological characteristics of patients undergoing ostomy closure.
- To analyze surgical procedures and associated complications.
- To determine factors influencing outcomes after ostomy reversal.
Main Methods:
- Retrospective analysis of medical records.
- Study period: 2009-2015.
- Inclusion of 39 patients who underwent ostomy closure.
Main Results:
- Majority of patients were male (53.8%), mean age 52.4 years.
- Hartmann's procedure and ileostomy were primary indications (87%).
- Complications occurred in 25.6%, with anastomotic leakage being prominent; mortality rate was 7.6%.
Conclusions:
- Male gender and average age of 52 years characterized the patient cohort.
- Surgical time, need for intensive care unit (ICU) admission, and blood transfusion were significantly associated with post-operative complications.
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