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Irrigation management of sigmoid colostomy
Archives of Surgery (Chicago, Ill. : 1960)
|August 1, 1985
Summary
A study on abdominoperineal resection and sigmoid colostomy found 60% of patients achieved continence with irrigation. Factors like gender, age, and prior constipation influenced success rates, with colostomy construction being crucial.
Area of Science:
- Colorectal Surgery
- Gastroenterology
- Patient Outcomes
Background:
- Abdominoperineal resection (APR) with sigmoid colostomy is a surgical procedure for various anorectal conditions.
- Managing colostomy continence and irrigation is a significant aspect of post-operative patient care.
Purpose of the Study:
- To evaluate the long-term efficacy of irrigation for achieving continence after sigmoid colostomy.
- To identify factors influencing successful irrigation and continence in patients who underwent APR.
Main Methods:
- A retrospective study involving 223 patients who underwent APR and sigmoid colostomy between 1972 and 1982.
- Data collected via questionnaires assessing continence, irrigation success, and reasons for discontinuation.
Main Results:
- Sixty percent of patients achieved continence using irrigation.
- Twenty-two percent experienced incontinence with irrigation, and 18% discontinued the method.
- Higher continence rates were observed in women, younger patients, and those with a history of constipation.
Conclusions:
- Irrigation is an effective method for achieving continence in a majority of patients following sigmoid colostomy.
- Patient demographics and pre-existing bowel habits can predict irrigation success.
- Proper colostomy construction is essential to prevent complications that may lead to irrigation failure.