Related Experiment Video

Updated: Feb 18, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
12:45

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer

Published on: February 12, 2022

6.7K

Closure of colostomy in infants and children

A M Rickwood, V Hemalatha, P Brooman

    The British Journal of Surgery
    |April 1, 1979
    PubMed

    Insights

    Colostomy closure in children involves bowel resection and anastomosis. Improved bowel preparation significantly reduced wound infections, a common complication in pediatric surgery.

    Area of Science:

    • Pediatric Surgery
    • Surgical Outcomes
    • Gastrointestinal Surgery

    Background:

    • Colostomy closure is a common procedure in pediatric surgery.
    • Complications such as wound infection and fecal fistula can occur.
    • Optimizing surgical techniques and preparation is crucial for patient outcomes.

    Purpose of the Study:

    • To evaluate the outcomes of colostomy closure in infants and children.
    • To identify common complications associated with the procedure.
    • To assess the impact of enhanced bowel preparation on complication rates.

    Main Methods:

    • Retrospective review of 100 consecutive colostomy closures in pediatric patients.
    • Analysis of operative techniques, including bowel resection, anastomosis, and closure.
    • Comparison of complication rates before and after implementation of aggressive bowel preparation.

    Main Results:

    • Fecal fistula occurred in 5% of cases; other major complications in 8%.
    • Wound infection was a significant issue, occurring in 43% of patients.
    • Implementing a more aggressive bowel preparation regimen led to a reduced incidence of wound infection.

    Conclusions:

    • Colostomy closure in children is associated with a notable rate of wound infection.
    • Aggressive bowel preparation is an effective strategy to mitigate surgical site infections.
    • Further research into optimizing surgical techniques and perioperative care is warranted to improve pediatric surgical outcomes.

    More Related Videos

    Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice08:20

    Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice

    Published on: July 12, 2018

    14.1K
    The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage07:51

    The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage

    Published on: November 4, 2010

    22.5K

    Related Concept Videos

    Ostomy Care01:24

    Ostomy Care

    Introduction
    An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
    There are different types of ostomies, including colostomies, ileostomies, and urostomies:
    2.2K
    Inflammatory Bowel Disease V: Surgical Management01:21

    Inflammatory Bowel Disease V: Surgical Management

    Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
    Here are some common surgical interventions for IBD:
    728
    Tracheostomy Decannulation01:21

    Tracheostomy Decannulation

    Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
    Description of the Procedure
    Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
    1.7K
    Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

    Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

    Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
    Sigmoidoscopy
    Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
    785
    Endoscopic Procedures II: Colonoscopy01:25

    Endoscopic Procedures II: Colonoscopy

    The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
    804
    Tracheostomy Care I: Pre-procedural Steps01:16

    Tracheostomy Care I: Pre-procedural Steps

    A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
    Required Equipment
    The equipment necessary for tracheostomy care includes:
    1.4K