Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Reversible colostomy--what is the outcome?

K Mealy1, E O'Broin, J Donohue

  • 1Department of Surgery, Meath Hospital, Dublin, Ireland.

Diseases of the Colon and Rectum
|November 1, 1996
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

General Paediatric Surgery: A Model of Care for Ireland 2024.

Irish medical journal·2024
Same author

The St. George's Respiratory Questionnaire in Pulmonary Sarcoidosis.

Lung·2020
Same author

Nipple-coring and purse-string suture technique - A modification of the nipple-sparing risk-reducing mastectomy.

JPRAS open·2020
Same author

The impact of hospital grade, hospital-volume, and surgeon-volume on outcomes for adults undergoing appendicectomy.

The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·2019
Same author

Audit of PPI Prescribing Practices: A Risk to Patient Safety?

Irish medical journal·2019
Same author

The pulmonary rehabilitation regimen: a treatment for frailty and 'inflammaging'?

British journal of hospital medicine (London, England : 2005)·2018

Temporary colostomies have high complication rates and about half of patients do not have their stoma closed. This study examines colostomy morbidity and closure rates in large-bowel surgery patients.

Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Colorectal Surgery

Background:

  • Temporary colostomies are frequently used in elective and emergency large-bowel surgery.
  • Concerns exist regarding the morbidity associated with colostomy formation and closure, and low rates of stoma reversal.
  • This perceived morbidity drives a trend toward avoiding colostomies.

Purpose of the Study:

  • To evaluate the persistent high rates of colostomy-related morbidity.
  • To assess the outcomes of temporary colostomy formation and closure in patients undergoing large-bowel surgery.

Main Methods:

  • A retrospective review of 120 patients who underwent a potentially reversible colostomy.
  • Patients were categorized based on whether the surgery was elective or emergency.

Related Experiment Videos

  • Data on colostomy-related complications and closure rates were analyzed.

    • Main Results:

    • Colostomy-related morbidity (stenosis, retraction, prolapse, hernia) occurred in 19.2% of patients, with similar rates in elective (14.9%) and emergency (21.9%) groups.
    • Initial colostomy closure was performed in 59.2% of patients, with the highest rates in the diverticular disease group (84.6%).
    • The final colostomy closure rate was 54.2%, with a 35.2% complication rate during closure, including the need for a second colostomy in 8 patients.

    Conclusions:

    • Both the formation and closure of defunctioning colostomies are associated with significant complications.
    • Approximately 50% of patients will not have their colostomy closed, indicating a persistent challenge in stoma reversal.
    • The findings support the need for careful consideration of temporary colostomy use due to associated morbidity and low closure rates.