The Results of Applying the Original Colostomy in Patients with Acute Large Bowel Obstruction

ORIGINAL ARTICLE
Alexei L. Charyshkin, Erik A. Keshyan, Oleg V. Midlenko, Antonina V. Smolkina, Nikolai I. Belonogov

 
International Journal of Biomedicine. 2019;9(2):128-130.
DOI: 10.21103/Article9(2)_OA9
Originally published June 15, 2019  

Abstract: 

The results of the original method of colostomy formation in 67 patients with acute large bowel obstruction (ALBO) were studied. In total, postoperative complications of a purulent-inflammatory nature (skin maceration, suppuration of postoperative and paracolostomic wounds, necrosis of colostomy, abscess of the abdominal cavity, and paracolostomal fistula) in both groups were observed in 30(44.8%) patients. In Group 1 (n=40), with the classical method of colostomy formation, purulent-inflammatory complications were observed in 21(52.5%) patients, in Group 2 (n=27) with the original method of colostomy formation in 4(14.8%) patients. Bleeding from colostomy and colostomy prolapse occurred only in Group 1 in 8(20%) patients. The proposed method of applying a colostomy helps reduce purulent-inflammatory complications by more than 3 times and provides prevention of bleeding and colostomy prolapse.

Keywords: 
colon cancer • acute large bowel obstruction • colostomy • postoperative complications
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Received March 29, 2019.
Accepted May 6, 2019.
©2019 International Medical Research and Development Corporation.