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COMPLICATIONS FOLLOWING CLOSURE OF LOOP ILEOSTOMY
Author(s) -
Mann L. J.,
Stewart P. J.,
Goodwin R. J.,
Chapuis P. H.,
Bokey E. L.
Publication year - 1991
Publication title -
australian and new zealand journal of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.111
H-Index - 51
eISSN - 1445-2197
pISSN - 0004-8682
DOI - 10.1111/j.1445-2197.1991.tb00275.x
Subject(s) - medicine , ileostomy , surgery , anastomosis , mortality rate , conservative treatment , wound closure , incidence (geometry) , closure (psychology) , bowel obstruction , wound healing , optics , economics , market economy , physics
The morbidity and mortality of 50 patients undergoing closure of loop ileostomy was reviewed. The patients had a mean age of 57.9 years and significant intercurrent disease. There were no in‐hospital deaths or anastomotic leakage at the site of closure. Small bowel obstruction occurred in 12% of patients, all of whom responded to conservative treatment. The wound infection rate was 14%, but the development of a wound infection did not result in a significantly longer hospital stay. We conclude that, when a careful technique of sharp dissection is used, closure of a loop ileostomy is associated with an acceptably low incidence of complications even in elderly and often unwell patients.