Clinical Analysis of Complications in Abdominal Stoma Surgery

ABSTRACT

PURPOSE: This study was undertaken to review the complications associated with ileostomy, colostomy construction and subsequent closure. METHODS: We retrospectively reviewed 74 patients with ileostomy and colostomy closure from August 1, 1995 to June 30, 1999. RESULTS: The complications of stoma construction occurred in 15 patients (20.3%) among 74 patients skin problem in 10 cases, prolapse in 4 cases, and stoma necrosis, retraction and stenosis in 1 case, respectively. Factors such as age, underlying pathology, type of stoma did not contribute to the complications of stoma construction. Complications of stoma closure occured in 15 patients (20.3%) wound problem in 9 cases, enterocolitis in 4 cases and anastomotic leakage in 2 cases. With respect to stoma closure, only old age was associated with increased morbidity (P<0.05), rather than method of closure, time interval to closure, or type of stoma. Mean operation time for simple closure was 122.2 minutes and 204 minutes for resection and anastomosis. The mean hospital stay was 9.6 days for simple closure and 13 days for resection and anastomosis. CONCLUSIONS: The morbidity associated with stoma construction and subsequent closure was appreciable. There were no specific risk factors influencing the complications of ileostomy or colostomy construction, but old age increased morbidity after closure.