Ann Coloproctol.  2018 Oct;34(5):266-270. 10.3393/ac.2017.12.13.

Postoperative Outcomes of Stoma Takedown: Results of Long-term Follow-up

• Paik B
• Kim CW
• Park SJ
• Lee KY
• Lee SH

• KMID: 2427535
• DOI: http://doi.org/10.3393/ac.2017.12.13

Abstract

PURPOSE
Stoma takedown is a frequently performed procedure with considerable postoperative morbidities. Various skin closure techniques have been introduced to reduce surgical site infections. The aim of this study was to assess postoperative outcomes after stoma takedown during a long-term follow-up period.
METHODS
Between October 2006 and December 2015, 84 consecutive patients underwent a colostomy or ileostomy takedown at our institution. Baseline characteristics and perioperative outcomes were analyzed through retrospective reviews of medical records.
RESULTS
The proportion of male patients was 60.7%, and the mean age of the patients was 59.0 years. The overall complication rate was 28.6%, with the most common complication being prolonged ileus, followed by incisional hernia, anastomotic leakage, surgical site infection, anastomotic stenosis, and entero-cutaneous fistula. The mean follow-up period was 64.3 months. The univariate analysis revealed no risk factors related to overall complications or prolonged ileus.
CONCLUSION
The postoperative clinical course and long-term outcomes following stoma takedown were acceptable. Stoma takedown is a procedure that can be performed safely.

Keyword

Postoperative complications; Ileostomy; Colostomy; Surgical wound infection

MeSH Terms

Anastomotic Leak
Colostomy
Constriction, Pathologic
Fistula
Follow-Up Studies*
Humans
Ileostomy
Ileus
Incisional Hernia
Male
Medical Records
Postoperative Complications
Retrospective Studies
Risk Factors
Skin
Surgical Wound Infection