Key result
Simple closure of loop colostomy resulted in a lower total postoperative complication rate (9%) compared to resection and reanastomosis (24%) in Vietnam War casualties.
Why the study?
Does simple closure of loop colostomy reduce postoperative complications compared to resection and reanastomosis in trauma patients?
Cohort (n=77)
Does simple closure of loop colostomy reduce postoperative complications compared to resection and reanastomosis in trauma patients?
Simple closure of loop colostomies is technically easier, faster, and associated with fewer postoperative complications compared to resection and reanastomosis.
May favor simple closure in select trauma cases; leaves open applicability to modern practice pending prospective data.
We analyzed the records of 77 cases of loop colostomy closure in Vietnam War Casualties. All records were complete from the date of injury to discharge following colostomy closure. Simple of the loop colostomy was performed in 44 patients and resection of the stoma and reanastomosis of bowel segments was performed in 33 patients. Average operating time for simple closure of the loop was 70 minutes compared to 115 minutes for resection and anastomosis. Nasogastric suction was used less frequently and for a shorter time with simple loop closure. The total postoperative complication rate was 9% with simple loop closure as compared to 24% for resection and anastomosis. Simple closure of the loop described in this report is technically easier and as safe as resection of the stoma and reanastomosis.
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Beck et al. (1975) conducted a cohort in Loop colostomy (n=77). Simple closure of the loop colostomy vs. Resection of the stoma and reanastomosis was evaluated on Total postoperative complication rate. Simple closure of loop colostomy resulted in a lower total postoperative complication rate (9%) compared to resection and reanastomosis (24%) in Vietnam War casualties.
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