Resumen

ROJAS-MONDRAGON, Leonardo et al. Morbidity and mortality associated with colostomy closure with mechanical suture. Cir. gen [online]. 2014, vol.36, n.4, pp.209-213. ISSN 1405-0099.

Introduction: The closure of the colostomy is currently associated with signifi cant morbidity (55%) and complications such as anastomotic leakage, longer hospital stays and an operative mortality of up to 10%. Due to the high morbidity and mortality associated with the closure of a colostomy, up to 30% of patients can not restore intestinal transit and remain with a permanent colostomy, this study was reviewed, described and analyzed the result of management surgical patients with mechanical seal colostomy Coloproctology Service General Hospital of Mexico.

Patients and methods: A retrospective, observational, descriptive and cross-sectional study, the study included a total of 30 patients on whom a colostomy closure was performed between April 2011 and April 2013.

Results: Open surgery was the most common approach (96.7%), with mechanical anastomosis performed on all patients. Complications were found in 40% of patients including, dehiscence of anastomosis in 10% of the patients, surgical site infection in 3.3%, and 26.7% of all patients had complications, such as, wound hematoma, adhesions, and bleeding at the site of the anastomosis.

Conclusions: The return of intestinal transit is a complex surgical procedure that is associated with severe complications and signifi cant morbidity. The morbidity found in our study remained at a similar range of other publications and even below those reported in the national literature in relation to surgical site infection and anastomotic leak.

Palabras llave : Colostomy; Mechanical anastomosis; Anastomotic leak; Anastomotic dehiscence; Colostomy closure.

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