CHARACTERISTICS OF TEMPORARY COLOSTOMY AND OUTCOMES OF COLOSTOMY CLOSURE IN CAN THO CITY 2023-2025
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Abstract
Background: Temporary colostomy is a crucial surgical procedure for treating severe colorectal diseases, helping to resolve obstruction and infection. However, living with a colostomy significantly impacts patients' quality of life, leading to an increasing demand for colostomy closure. This study aims to study the characteristics and evaluate the outcomes of colostomy closure following colorectal surgery at two major hospitals, to improve treatment quality and patient’s quality of life. Objectives: Study on the characteristics of temporary stoma and evaluation of outcomes of colostomy closure in patients undergoing colorectal surgery. Materials and methods: A cross-sectional descriptive study on 41 patients undergoing temporary colostomy closure at Can Tho Central General Hospital and Can Tho General Hospital from 2023 to 2025. Results: The average age of patients was 56.63 ± 13.21, with a male-to-female ratio of 4.86. The primary reasons for colostomy were diverticular perforation (46.34%) and colorectal cancer obstruction (31.71%). Most patients underwent colostomy closure within 3 months (56.1%), with open surgery being the most common method (53.66%). Postoperative complications mainly included wound infection (39.02%), while 53.6% of patients experienced no complications. The average hospital stay was 10.35 ± 5.40 days. Conclusion: Colostomy closure is a safe and effective procedure, contributing to improved quality of life for patients.
Keywords
Temporary colostomy, colostomy closure, temporary colostomy
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References
2. Dourado J., Garoufalia Z., Emile S.H., Wignakumar A., Aeschbacher P., et al. (2024). Ostomy continence devices: a systematic review of the literature and meta-analysis. Colorectal disease: the official journal of the Association of Coloproctology of Great Britain and Ireland. 2024. 26(4), doi:10.1111/codi.16906.
3. Victor W.F., James M.C., James S.W. Atlas of intestinal stoma. springer new york dordrecht heidelberg london. 2012. 2-3, doi: 10.1007/978-0-387-78851-7.
4. Nguyễn Thị Thanh Trúc, Ngô Thị Dung, Nguyễn Hồng Thiệp, Bùi Thành Phú, Trần Thị Ngọc Trâm và cộng sự. Thực hành tự chăm sóc ở người bệnh có lỗ mở thông đường tiêu hóa tại Bệnh viện Trường Đại học Y Dược Cần Thơ. Tạp chí Y Dược học Cần Thơ. 2023. 59 (9), 25-32, doi:10.58490/ctump.2023i59.564.
5. Hallam S., Mothe B.S., and Tirumulaju R. Hartmann's procedure, reversal and rate of stoma-free survival. Annals of the Royal College of Surgeons of England. 2018. 100(4), 301–307, doi:10.1308/rcsann.2018.0006.
6. Goret N.E., Goret C.C., Cetin K., and Agachan A.F. Evaluation of risk factors for complications after colostomy closure. Annali italiani di chirurgia. 2019. 90, 324–329.
7. Fonseca A.Z., Uramoto E., Santos-Rosa O.M., Santin S., and Ribeiro M. Colostomy closure: risk factors for complications. Arquivos brasileiros de cirurgia digestiva. 2017. 30(4), 231–234, doi: 10.1590/0102-6720201700040001.
8. Kisielewski M., Wojewoda T., Richter K., Wysocki M., Jankowski M.,et al. Preliminary results of Polish national multicenter study on colostomy reversal - LICO (Liquidation of Colostomy) study. Wideochirurgia i inne techniki maloinwazyjne. 2024. 19(2), 198–204, doi: 10.5114/wiitm.2024.138785.
9. Liu F., Luo X.J., Li Z.W., Liu X.Y., Liu X.R., et al. Early postoperative complications after transverse colostomy closure, a retrospective study. World journal of gastrointestinal surgery. 2024. 16(3), 807–815, doi: 10.4240/wjgs.v16.i3.807.
10. Hoàng Anh Bắc, Lê Tiến Dũng, Vũ Lộc, Đỗ Duy Đạt, Nguyễn Văn Hưng. Kết quả phẫu thuật nội soi đóng hậu môn nhân tạo sau phẫu thuật Hartmann ở khoa ngoại tiêu hóa Bệnh viện Thống Nhất. Tạp Chí Y học Cộng đồng. 2024. 65 (CDD10), doi: 10.52163/yhc.v65iCD10.1627.
11. Huỳnh Công Bằng. Kết quả phẫu thuật nội soi phục hồi lưu thông ruột sau phẫu thuật Hartmann. Trường Đại Học Y Dược Thành Phố Hồ Chí Minh. 2016.
12. Schineis C., Fenzl T., Aschenbrenner K., et al. Stapled intestinal anastomoses are more cost effective than hand-sewn anastomoses in a diagnosis related group system. Surgeon. 2021. 19,321-8, doi: 10.1016/j.surge.2020.09.002.
13. Warsinggih Akil F., Lusikooy R.E., et al. The comparison of anastomosis strength and leakage between double-layer full-thick-ness and single-layer extramucosal intestine anastomosis. Ann Med Surg. 2023. 85: 3912-5, doi: 10.1097/MS9.0000000000001072.