Healing of a left colon anastomosis after early colostomy closure

International Journal of Colorectal Disease - Tập 3 - Trang 59-64 - 1988
P. Udén1, P. Blomquist1, H. Jiborn1, B. Zederfeldt1
1Departments of Surgery and Experimental Research, Malmö Allmänna Sjukhus, Lund University, Malmö, Sweden

Tóm tắt

The healing of a standardized left colon anastomosis after early (7 days) closure of a concomitant proximal diverting colostomy was studied experimentally. Early closure of the diverting colostomy could be conducted safely by an intraperitoneal technique and the healing of the primary anastomosis was uncomplicated. Colostomy closure in the proliferative phase of wound healing resulted in development of anastomotic strength similar to colonic healing without faecal diversion. The anastomotic strength had doubled after three weeks. As compared to colostomy closure in the remodelling phase of anastomotic healing development of anastomotic strength was more rapid and without serious local complications.

Tài liệu tham khảo

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