SINGLE LAYER OR DOUBLE LAYER FOR PEDIATRIC COLOSTOMY CLOSURE: WHICH IS BETTER? A COMPARATIVE STUDY | ||
| The Egyptian Journal of Surgery | ||
| Volume 32, Issue 2, April 2013, Pages 73-78 PDF (541.69 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2013.366738 | ||
| Author | ||
| Ahmed M. Gafar* | ||
| Pediatric Surgery, Faculty of Medicine, Sohag University, Egypt | ||
| Abstract | ||
| Background/Purpose: Colostomy formation and colostomy closure (CC) procedures are common operations frequently be performed in pediatric patients. Despite its benefits, it can produce significant morbidity and mortality. Few reports examined the outcome, complications and factors influencing the outcome of CC in pediatric age group. The aim of this study is to compare the outcome of two different technical details; single layer interrupted extramucosal closure and double layer interrupted closure; for pediatric CC. Patients and Methods: In this prospective randomized comparative study all infants and children admitted for colostomy closure from January 2008 to December 2011 were included and were allocated prospectively into 2 groups according to technique used in CC. Group A consisted of 40 patients in whom CC was done with single layer interrupted extramucosal closure. Group B consisted of 40 patients in whom their colostomies were closed by double layer; the inner layer full thickness interrupted and the outer interrupted sero-muscular. Patients’ details and data for CC for each technique all were collected, recorded and compared. Statistical analysis was carried out using SPSS. Results: The statistical analysis showed that there was statistically very highly significant difference between the two groups concerning mean operative time (P=0.00) and significant difference regarding mean time for passing first bowel motion postoperatively (P=0.04). Postoperative CC related complications (wound infection, anastomotic leak, gastroenteritis and incisional hernia) were reported in12 (15%) patients. There was statistically significant difference between both groups regarding the incidence of overall postoperative complications. Conclusion: We advise single layer interrupted extramucosal closure technique as it carries shorter mean operative time and less complications rates. | ||
| Keywords | ||
| Colostomy; single layer; extramucosal | ||
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