Closure of Temporary Colostomy

  • Jameson L. Chassin


There are reports in the surgical literature Wheeler and Barker, Knox et al., and Yaiko et al. among them describing many complications and even mortality following operations for closure of a colostomy. In many instances it is emphasized that the complications are more numerous when a colostomy is closed before 30–90 days have passed after the formation of the colostomy. On the other hand, we have had excellent results even when colostomies were closed 2–3 weeks after the initial operation. The discrepancy exists because all of our colostomies were immediately matured by mucocutaneous suture. Most of the authors who report complications from colostomy closure and who require the passage of 30–90 days to make closure safer do a loop colostomy over a glass rod. If immediate mucocutaneous suture is not done, several weeks must elapse before granulation and contraction results in spontaneous maturation of the colostomy.


Staple Line Suture Line Loop Colostomy Colostomy Closure Gauze Packing 
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  1. Knox AJS et al. Closure of colostomy. Br J Surg 1971; 58:669.PubMedCrossRefGoogle Scholar
  2. Turnbull RB Jr, Weakley FL. Atlas of intestinal stomas. St. Louis: Mosby; 1967.Google Scholar
  3. Wheeler MH, Barker J. Closure of colostomy—a safe procedure. Dis Colon Rectum 1977;20:29.PubMedCrossRefGoogle Scholar
  4. Yaiko RD et al. Morbidity of colostomy closure. Am J Surg 1976;132:304.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1994

Authors and Affiliations

  • Jameson L. Chassin
    • 1
    • 2
  1. 1.Clinical SurgeryNew York University School of MedicineNew YorkUSA
  2. 2.Department of SurgeryNew York Hospital Medical Center of QueensFlushingUSA

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