The liberal use of the colostomy, beginning in World War II. was the greatest single factor in reducing the mortality of colo-rectal injuries. From such experience, temporary colostomy has become an essential part of the treatment of many
abnormal
colo-rectal conditions, such as tumors, trauma, diverticulitis, and congenital diseases. Thus colostomy closure is now a common procedure. Despite this universal adoption and seemingly low risk of proceudre, colostomy closure result in a
significant
morbidity (9.6 to 50 cent) and occasional mortality (0 to 4.2 per cent).
Various factors, such as the timing of operation, the age of the patient, the underying pathologic abnormality, the type and site of colostomy, and whether or not primary skin closure was performed, have been studied for their possible role in
the
colostomy closure related morbidity but the factors, only the experience of the surgeon and the type of preoperative antibiotics adminstered were found to affect morbidity. To identify factors those contribute to the morbidity of colostomy
closure,
a
retrospective study of our experience was made in 45 pediatric pateitns performing colostomy closure at the Department of surgery, Chonnam University Hospital from january, 1985 to December, 1992. and analyzed the factors influencing the
morbidity
of
colostomy closure.
@ES The results were follows:
@EN Total complication rate was 26.6% and the most comon complication was wound infection (13.3%).
2) In the traumatic cases, the complication rarte was high (37.5%), but low (25%) in the cases of the congenital anomalies, and there was no significant difference in the complication rate between congenital anomalies.
3) In all patients, colostomy was closed after 12 weeks or more, and there was no significant difference in the complication rate according to the operation time.
4) There was no difference on the morbidity rate also in the age, the type of colostomy closure and the colostomy site.
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