Comparative Study Between Early and Delayed Closure of Ileostomy After Colorectal Anastomosis | ||||
| Al-Azhar University Journal of Medical and Virus Researches and Studies | ||||
| Articles in Press, Accepted Manuscript, Available Online from 17 February 2025 PDF (206.92 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/aujv.2025.412111 | ||||
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| Abstract | ||||
| Background: Loop ileostomies are generally formed in colorectal surgery to protect low rectal anastomosis in cases of obstructed cancer colon, complicated diverticular disease, strangulated hernias, volvulus, Aim : is to compare between the early and delayed closure of ileostomy after colorectal anastomosis as regard of feasibility, bleeding, leakage, incisional hernia, hospital stay and quality of life, Patients & methods: This is a comparative prospective cohort research was conducted on 30 adult studied cases with loop ileostomy. studied cases treated with delayed closure of ileostomy following colorectal anastomosis were in group B, while studied cases treated with early closure of ileostomy following colorectal anastomosis were in group A. studied cases were gathered from the Damanhur Medical National Institute & the Department of Surgery at Al-Azhar University Hospitals in Cairo, Egypt, Results: There was no statistically significant difference among early & late ileostomy closure as regards comorbidities, complications, and primary outcome. There was a statistically significant difference between early and late ileostomy closure as regards operation data, Conclusion: Delayed closure allows more time for healing, reducing anastomotic leak risk and improving surgical safety. The decision should be individualized based on patient-specific factors, including initial surgical risk, recovery progress, and overall health status. | ||||
| Keywords | ||||
| Ileostomy; colorectal anastomosis; incisional hernia | ||||
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