Clinical study of stoma closure: its complications and management


  • Jenish Vijaykumar Modi Department of General Surgery, Surat Municipal Institute of Medical Education and Research, Surat, Gujarat, India
  • Niki Suthar Department of General Surgery, Surat Municipal Institute of Medical Education and Research, Surat, Gujarat, India
  • Mitesh Trivedi Department of General Surgery, Surat Municipal Institute of Medical Education and Research, Surat, Gujarat, India



Ileostomy, Colostomy, Stoma closure, Stoma closure complications


Background: A stoma is a surgically formed exteriorization of the ileum or colon to the anterior surface of wall of abdomen. There are various reasons for the formation of fecal stoma then the most common reasons comprise blunt abdominal trauma, carcinoma, inflammatory bowel disease. Formation of stoma can disturb the individual equally psychologically and physically. In accumulation, complications during stoma are very common.

Methods: The study was carried out in 50 patients between June 2021 to November 2022. All the patients who undergone stoma closure and fulfilled inclusion criteria were taken as study population. Patients of all age groups undergone stoma closure for non-malignant condition were included in the study. Stoma closure of the patients who were operated for malignancy, tuberculosis and inflammatory bowel disease were not included in the study. This study population were observed for different complications, complications in different techniques and complications in different stoma closure interval.

Results: Less post operatively complications were seen in early stoma closure and Intraoperatively by using direct stoma closure technique. By using the subcutaneous drain placement, we can reduce chances of wound infection and wound dehiscence.

Conclusions: Postoperative complication in stoma closure can be reduced by adapting proper technique and doing closure at appropriate time interval.


Joyce PSM, Rawl C, Max SM, Clifford YK, Christopher W, Krouse RS. Demographic and clinical factors related to ostomy complications and quality of life in veterans with an ostomy. J Wound Ostomy Continence Nurs. 2008;35(5):493-503.

Gooszen AW, Geelkerken RH, Hermans J, Lagaay MB, Gooszen HG. Quality of life with a temporary stoma: ileostomy vs. colostomy. Dis Colon Rectum. 2000;43(5):650-5.

Cottam J1, Richards K, Hasted A, Blackman A , Results of a nationwide prospective audit of stoma complications within 3 weeks of surgery. Colorectal Dis. 2007;9(9):834-8.

Poskus E, Kildusis E, Smolskas E, Ambrazevicius M, Strupas K. Complications after Loop Ileostomy Closure: A Retrospective Analysis of 132 Patients. Viszeralmedizin. 2014;30(4):276-80.

Pokorny H, Herkner H, Jakesz R, Herbst F. Mortality and complications after stoma closure. Arch Surg. 2005;140(10):956-60.

Kita Y, Mori S, Tanabe K, Baba K, Tanoue K, Idichi T, et al. Clinical prospects for laparoscopic stoma closure of a temporary loop ileostomy: Initial experience and report. Asian J Endosc Surg. 2020; 13(4):618-21.

Perez RO, Habr-Gama A, Seid VE, Proscurshim I, Sousa AH, Kiss DR, et al. Loop ileostomy morbidity: timing of closure matters. Dis Colon Rectum. 2006; 49(10):1539-45.

Khan A, Haris M, Rehman M, Khan MJ, Abdullah, Haris S. Early Postoperative Complications and Surgical Anatomy After Ileostomy Reversal Among the Population of Khyber Pakhtunkhwa, Pakistan. Cureus. 2021;13(11):e19660.

de Paula TR, Nemeth S, Kiran RP, Keller DS. Predictors of complications from stoma closure in elective colorectal surgery: an assessment from the American College of Surgeons National Surgical Quality Improvement Program (ACSNSQIP). Tech Coloproctol. 2020;24(11):1169-77.

Celayir MF, Tanal M, Besler E, Koksal H. Protective Loop Ileostomy Closure Techniques: Comparison of Three Different Surgical Techniques. Cureus. 2020; 12(10):e10977.

Chow A, Tilney H S, Paraskeva P, Jeyarajah S, Zacharakis E, Purkayastha S. The morbidity surrounding reversal of defunctioning ileostomies: a systematic review of 48 studies including 6,107 cases. Int J Colorectal Dis. 2009;24(06):711-23.

Harris DA, Egbeare D, Jones S, Benjamin H, Woodward A, Foster ME. Complications and mortality following stoma formation. Ann R Coll Surg Engl. 2005;87(6):427-31.

Nelson T, Pranavi AR, Sureshkumar S, Sreenath GS, Kate V. Early versus conventional stoma closure following bowel surgery: A randomized controlled trial. Saudi J Gastroenterol. 2018;24(1):52-8.

Abdalla S, Scarpinata R. Early and Late Closure of Loop Ileostomies: A Retrospective Comparative Outcomes Analysis. Ostomy Wound Manage. 2018; 64(12):30-35.

GlobalSurg Collaborative. Global variation in anastomosis and end colostomy formation following left-sided colorectal resection. BJS Open. 2019;3(3): 403-14.

Alsafrani TA, Alabbasi AA, Dabroom AA, Alhothali MM, Alresini KA, Aboalsamh GA, Abdelhady AK. The Effectiveness of Superficial Drain to Reduce Surgical Site Infection in Colorectal Surgery. Cureus. 2021;13(8):e17232.

Fujii T, Tabe Y, Yajima R, Yamaguchi S, Tsutsumi S, Asao T, Kuwano H. Effects of subcutaneous drain for the prevention of incisional SSI in high-risk patients undergoing colorectal surgery. Int J Colorectal Dis. 2011;26(9):1151-5.






Original Research Articles