Application of Pelvic Peritoneum Closure Combined with Extraperitoneal Colostomy in Laparoscopic Surgery for Low Rectal Cancer

Background:In the treatment of colorectal cancer,laparoscopic surgery has seen a significant amount of success.Reducing the risk of postoperative complications and improving patients’quality of life can be accomplished by appropriately employing pelvic peritoneal repair and sigmoid colostomy when appropriate.Objective:To compare fusion closure of pelvic peritoneum combined with extraperitoneal colostomy with non-closure of pelvic peritoneum combined with intraperitoneal colostomy in patients with low rectal cancer who had permanent colostomy.Methods:Low rectal cancer patients admitted to Hengshui People’s Hospital for permanent colostomy were evaluated.The participants were divided into two groups:an observation and a control group.All 30 cases in the observation group underwent pelvic peritoneum closure and extraperitoneal colostomy,while the other 30 cases in the control group underwent intraperitoneal colostomy.The C-reactive protein(CRP)levels of the participants in both groups were evaluated for 6 months to 2 years(24 h before,24 h after,48 h after,96 h after surgery).Results:Comparing the colostomy operative time,time to first passage of flatus postoperatively,time to first defecation postoperatively,length of hospital stay,laboratory indicators,stoma-related complications,colostomy function,etc.,the colostomy operative time significantly differed between the two groups(P<0.05);the observation group did considerably better than the control group in terms of stoma-related complications and bowel movement control 6 months after surgery(P<0.05);and although serum CRP levels increased in both groups 48 h after surgery,the difference was significant(P<0.05).Conclusion:Extraperitoneal colostomy can improve the quality of life of patients with permanent stoma and reduce the occurrence of stoma-related complications.Thus,this technique is worthy of promotion in clinical practice.

Correlation between social relational quality and hope among patients with permanent colostomies

Purpose:This study examined the correlation between social relational quality and hope among patients with permanent colostomies.Methods:Eighty-six eligible patients with permanent colostomies were recruited from a Class A tertiary hospital from July to December 2012.A self-designed demographic questionnaire,the Social Relational Quality Scale(SRQS),and the Herth Hope Index(HHI)were administered to all patients.Results:The total social relationship quality and hope scores were 49.42±4.98 and 38.52±4.64,respectively.The total scale score and composing subscale scores for social relationship quality and hope showed a statistically significant positive correlation with each other(r?0.324e0.680;p<0.01).Conclusions:A positive correlation exists between social relational quality and hope among patients with permanent colostomies.This finding suggests that such patients should be given hope and that their families should be encouraged to provide more support for better acceptance and adjustment.