Laurence S. Fallis

Colostomy closure by the intraperitoneal method

Summary and ConclusionsA series of 200 patients in whom colostomy stomas have been closed by the intraperitoneal method is presented. There were no deaths. There was only one anastomotic failure. Morbidity is insignificant.The intraperitoneal method of colostomy closure is preferable to the extraperitoneal procedure which subjects the patient to the discomfort of repeated application to the spur, of the crushing clamp and fails to accomplish its purpose in a high percentage of cases.

Implications of involvement of small bowel in ulcerative colitis

Summary and ConclusionsIn a series of 99 patients operated upon for ulcerative colitis, 29 had ileal involvement. X-ray examination is not of great diagnostic value.At operation, gross external evidence of ileal involvement was present in only one third of the patients. Inspection of the opened ileum during surgical exposure is mandatory.The long-range mortality rate was five times greater in patients with ileal involvement than in those in whom the small intestine was not involved.