{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,22]],"date-time":"2025-07-22T11:16:56Z","timestamp":1753183016742},"reference-count":21,"publisher":"Index Copernicus","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pol Przegl Chir"],"published-print":{"date-parts":[[2022,3,3]]},"abstract":"<jats:p>The paper presents the results of clinical trials and meta-analyses regarding the closing time of: ileostomy (protective) after primary colorectal resection with anastomosis and colostomy \u2013 after Hartman\u2019s surgery. Rectal cancer surgery and ileal pouch-anal  anastomosis  (IPAA)  in  inflammatory  bowel  diseases  often  involves  an  ileostomy  (temporary  protective,  preventive),  which  in  a  significant  proportion  of  cases  is  eliminated  at  different  times  from  the  initial  surgery.  There  is  a  discussion  in  the  literature  regarding  the  selection  of  the  appropriate  time  of  stoma  closure,  taking  into  account  the  experience  of  many  clinical  centers.  An  ileostomy  is  performed  when  the  entire  colon  and  rectum  must  be  removed,  or  to  protect  the  colon  or  ileorectal anastomosis. The creation of a protective stoma reduces the frequency of clinically significant anastomotic leakages and the need for surgical revisions in patients at increased risk of leakage. Also, the time of digestive system reconstruction, i.e., colostomy elimination, after Hartman\u2019s surgery depends on many factors, including the stage of disease and indications for adjuvant treatment. Should it be standard practice to close the stoma early? Based on previous studies and meta-analyses, as well as own experience \u2013 it is advisable to individualize the procedure, taking into account many factors that determine the clinical and oncological status (selection of the date \u2013 early or deferred, but not as a standard [!]).\n\n<\/jats:p>","DOI":"10.5604\/01.3001.0015.7782","type":"journal-article","created":{"date-parts":[[2022,6,9]],"date-time":"2022-06-09T11:26:07Z","timestamp":1654773967000},"page":"71-76","source":"Crossref","is-referenced-by-count":2,"title":["Closing A Temporary Stoma \u2013 The Procedure Tactics"],"prefix":"10.5604","volume":"94","author":[{"given":"Stanis\u0142aw","family":"G\u0142uszek","sequence":"first","affiliation":[{"name":"Clinic of Oncological Surgery in Swietokrzyskie Oncology Center, Poland Department of Interventional Medicine with the Laboratory of Medical Genetics, Collegium Medicum, Jan Kochanowski University in Kielce, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jaros\u0142aw","family":"Matykiewicz","sequence":"additional","affiliation":[{"name":"Clinic of Oncological Surgery in Swietokrzyskie Oncology Center, Poland Department of Interventional Medicine with the Laboratory of Medical Genetics, Collegium Medicum, Jan Kochanowski University in Kielce, Poland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3689","reference":[{"key":"227660r1","doi-asserted-by":"crossref","unstructured":"Szczepkowski M., Banasiewicz T., Krokowicz P. et al.: Polish consensus statement on the protective stoma. 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