[Does a one-time colonic or rectal resection without protective colostomy increase the rate of postoperative complications?].

The rate of postoperative complications is the decisive criterion in evaluating the preoperative preparation of the large intestine, the operative methods, and the technique of anastomosis. Preparations for colorectal surgery include administration of antibiotics and the use of a three-row suture method of anastomosis without the protection of an intestinal fistula. The results of 1054 colorectal resections are promising: The rate of anastomotic insufficiency was 3.9% after resection of tumors and 4.9% after resection of inflamed diverticula. Lethality from local causes was 1.2% and 1.9%, respectively. Disturbance of wound healing occurred in 10.7% of the cases.