Introduction: The objective was to present the results of the management of complications after colonic and rectal surgery.

Methodology: This was a one-year dynamic study of postoperative complications after colonic and rectal surgery. Late complications and general complications were excluded.

Results: We identified 31 postoperative complications in 356 colonic and rectal surgeries. There were 19 men and 12 women, with a sex ratio of 1.5. The mean patient age was 29 years, and the mean time to onset of complications was 3 days.

Preoperative pathologies leading to complications were dominated by colonic volvulus and morbid dolichocolon. Left colectomy was the main cause of complications. Infectious complications were the most common, particularly after emergency surgery. The management of these complications is complex, with significant morbidity. The postoperative course was favorable in 80% of the operated patients, with fistula complications and two deaths.

Conclusion: Infectious complications are common, and emergency left colectomy, performed in a peripheral area, is the most common cause of postoperative complications. Management is multidisciplinary.