Management of intestinal stoma

ABSTRACT

To detect the various complications in all types of intestinal stomas and various operative and non-operative strategies applied in the management of these complications. All four units of Surgical Department including Accident and Emergency department, Nishtar Hospital, Multan. Six months. 100 patients. These 100 patients included in the study were admitted through the OPD and emergency department. Data of patients was recorded on a pre-designed proforma, which was later on used for analysis. Various types of complications were noted. The commonest age group for ileostomies and caecostomies was 13-20 years and for colostomies was 21-30 years. There were 10 female and 40 male patients in total. Labourers were the commonest to have a stoma. This was also true for ileostomies and colostomies; whereas students were the most common to have caecostomies. Nine cases of ileostomy, 6 cases of caecostomy and 35 cases of colostomy were studied. About 10 [20%] colostomies were made in transverse colon, 5 [10%] in descending colon and 20 [40%] in sigmoid colon. Eight [16%] colostomies were the only permanent stomas in this study. There were 3 [60%] tube caecostomies and 2 [40%] formal caecostomies. There were 6 [66.7%] loop ileostomies and 3 [33.3%] end ileostomies. The implementation of proper surgical techniques reduces the chances of local stoma complications