Morbidity and mortality in patients with colostomies - A study on 50 cases

ABSTRACT

To discuss the morbidity and mortality associated with the fashioning of colostomy and its closure. Material and This study was conducted in the Surgical 'A' unit of Post Graduate Medical Institute, Lady Reading Hospital, Peshawar. A series of 50 consecutive patients with colostomy for various indications were managed in surgical 'A' unit and emergency departments of LRH. Fire arm injuries [34%] were the most common indication of colostomy, followed by blunt trauma [26%], anorectal malignancy [14%] and sigmoid volvulus [12%]. Total of 20 patients suffered from 24 stoma related problems. The hospital stay was between 5-46 days. Thirty six of these patients under went colostomy closure with an average hospital stay of 11 days. There was one death. Careful stoma formation minimizes risks of complications associated with it. In our study there was no difference between single layer and double layer closure