Complications associated with various colostomies in pediatric patients- 2 year prospective study

Abstract

Introduction- Colostomy is a surgical procedure in which stoma is formed by drawing the healthy viable end of large intestine or colon trough anterior abdominal wall and suturing it into place. Although permanent colostomies are rarely indicated in childhood, common congenital colonic and ano-rectal conditions as well as a few acquired ones often need temporary colostomy as a life saving procedure in neonatal life and early infancy.Aims and objectives- To evaluate the complications occurring after colostomy.Material and methods- Prospective study, as a thesis topic was conducted from 2012 to 2014. 70 patients had undergone colostomy and were evaluated post operatively. Loop colostomy, divided colostomy, sigmoidal or transverse colostomies were performed depending on clinical examination and underlying condition. Post operative complications were observed.Results- Neonates(58.28%) and males(60%) predominated the study. 68.57% cases showed complications. Out of 70 cases 48(68.57%) patients that had undergone loop colostomy. Divided colostomy was done in 22(31.42%) cases. Sigmoid colostomy was done in 46(65.71%) Patients whereas 24(34.28) patients underwent transverse colostomy. The most common complication observed was skin excoriation which occurred in 31 (44.28%) followed by chronic blood loss 22 (31.42%) patients. Fecaloma formation was seen in 6 (8.57%) cases. 1 (1.42%) patient died.Conclusion- An aggressive and diligent postoperative care is needed. A stoma care center should be established under pediatric enterostomal therapist and nurse specialist.