Determination of Ideal Time for Termination of End Ostomy Based on Primary Aetiology: A Retrospective Analysis
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 1
Abstract
Construction of the ostomy is one of the routinely performed diversion procedure. End ostomies (ileostomy /colostomy) are being constructed for emergency abdominal conditions which requires resection of the bowel but re- establishment of its continuity may not be feasible at that situation. Termination of the loop ostomy is simple and it usually doesn’t require formal laparotomy. Whereas termination of end ostomy needs formal laparotomy and bowel mobilisation, adhesionolysis which is associated with increase intra and postoperative morbidities. This can be avoided by undertaking the procedure at appropriate time based on primary aetiology, that is for Traumaticconditions as primary cause end ostomy can be terminated safely at early stage (8-10 weeks). Where as in case infective and inflammatory conditions are the primary causes one should safely wait at least 16 weeks before taking up for the procedure.
Authors and Affiliations
Srinivas Rao Kancharla
Keywords
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- EP ID EP542524
- DOI 10.21088/nijs.0976.4747.9118.15
- Views 78
- Downloads 0
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