The Prevention and Treatment of Stoma Complications. A Report of 152 Cases
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 3
Abstract
Background: Stomal complications are prevalent and associated with a worse quality of life and increased health-economic burdens.Stoma is an opening for fecal diversion. The aim of our study was to determine the prevention and treatment of stoma complications. Methods: This is a prospective study was carried out in a surgical unit of Subei Hospital, Yangzhou Medical College, from January, 2013 to December, 2015. Data was collected by meticulous history taking including age, gender, indication, type of stoma, type of surgery, careful clinical examination, appropriate operative findings and follow up of the cases. The results were collected, analyzed and compared with other studies. Result: A total of 152 patients were evaluated age ranged between 21- 90 years. Majority (60.52%) of patients were males. The most common type of stoma made was End colostomy 121 (79.60%) followed by loop colostomy 8 (5.26%), loop ileostomy 24 (15.78%) and end ileostomy 7 (4.60%). Main indication for a stoma formation was colorectal cancers 62(40.78%), followed by colon cancer 30 (19.73%), and intestinal obstruction24 (15.78%).Thirty five patients (25%) had stoma complications. Postoperative at ward review, the most common complication in all stoma was Skin irritation which was seen in 14 (9.21%) patients. Complications were seen more in Colostomy as compared to ileostomy.The most common stoma site was right lower abdomen (84%), followed by left iliac fossa (13%), right upper quadrant (2%) and left upper quadrant 1%. Conclusion: In the construction of an intestinal stoma extreme care should be taken to avoid all situations associated with risks for future stomal complications. Main complications included local skin problems, wound infection and retraction. End colostomy is associated with highest complications.In the constructionof an intestinal stoma extremecare should be taken to avoid allsituations associated with risks for futurestomal complications.
Authors and Affiliations
Warda Mohay Uddin, Sami Ullah, Zafar Iqbal, Wang Jie, Irfan Ullah, Tang Dong
Keywords
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- EP ID EP600179
- DOI 10.9790/0853-1603098690.
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