Colostomy Closure in Pediatric Age Group: Analysis Of Out Come in Single Center Exp erience

Authors

  • Hassan K, Qatia scientific council of pediatric surgery

DOI:

https://doi.org/10.32007/jfacmedbagdad.60133

Keywords:

Hirschsprung’s disease (HD), Anorectal malformation (AM)

Abstract

Background: Closure colostomy is a common procedure in the pediatric surgical practice, considered a major one because it involves anastomosis of the large bowel, and requires strict bowel preparation and prophylactic antibiotics. It’s the last event in the management of some pediatric surgical conditions, as Hirschsprung’s disease and anorectal malformations.
Objectives: To evaluate the complications of colostomy closure in pediatric patients.
Patients and methods: A total of 106 patients underwent colostomy closure were enrolled in this prospective study conducted in Welfare Teaching Hospital in Medical City Complex, from October 2015 to January 2017, were reviewed looking for complications following closure colostomy. Data were collected including age, gender, indication of colostomy, type and location of colostomy, presence of stoma complication, and presence of associated anomalies. Details of colostomy closure, including pre-operative, intra-operative and post-operative variables were recorded.
Results: Of 106 patients included, there were 38(35.8%) females and 68(64.2%) males, with an average age of 2.4 years. Indications for colostomy were Hirschsprung’s disease 58(54.7%) and anorectal malformations 48(45.3%). The site of colostomy was transverse colon 54(50.9%), and sigmoid colon 52(49.1%). The type of colostomy was divided 8(7.5%) and loop 98(92.5%). Forty-eight patients (45.3%) developed complications; the most common being wound infection 30 (28.3%), followed by fecal fistula 6 (5.7%), wound dehiscence 4 (3.8%), adhesive intestinal obstrution 4 (3.8%) and incisional hernia 4 (3.8%).
Conclusion: Closure colostomy is a high morbidity procedure. With morbidity rate of 45.3%, the highest complications were wound infection.
Keywords: Hirschsprung’s disease (HD), Anorectal malformation (AM)

غ

Downloads

Download data is not yet available.

Downloads

Published

01.04.2018

How to Cite

1.
Qatia HK. Colostomy Closure in Pediatric Age Group: Analysis Of Out Come in Single Center Exp erience. J Fac Med Baghdad [Internet]. 2018 Apr. 1 [cited 2024 Nov. 8];60(1):14-8. Available from: https://iqjmc.uobaghdad.edu.iq/index.php/19JFacMedBaghdad36/article/view/33

Publication Dates

Similar Articles

1-10 of 592

You may also start an advanced similarity search for this article.