COMPREHENSIVE STUDY OF ILEOSTOMY AT A TERTIARY CARE MEDICAL COLLEGE HOSPITAL
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2016, Vol 5, Issue 14
Abstract
BACKGROUND We are working at a tertiary care medical college hospital (Geetanjali Medical College) Udaipur (Rajasthan) India. Conducted a comprehensive study of ileostomy, its varied indications, types, post-operative morbidity and eventual closure of ileostomy. We also analyse all the different aetiopathologies and all surgical aspects associated with ileostomy. METHODS A total of 30 patients undergoing ileostomy for various causes were studied retrospective over a period of 2 yrs. Stomal and nonstomal related complications were analysed. Reversal of stoma usually performed after 8 weeks and complications of reversal were also recorded. RESULTS Typhoid perforation 9 cases (30%) was the most common pathology, followed by blunt trauma abdomen 6 cases (20%), malignancy of colon/rectum 4 cases (13.33%), intestinal obstruction with perforated gangrenous ileum 3 cases (10%), perforated tubercular ileum 3 cases (10%), fulminating necrotic colitis 3 cases (10%) and mesenteric vascular thrombosis with gangrenous ileum 2 cases (6.66%) were observed. Wound sepsis, excessive effluent, skin excoriation, fluid and electrolyte imbalance and chest complication were the commonest; there were 2 cases (6.66%) of minor anastomotic leak, 1 case (3.33%) major leak with faecal fistula formation that healed over a period of time. One case (3.33%) had a sequential surgical complication as fulminant septicemia, ARDS and multi-organ dysfunction, eventually succumbed in ICU on 30th day. CONCLUSION Ileostomy in various surgical situations has proved to be a life-saving act for the patients and a face saving measure for the surgeon; however, one has to accept the eventual morbidity that continues until an ileostomy closure accomplished.
Authors and Affiliations
Hanuman Udawat , Suman , Pankaj
Keywords
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- EP ID EP154349
- DOI 10.14260/jemds/2016/151
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