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Volume 12 Issue 3 ( July-September ) 2023

Original Articles

Assessment of morbi-mortality related to ileostomy and colostomy closure
Dr. O.P.Singh, Dr. Nayanshi Singh, Dr. Himanshu Singh

Background: The diverting loop ileostomy is a commonly used stoma that is often employed to diminish the consequences of an anastomotic leak in low-colorectal anastomoses, ileal pouchanal anastomoses, and in situations in which reversible patient factors increase the risk of an anastomotic dehiscence. The present study was conducted to assess morbi-mortality related to ileostomy and colostomy closure. Materials & Methods: 46 patients admitted to general surgery department for ileostomy/colostomy closureduring emergency/elective surgeryof both genders were enrolled. Parameters such as indications for loop or end ileostomy/colostomy, morbidity and complications post ileostomy or colostomyclosure was recorded. Results: Out of 46 patients, males were 30 and females were 16. Indication for loop or end ileostomy /colostomy was cancer in 28, emergency diversion in 10 and perforation in 8 patients. The difference was significant (P< 0.05). Co-morbid conditions were COPD in 5, diabetes in 7, hypertension in 8 and renal impairment in 2. Complications were medical complications in 8, major in 4 and minor in 2 patients. The difference was significant (P< 0.05). Conclusion: Ileostomy is a viable and efficient diversion techniqueand has lowered the rates of complications and morbidity.

 
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