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TITLE:

A RESEARCH STUDY TO PERFORM STOMA FORMATION AND TO KNOW THE POSSIBLE OUTCOMES AFTER THE PROCEDURE DONE AT TERTIARY CARE HOSPITAL

AUTHORS:

Dr Muhammad Nabeel Ikram, Dr Muhammad Salman Saleem, Dr Muazzam Ali Sanaullah

ABSTRACT:

Background: Short term stoma formation is a common technique which is done during laparotomy. Objective: Main aim of this study was to discover how to perform stoma formation and to know the possible outcomes after the procedure done at tertiary care hospital. Patients & Methods: This study was done at Jinnah hospital, Lahore. This research included patients admitted in the hospital from March 2017 to July 2019. Eighty patients were taken in this regard. Stoma formation was being done on them. Age, sex and type of stoma formation was also noted down. Methods for stoma reversal were based on the kind of stoma formation according to standard international protocols. The early postoperative outcome was recorded. Stoma reversal was after 90 days, which has been proved medically that this is the exact time period that ensures resolution of dense abdominal adhesions. Results: Sign of stoma formation was usually typhoid perforations 42 (52.5%), firearm injuries 13(16.25%) and Uterine Dilatation & Curettage 09 (11.25%). Most patients (64) were smoothly recovered. Superficial surgical site infection (SSI) was found in 5 (6.2%) patients and deep SSI in 03 (3.75%). Anastomotic dehiscence effected 02 of them. On one patient of these two, the temporary stoma was re-made, while the other one recovered on conservative management. 6 (7.5%) patients had to face small wound disturbances. Conclusion: In the western world, stoma formation and its signs are different than this region. Attempts should be made to diagnose the disease at an early stage before it reaches the dangerous level. Keywords: Stoma, Formation, Uterine Dilatation, Infection, Surgical, Superficial and Wound.

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