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TITLE:

SUTDY TO KNOW THE COMPLICATIONS OF COLOSTOMY AND ITS MORTALITY RATE

AUTHORS:

Dr. Ayesha Zubair, Dr. Ammara Mushtaq, Dr. Mishal Nasir

ABSTRACT:

Objective: To evaluate the mortality and morbidity of colostomy in our hospitals. Study Design: A prospective Study. Place and Duration: In the Surgical Unit I of Allied Hospital Faisalabad for one year duration from June 2017 to June 2018. Methodology: Fifty patients who underwent emergency or elective surgery for various abdominal pathologies and resulted in any colostomy were included in the study. A detailed history of each patient was taken and a clinical examination was performed. In addition to initial research, all patients underwent abdominal ultrasound; Barium studies, computed tomography, magnetic resonance and endoscopy were performed in selective cases. Although a decision was taken regarding the colostomy education and quality during surgery, written consent was obtained for possible colostomy training according to hospital protocol, rules and regulations. A special proforma was designed for the study; all findings were entered, compiled and analyzed. Results: Of the 50 patients, 38 were male and 12 were female. Male female ratio was 3.17: 1. Most patients had temporary colostomy (74%) and on the left side (70%). The overall morbidity was 24%, stenosis and retraction were common complications. 4% was the overall mortality. Conclusion: Colostomy is an important decision associated with significant morbidity and rare mortality. It is mostly required in decompression, drainage, deviation and preservation of anastomosis of colorectal trauma and intestinal obstruction in emergency situations and colorectal neoplasms in elective cases. Infection of the wound, retraction, skin irritation, prolapse and stenosis are common complications; In emergency operations, the rate of complications is higher in children and the elderly. Key Words: Colostomy, Complications, Colorectal Trauma, Intestinal Obstruction, Colorectal Carcinoma.

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