Surgical Research
Open AccessDigestive Stomies: Indications; Complications and Management in the Visceral Surgery Department of Donka National Hospital
Authors: Sylla H, Camara FL, Barry AM, Diallo AA, Balde M, Baldé MA, Baldé TM, Touré I, Barry AA, Sylla A, Koundouno AM, Traoré M, Diakité SY, Bah TS, Diallo B.
Abstract
Introduction: The aim of our study was to contribute to the improvement of care for stoma patients in the department.
Material and Method: This was a descriptive prospective study lasting 1 year from February 1, 2019, to January 31, 2020, involving 13 patients. Results: Digestive stomas were performed in 4% of abdominal surgeries. The average age was 37 years plus or minus 19.7 years with a male predominance and a sex ratio of 1.6. Intestinal obstruction due to sigmoid colon volvulus (84.6) was the main indication for stomas. Colostomy was the most performed type of stoma at 92.3% and most often temporary at 84.6%. The Hartmann technique at 46.1% was the most used. The makeshift bag (plastic sachet) was the most used as a stoma bag for all patients. Seventy-two point seven percent presented with necrosis of the stoma mouth and all underwent necrosectomy in the operating room; peri-stomal irritation was observed in 15.4% and a mortality rate of 15.4%.
In surgical procedures, intestinal continuity was achieved in 8 patients within an average period of 68.1 days.
Conclusion: Digestive stomas are relatively common and have an impact on patients' psychology. A better approach to management could reverse this trend
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