Clinical study of stoma closure: its complications and management

Abstract

Background: A stoma is a surgically formed exteriorization of the ileum or colon to the anterior surface of wall of abdomen. There are various reasons for the formation of fecal stoma then the most common reasons comprise blunt abdominal trauma, carcinoma, inflammatory bowel disease. Formation of stoma can disturb the individual equally psychologically and physically. In accumulation, complications during stoma are very common. Methods: The study was carried out in 50 patients between June 2021 to November 2022. All the patients who undergone stoma closure and fulfilled inclusion criteria were taken as study population. Patients of all age groups undergone stoma closure for non-malignant condition were included in the study. Stoma closure of the patients who were operated for malignancy, tuberculosis and inflammatory bowel disease were not included in the study. This study population were observed for different complications, complications in different techniques and complications in different stoma closure interval. Results: Less post operatively complications were seen in early stoma closure and Intraoperatively by using direct stoma closure technique. By using the subcutaneous drain placement, we can reduce chances of wound infection and wound dehiscence. Conclusions: Postoperative complication in stoma closure can be reduced by adapting proper technique and doing closure at appropriate time interval.