P0696 / #465: WHEN DIVERTING COLOSTOMY PERFORM TO CRITICAL ILLNES FOR SEVERE PERIANAL OPEN WOUNDS?

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Aims & Objectives: The aim of the present study was to analyze the outcome after performing a diversion colostomy in children with severe perianal lesion. Methods: We are presenting to case series whose diverting colostomy was opened for large perianal open wounds and sepsis. Results: Our first patient was 6-month girl whose diagnosed with meningococcemia had extensive necrotizing wounds in the perianal region, a colostomy performed (on the 40th day hospitalization) to prevent stool passage and skin irritation. In the follow-up of the patient, wound healing was observed and no additional problem was observed. It was learned that the patient’s colostomy was closed in the 5th month. Second patient was 7-moth girl, also she was diagnosed meningococcemia along with severe purpura fulminans then extensive necrotizing wounds in the perianal region, a colostomy performed (on the 23th day of admission). The patient is still in our hospital and has colostomy. The patient was in good general condition. Third patient’s disorder was dilated cardiomopathy and then total artificial heart support implanted because of failure. He had extensive sacral decubitus ulcer and a colostomy performed (on the 58th day of hospitalization). After healing of the patient’s wound, colostomy was closed in the 10th month hospitalization. We achieved successful results in 3 patients.Conclusions: In conclusion, the present study is the first to case series the use of diverting colostomy method for critically ill children sever and large open perianal wounds. Colostomy may be good treatment option for perineal severe tissue lost.