STUDY OF INDICATIONS AND COMPLICATIONS OF SMALL AND LARGE INTESTINAL STOMAS IN EMERGENCY SITUATIONS

Abstract

Background: Stoma is a surgically created opening in the anterior abdominal wall with a purpose to divert the feces away from the distal bowel loops in order to relieve obstruction or product anastomosis (1) in emergency situations. Stomas may produce multiple complications (2). Most of the stoma complications are minor, can be managed with proper care, only little complications require intervention by means of surgery which may produce high morbidity and mortality (3). To study the Aims & Objectives: various types and indications of small and large intestinal stomas in emergency situations. To identify the various early complications encountered after the construction of emergency intestinal stomas. To assess the ways in which these complications can be minimized and managed in a better way. Observational Prospective Study of 40 patients undergoi Methods: ng emergency small and large intestinal stoma construction in tertiary care government hospital from March 2020-August 2021 according to inclusion and exclusion criteria with a follow up of 3 months post-operation. Data is analyzed using descriptive statistics. Out Results & Conclusion: of 40 patients underwent emergency small and large intestinal stoma construction, males were 34 and females were 6 with mean age of 45.38 years. The most common indication for stoma construction was Intestinal obstruction followed by Enteric perforation. The most common stoma constructed was loop ileostomy followed by loop sigmoid colostomy. The most common early complication of stoma was skin excoriation followed by stoma retraction. Most stoma complications are managed conservatively.