Pediatrics & Therapeutics
Open Access

Complications of colostomy and their correction in children

7^th European Pediatrics and Pediatric Surgery

September 14-16, 2016 Amsterdam, Netherlands

Mansur Nasirov

Tashkent Pediatric Medical Institute, Uzbekistan

Posters & Accepted Abstracts: Pediat Therapeut

Abstract :

Objective: To study the causes of complications in children colostomy. Material & Methods: There were 84 patients with a colostomy in the period from 2003 to 2013. Colostomy was applied in order to decompress the bowel (intestinal paresis, peritonitis), anorectal malformations and Hirschsprung�s disease. Results: Complications of colostomy were detected in 44 patients. The most frequent complications were paracolostomic inflammatory complications-14 (32%). Parastomal infiltrate developed in mucocutaneous transition colostomy due to infection of postoperative wound edges intestinal contents. In 5 (11%) patients colostomy was complicated with necrosis due to massive devascularization and redundant loops derived. 7 (16%) patients developed to stenosis of colostomy. Evagination occurred in 8 (18%) patients, which was resulted due to living of a large abdominal free part of the colon in 5 patients, single-barrel stoma were in 3 children. Eventration was seen in 10 (23%) patients. Conclusion: The major complications of colostomy were paracolostomic inflammatory complications, which were eliminated using local therapy; necrosis, stenosis of the stoma; eventration, due to the superposition of single-row fixation sutures and suturing the parietal peritoneum to the skin; evagination related to insufficient fixation guts to parietal peritoneum and abdominal leaving a large free prestomal part of the colon. Developed in our clinic, method corrugating stoma led to a significant decrease in the number of complications.

Biography :

Email: mansoornasyrov@gmail.com