FREQUENCY OF INDICATION AND WOUND INFECTION FOLLOWING INTESTINAL STOMA CLOSURE

ABSTRACT
Introduction: Despite the major advancement in the field of intestinal surgery construction of intestinal stoma is still a
common and one of the most frequent operation in visceral surgery. Stoma closure is so often considered a “minor”
procedure but it is associated with significant morbidity and mortality4. The morbidity of Stoma includes bowel obstruction,
malnutrition, electrolyte imbalance, skin excoriation, abscess formation, sepsis and dehydration.
Objective: To determine the frequency of indication and wound infection following intestinal stoma closure
Materials And Methods: It was a Descriptive case series study, in which consecutive 124 patients requiring stoma
closure were included between 1st Jan 2012 to 31st Jan, 2014 at Govt City hospital Lakki Marwat. Closure was done
on the next day of admission by a consultant blinded from the details and inclusion of the patient in the study. Patients
were advised to report to OPD if they develop wound infection in between the scheduled follow up visits. The follow
up period being one month after the procedure.
Results: There were 124 patients with intestinal stoma who underwent stoma closure and were observed for wound
infection, in which 92(74.19%) were male and 32(25.81%) were female patients. Colostomy was done in 70(56.45%)
patients and ileostomy was carried out in 54(43.55%) of patients. The age of patients included in study ranged from
13 to 70 years. Average age was 35.69 years ±16.5SD. In 10(8.06%) cases, wound infection was observed during the
hospital stay. At 14th post- op day, wound infection was recorded in 8(6.45%) patients. At 21st post-op day, it was seen
in 8(6.45%) patients and on 30th day of post-op follow up period, it decreased to just 7(5.64%). Average hospital stay
was 4.96 days + 2.06SD with a range of 3-10 days.
Conclusion: Wound infection was observed and compared to other national and international studies. Male were more
suffered of wound infection as that of female.
Key Words: Sigmoid Volvulus, Colostomy, Ileostomy, Indication