Frequency of associated complications with colostomy reversal

Muniba Kanwal, Maryam Hafeez, Alveena Masood, Marium Faiz

Abstract


Objective: The main aim of this study was to find the frequency of complications associated with colostomy reversal.

Study Design: Retrospective study

Place and duration of study: This study was carried out in surgical units of General Hospital Lahore in a duration of 9 months from February 2018 to October 2018.

Materials and Methods: A total of 131 patients were included in this study who had undergone colostomy reversal. Prior to reversal of colostomy, patency of distil loop was checked with loopogram, Barium study and sigmoidoscopy. For preparing the bowel patient was kept on clear liquids two days prior to surgery and patient was kept NPO one day before the surgery and enema was used to clean the gut. Sufficient fluids were given to the patient to maintain adequate hydration and glucose balance. Colostomy reversal was done using vicryl. Patients were admitted in ward and post-operative complications were checked.

Results: Among the 131 patients included in this study, 113(82.6%) were male. 21-40 years was the mean range in which 86 (65.6%) patients were included. Reversal after 3 months was done in around 98 (75%) of patients. 14 patients developed post-operative complications giving 10.6% morbidity.  Mortality rate was 0.76% as one patient died but this mortality was not related to complications of reversal but to the cardiac ischemia.

Conclusion: Reversal of colostomy is usually not a safe operation having low mortality and morbidity.


Keywords


colostomy reversal, post-operative complications

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