Nazir Ahmad, Sadaqat Ali Khan, Khalid Javed Abid.
Outcome of Stoma Takedown in Adults.
Pak J Med Health Sci Jan ;8(2):478-80.

Aim: To highlight the indications of temporary intestinal stoma and outcome of stoma takedown in adults. Study design: The prospective interventional study comprised of 100 consecutive patients with temporary intestinal stoma. Settings: West Surgical Ward, Mayo Hospital, Lahore. Duration: January 2012 to December 2013. Methods: All the patients above 12 years of age with temporary intestinal stoma either loop or double barrel admitted through Out Patient Department in the West Surgical Ward, Mayo Hospital, Lahore were included in the study. Results: Male to female ratio was 2:1 with the mean age of 39 + 18 years in the series. Major indications of intestinal stoma were trauma in 38(38%), abdominal/intestinal tuberculosis in 29(29%) and enteric fever perforation in 25(25%) patients. Ileostomy was the major form of stoma, created in 58(58%) patients, colostomy in 27(27%) and ileocolostomy in 15(15%). Operative procedures adopted for stoma takedown were simple enterostomy closure in 74(74%) and resection and end-to-end anastomosis in 26(26%) patients. Postoperative complications observed in the series were surgical site infection in 7(7%) patients and anastomotic leakage in 3(3%). Conclusion: Trauma, abdominal/intestinal tuberculosis and enteric fever perforation are the major indications of intestinal stoma in adults. Coexisting medical illnesses definitely affect the outcome. Primary skin closure of stoma wound though has high morbidity but allows rapid wound healing and is cost-effective. Stoma takedown is associated with a definitive morbidity but a low mortality.

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