Background: Enterostomy is one of the commonest surgeries performed in general surgical practise. It leads to considerable alteration in life style of patients after surgery in the form of physical, mental, social, spiritual, economic, educational, vocational, marital, sexual problems. We designed study to assess the extent of these affections on quality of life (QOL) and suggest measure to improve it.Methods: We conducted a cross sectional survey using validated City of Hope-quality of life-Ostomy questionnaire questionnaire which was administered to patients following up for routine stoma care in stoma clinic of our hospital. We included patients who have undergone stoma creation between 2 months to 1 year prior to taking the QOL questionnaire. Demographic data and data collected about four main domains of QOL namely, physical, psychological, social and spiritual was statistically analysed for significance, dependence and correlation.Results: Commonest stoma type in our study was temporary ileostomy done for perforative peritonitis. Presence of ostomy makes significant impact on patients clothing style, occupation and sexual activity and suffered depression. Majority of patients (82.5%) fell in fair to average when their scores of QOL were compared. All four domains of life correlated positively to each other.Conclusions: As all domains of life are related to each other intervention to improve any one of them will cause resultant improvement of all domains of QOL. We suggest holistic approach by pre and postoperative counselling, training by trained enterostomal therapists, psychiatrist, treating surgeons and economic and sexual rehabilitation.
Background: Conventional double layered technique of intestinal anastomosis are widely in practise. Some surgeons also practice single layer technique either continuous or interrupted. This was a prospective observational study to compare safety, efiicacy and feasibility of single versus double layered continuous techniques.Methods: Patients undergoing intestinal anastomosis with either of these two techniques were observed prospectively for various outcome parameters like length of suture material used, time taken for anastomosis, and that for entire surgery, postoperative complications, return of bowel activity etc. Data such obtained was analysed for statistical significance by applying chi-square test and unpaired ‘t’ test.Results: Length of suture used for single layer (mean of 15.06 cm) was statistically significantly lesser than that for double layer (mean 19.90 cm) (p.0.001). Time taken for anastomosis and overall surgical time too was significantly less for single layer group (p.0.001 and 0.022 respectively). Complications including anastomotic dehiscence were not significantly different between two groups. Postoperative recovery of bowel function was earlier in single layer group with marginal statistical significance (p=0.048).Conclusions: Thus in our study, single layer continuous method of intestinal anastomosis resulted in significant reduction in time, suture material length and cost; without any difference in complications and it marginally hastens the postoperative recovery of bowel function. So single layer continuous method can be recommended for intestinal anastomosis.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.