Clinical study of the patients undergoing stoma reversal in a tertiary care centre: a retrospective study from a developing country

Abstract

Background: Word “stoma” comes from the Greek word meaning mouth or opening. Fashioning of stoma is commonly one of the components of surgical interventions on the small and large bowel surgeries. Indications of stoma formation in India are different from the western world. Loop ileostomy is relatively superior. This study was done to study the pre and post take down complications of stoma.Methods: This retrospective, longitudinal, observational study was done on the patients admitted between February and December 2018, in the Department of Surgery (General), King George’s Medical University, Lucknow, UP. The data from e- Hospital software system and operative records were collected and was analysed using SPSS software. All the adult patients having age more than 15 year were included in the study. Blunt trauma abdomen was excluded from this study.Results: Out of total 196 patients male to female were in a ratio of 2:1. Most common diagnosis at the time of stoma creation was ileal perforation 52%. Most common site (42%) of stomas were done at a distance of approximately 12 inches from the ileocaecal junction. Mostly (97.5 %) reversals were performed through the local site. Most common pretake down complication was surgical site infection (22%) and post take down complication was enterocutaneous fistula (5%).Conclusions: Stomas were mostly given for ileal perforation and reversed through local approach by end to end anastomosis. Change in the pretake down complications from skin complications to surgical site infection in our study.