Colostomy in neonates under local anaesthesia: Indications, technique and outcome

Lukong, Christopher Suiye; Jabo, B A; Mfuh, Anita Yafeh

doi:10.4103/0189-6725.99412

Cited by 16 publications

(20 citation statements)

References 8 publications

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“…A divided distal descending/sigmoid colostomy is increasingly being performed for fecal diversion in the management of patients with ARM (67–69). An historical comparison of the management of children with ARM over two decades in Zaria, Nigeria showed that 69 patients who required a colostomy in the first 10 years (January 1988 to December 1997) of the review had transverse loop colostomy compared to 96 patients in the latter 10 years (January 1998 to December 2007) who had divided sigmoid colostomy (13).…”

Section: Surgical and Perioperative Considerationsmentioning

confidence: 99%

“…Colostomy for ARM may be associated with complications in 12.9–78.9% (Table 2) of African children (14, 18, 68, 69, 74). The most commonly reported complications following colostomy for ARM are prolapse, skin excoriations and hemorrhage (Table 2).…”

Section: Surgical and Perioperative Considerationsmentioning

confidence: 99%

“…Skin excoriations are rather much commoner than seen elsewhere (66, 75, 76). This may not be unconnected with the non-availability or non-affordability of appropriate stoma bags for children in some countries (69, 74, 77). Local surgeons have adapted the use of pieces of absorbent clothing material or improvised bags to collect the feces (69, 78).…”

Section: Surgical and Perioperative Considerationsmentioning

confidence: 99%

“…This may not be unconnected with the non-availability or non-affordability of appropriate stoma bags for children in some countries (69, 74, 77). Local surgeons have adapted the use of pieces of absorbent clothing material or improvised bags to collect the feces (69, 78). The use of such materials allow feces to stay in contact with the skin for long periods of time, which provides a milieu for maceration of the skin, infection and enzymatic auto-digestion of the macerated skin (77).…”

Section: Surgical and Perioperative Considerationsmentioning

confidence: 99%

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Overview of Anorectal Malformations in Africa

Lawal

2019

Front. Surg.

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Anorectal malformation is one of the most common structural congenital malformations treated by pediatric surgeons globally. The outcome of care is largely dependent on the spectrum, clinical features, associated malformations, expertise of the surgeons, and available perioperative facilities. Africa has a large burden of unmet surgical needs in children, and as in other low resource settings, local pediatric surgeons are faced with different and challenging clinical scenarios, hence, adopt various measures to enable children with surgically correctable congenital malformations to survive. There are increasing collaborations between local surgeons and experts in other continents, which often involves surgeons traveling to Africa on missions or well-structured partnerships. It is highly beneficial for the physician who is interested in global-surgery to understand the terrain in low resource settings and prepare for possible changes in management plan. This review highlights the epidemiology, clinical presentation, treatment, and outcome of care of children with anorectal malformations in Africa and provides options adopted by pediatric surgeons working with limited resources.

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Section: Surgical and Perioperative Considerationsmentioning

confidence: 99%

Section: Surgical and Perioperative Considerationsmentioning

confidence: 99%

Section: Surgical and Perioperative Considerationsmentioning

confidence: 99%

Section: Surgical and Perioperative Considerationsmentioning

confidence: 99%

See 2 more Smart Citations

Overview of Anorectal Malformations in Africa

Lawal

2019

Front. Surg.

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“…The present described laparoscopic procedure, as with all other surgical interventions, may also lead to minor complications such as skin infection and discomfort during management of the colostomy bag after surgery. [7][8][9] Severe wound infection, stoma prolapse, and evisceration can also occur.…”

Section: Discussionmentioning

confidence: 99%

Untitled

2015

MOJS

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This is a description of the technique used for laparoscopy-assisted colostomy in neonates with anorectal malformations (ARM), using 2 laparoscopic ports only. The technique is easy to use and has the advantages of enabling identification of the sigmoideum, the internal genitals and to establish a stoma leaving only minimal scars in the umbilicus. In our departments, we routinely perform stoma operations using this technique. We do not claim any benefits or disadvantages of LAC compared with the traditional open technique.Keywords: colostomy, neonates, anorectal malformation (ARM), laparoscopy, laparoscopic colostomy MOJ Surgery Mini Review Open AccessTwo ports laparoscopy-assisted colostomy in neonates-a method described Citation: Gunnarsdóttir A, Stenström P, Arnbjörnsson E. Two ports laparoscopy-assisted colostomy in neonates-a method described. MOJ Surg. 2015;2(2):21-23.

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