Éventrations sur stomie

Pattern of Lower Intestinal Ostomies in a Low‐Income Country: Case of Southeast of Niger Republic

“…They occur in about 30% of the stoma and up to 50% in the colostomy [1]. Two types of risk factors enhance the occurrence of a parastomal hernia: the ones related to the patient (age > 60 years, obesity, undernutrition, long‐term corticosteroid therapy, abdominal hyperpressure) and the ones related to surgical technique (postoperative periperistomal abscess, colostomy, poor placement of the stoma, time before closure) [2, 5, 8]. These late surgical complications rarely involve the vital prognosis [1, 7, 28].…”

“…In sub‐Saharan Africa, indications for ostomy are more likely performed in patients with poor general status suffering peritonitis or intestinal obstruction due to benign causes [4, 10, 11]. Digestive ostomy is often responsible for multiple complications and even of non‐negligible mortality, sometimes associated with initial disease [3–5, 7, 8, 10–15]. The objective of this study was to report the socio‐demographic characteristics, indications and prognostic aspects associated with ileostomies and colostomies at Zinder National Hospital, Niger.…”

“…In the USA, more than 100,000 people per year undergo surgery with a colostomy or ileostomy [3,7]. In developed countries, chronic inflammatory diseases and intestinal cancers account for more than 75% of digestive ostomy indications [5,[7][8][9]. In sub-Saharan Africa, indications for ostomy are more likely performed in patients with poor general status suffering peritonitis or intestinal obstruction due to benign causes [4,10,11].…”