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Evaluation of Risk Factors for Development of Stoma Related Complications in Patient with Anorectal Malformation

    Authors

    1 Pediatric Surgery, Al-Turath University College, Baghdad, Iraq

    2 Pediatric Surgery, College of Medicine, Al-Mustansiriyah University, Baghdad, Iraq

,

Document Type : Review Article

Abstract

BACKGROUND:
Colostomy in patient with ARM has complications. There are some risk factors have impact on complications development.
OBJECTIVE:
Predict risk factors for development of stoma complications in ARM patients.
METHODS:
A prospective study conducted on neonates and infants with ARM who underwent colostomy at                     the department of pediatric surgery - central Child Teaching Hospital/Baghdad-Iraq from January/2019 till January/2021, searching for stoma complications and evaluating the effect of several variables                   on stoma morbidity.
RESULTS:
A total (64) patients, the most common associated anomaly was cardiac one. The mean operative time was 69.8 minutes. The mean stoma duration was (9.7) months. The postoperative stoma care was good in (59.4%) and poor in (40.6%) cases.
54.7% of patients had complications. The most common were skin excoriation. Mortality was reported in two cases (3.1%).
CONCLUSION:
Colostomy Creation carries a lot of complications. Variables of sex, associated anomaly, operative time, stoma care, and stoma duration were determinant of morbidity while age, weight, type and level of stoma have no significant associations. Loop type has shorter operative time but higher incidence of UTI than divided one. Prolapse of stoma was not related to stoma type.
 

Keywords

References
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Iraqi Postgraduate Medical Journal
Volume 22, Issue 4
October 2023
Page 417-425
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