120613

COMPLICATIONS OF COLOSTOMY AFTER COLORECTAL SURGERY

Article

Last updated: 04 Jan 2025

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Abstract

Background: Significant morbidity is associated with stoma creation and these complications can be grouped into early and late-occurring complications. The literature reports the rate of stoma-related complications ranging from 20 to 70%. Early complications occur within the first 30 days of the stoma creation and include ischemia/necrosis, retraction, mucocutaneous separation, and parastomal abscess. Objective: To evaluate complications of stoma after colorectal surgeries, both early and late complications of colostomy were assessed with respect to the frequency of complications, health-related quality of life (QoL), and length of hospitalization (LoH). Patients and Methods: This was a randomized prospective trial evaluating early and late complications of colostomy after colorectal surgeries in Department of Surgical Oncology, Al-Azhar University Hospital.  This study was started at June 2017 and ended at May 2019. Patients were included after they agree to be included in the study and an informed consent was taken. Screening for and inclusion of participants was made after the index surgery. Follow-up of patients was at the time of surgery and up to 6 months after index surgery. Fifty patients were included in this study and assessment of early and late complications was done. The risk of postoperative complications is dependent on patient-related factors and technical aspects of the operative procedure. Results: Retraction was found to be the most common complication (16 % of all patients). Parastomal herniation was the most common late complication after colostomy creation and it affected about 16% of all patients. Conclusion: Complications from colostomies are frequent, costly, and difficult to resolve, even after multiple operations. Prevention of complications occurred through sufficient time spent in siting and mobilization, with strict attention to detail and a meticulous technique.

DOI

10.21608/amj.2020.120613

Keywords

Stoma, Rectal Cancer, Colorectal Surgery, pyoderma gangrenosum

Authors

First Name

Ahmed

Last Name

Abd El-Wakeel Abd El-Aal Saied

MiddleName

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Affiliation

Department of Surgical Oncology, Faculty of Medicine- Al-Azhar University, Cairo, Egypt

Email

ahmedabdelwakeel89@gmail.com

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Orcid

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First Name

Saied

Last Name

Hosny Bendary

MiddleName

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Affiliation

Department of Surgical Oncology, Faculty of Medicine- Al-Azhar University, Cairo, Egypt

Email

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City

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Orcid

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First Name

Ayman

Last Name

Mohammed Abdul-mohaymen

MiddleName

-

Affiliation

Department of Surgical Oncology, Faculty of Medicine- Al-Azhar University, Cairo, Egypt

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Orcid

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Volume

49

Article Issue

4

Related Issue

18054

Issue Date

2020-10-01

Receive Date

2020-10-28

Publish Date

2020-10-01

Page Start

1,561

Page End

1,970

Print ISSN

1110-0400

Link

https://amj.journals.ekb.eg/article_120613.html

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https://amj.journals.ekb.eg/service?article_code=120613

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10

Type

Original Article

Type Code

941

Publication Type

Journal

Publication Title

Al-Azhar Medical Journal

Publication Link

https://amj.journals.ekb.eg/

MainTitle

COMPLICATIONS OF COLOSTOMY AFTER COLORECTAL SURGERY

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Article

Created At

22 Jan 2023