An International Publisher for Academic and Scientific Journals
Author Login 
Scholars Journal of Applied Medical Sciences | Volume-7 | Issue 03
A Prospective Analysis of Intestinal Stomal Site Complications and the Various Peri Operative Factors Influencing Their Incidence
Dr. Akshita Bhat, Dr. Sanjay Sharma, Dr. Mohammad Salim, Dr. Anoop Singh
Published: March 30, 2019 | 55 55
DOI: 10.36347/sjams.2019.v07i03.084
Pages: 1281-1286
Downloads
Abstract
Intestinal stomas, once formed are a long term fecal diversion which inadvertently leads to a lifestyle change for the patient. They are associated with a large spectrum of complications which must be managed promptly and appropriately. In this study, 50 patients who underwent a stoma formation procedure between October 2017 to September 2018 were analyzed for their pre-operative parameters like pulse, blood pressure and biochemical parameters were noted. They were followed up for three months and each complication that occurred was noted. Most common stoma formed was loop ileostomy. Stomal site complications occurred more frequently in patients who had a higher post-operative stay, ileostomy formation, and other post-operative complications. Deranged biochemical parameters especially low Serum albumin levels were associated with higher incidence of stomal site complications. Most common complication was skin excoriation. Pre-operative planning, proper stoma positioning, good surgical procedure and altering the possible risk factors leading to stoma complications can go a long way in helping a stoma patient. They can be predicted by pre-operative evaluation and type of surgery and minimized by stabilizing the patient and improving his biochemical status before surgery.