DOI: 10.36347/sjams.2017.v05i07.004

Pages: 2500-2502

Stoma formation is a common procedure in surgical practice, particularly in colorectal surgery. They are relatively easy to form and are used for faecal diversion from a diseased bowel, avoidance of an intestinal anastomosis in cases of intra-abdominal sepsis or where intestinal recontinuity is not possible or unsafe. We have studied 108 patients who had stoma formation from the period June 2015 to march 2017. This is a retrospective study of various ostomies done in our institute from June 2015 to march 2017 and overlooked for the patterns of indications, surgical techniques and various outcomes. A total of 108 patients were studied and about 52% of ostomies were done in emergency theatre. Most common indications were hollow viscus perforation and adhesive obstruction. Ileostomy (50%) was the commonest procedure followed by colostomy (28%). Complications of stoma formation were skin excoriation followed by prolapse. Most of the stomas were reversed late with mean duration before reversal being six months. Abdominal surgery is incomplete without stomas and the art of stoma formation is an indispensable armamentarium of a general surgeon. We have reviewed various factors associated with the outcome of stoma surgery and the data will help the preoperative patient counselling regarding the outcome of stoma surgery.