Hassan Mahmood Tabassum, Zahid Shahzad, Shagufta Sikandar.
Temporary stoma reversal; indications & outcome at a tertiary care hospital.
J Sheikh Zayed Med Coll Jan ;02(04):227-30.

Background: Temporary stoma formation is common procedure performed during laprotomy. Objective: The objective of this study was to determine the indications for temporary stoma formation and early outcome after reversal at surgical unit in a tertiary care Hospital. Patients & Methods: This hospital based prospective study was conducted at the surgical department of Sheikh Zayed Hospital, Rahim Yar Khan, including patients admitted during March 2008 to July 2010. This study included 80 patients in which stoma reversal was performed, age and sex as well as cause and type of stoma formation were recorded. Methods used for stoma reversal were according to type of stoma as per standard international protocols. Early post operative outcome was recorded. The time of stoma reversal was after 03 months. Evidence base medical practice testifies that three months is the time period that ensures resolution of dense abdominal adhesions. Results: Indications of stoma creation was mainly typhoid perforations 42 (52.5%), fire arm injuries 13 (16.25%) and Uterine Dilatation & Curettage 09 (11.25%). Majority of patients 64 (80%) had smooth recovery. There was superficial surgical site infection (SSI) in 05(6.25%), deep SSI in 03 (3.75%). Two patients suffered anastomotic dehiscence. One out of these two patients, temporary stoma was reconstructed while other patient bearing dense adhesions recovered on conservative management. There was minor wound disruption in 06(7.5%) patients. Conclusion: Indication and outcome of stoma formation is different as compared to western world. Endeavor should be made to improve diagnoses of preventable diseases and early referral of patients suffering form trauma and perforation to reach that commendable status.

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