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[Complications of digestive ostomies in pediatric surgery]
Y Coulibaly1, Y Coulibaly1, M Keita1
1Service de chirurgie pédiatrique.
Insights
Complications affect nearly half of pediatric stoma patients. Optimizing surgical technique and equipment is crucial for reducing stoma-related issues in children.
Area of Science:
- Pediatric Surgery
- Gastroenterology
- Surgical Complications
Context:
- Intestinal stomas are surgically created openings to divert intestinal contents.
- Stoma complications can significantly impact patient recovery and quality of life.
- Understanding the incidence and risk factors for stoma complications is essential for improving patient outcomes.
Purpose:
- To determine the frequency and contributing factors of intestinal stoma complications in pediatric patients.
- To analyze the relationship between surgical factors and stoma complication rates.
- To identify areas for improvement in stoma care and surgical practices.
Summary:
- A retrospective study analyzed 192 pediatric stoma cases (0-15 years) over seven years.
- Complications were observed in 48% of patients, with an average incidence of 27 cases per year.
- Key complicating factors identified include surgical indication, stoma type and variety, surgical technique, and equipment used.
Impact:
- Highlights the significant rate of stoma complications in children.
- Emphasizes the need for meticulous surgical technique and appropriate equipment selection.
- Provides data to inform guidelines and training for pediatric stoma management to minimize adverse events.
Aims:
To determine the frequency and factors of complications of intestinal stomas.
Methods:
This was a retrospective study over a 7 year period from January 2004 to December 2010, covering all children aged 0-15 years, who received a stoma and hospitalized in the period of study. Excluded from this study, alimentary ostomy and urological ostomy, and children whose medical records were incomplete.
Results:
We examined 192 cases of stoma or 27 cases/year. We noted a complication in 91 (48%) of our patients. The average age was 3.64 ± 5.03 years ranging from 6 hours and 15 years. The complicating factors were: the indication for surgery, type of stoma, the variety of stoma, surgical technique and equipment.
Conclusion:
The achievement of good technique and appropriate equipment would be needed to reduce some complications of the stoma.
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An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
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