scholarly journals Prospective Study of Clinical Profile and Early Complications of Ileostomy

2021 ◽  
Vol 10 (10) ◽  
pp. 694-699
Author(s):  
Nitesh Singh ◽  
Pramod Kumar Bhatia ◽  
Kirti Savyasacchi Goyal ◽  
Sameer Pundeer ◽  
Srinivas Reddy Kallem ◽  
...  
Keyword(s):  
Loop Ileostomy ◽  
Clinical Profile ◽  
High Rate ◽  
Common Complication ◽  
Early Complications ◽  
Early Postoperative Complications ◽  
Stoma Complications ◽  
Perforation Peritonitis ◽  
Intestinal Stoma ◽  
High Output

BACKGROUND Ileostomy is a lifesaving procedure in cases like perforation, peritonitis, typhoid fever, tuberculosis, and trauma. Ileostomy serves the purpose of diversion, decompression, and exteriorisation. Construction of ileostomy is still a common and frequently performed procedure, even though it is a major advancement in the field of surgery. This study intends to evaluate the clinical profile of ileostomy and assess early postoperative complications of ileostomy. METHODS A total number of 36 patients admitted in MMIMSR, Mullana (Ambala), managed and operated with ileostomy were followed up closely from the day of admission in the hospital to the day of discharge. Different parameters were studied. RESULTS The clinical profile, techniques, complications, indications of ileostomy were studied in detail and along with various early complications encountered with ileostomy formation. The most common complication was peristomal irritation in 33 patients (91.7 %), followed by skin excoriation in 24 patients (66.7 %), fistula in 21 patients (58.3 %), high output stoma in 17 patients (47.2 %), stomal retraction in 3 patients (8.3 %), abscess in 2 patients (5.6 %), necrosis in 1 patient (2.8 %), and stenosis in 1 patient (2.8 %). CONCLUSIONS Construction of ileostomy and its management was associated with high rate of complications. However, most patients tolerated the complications of ileostomy well and the overall compliance was satisfactory. Loop ileostomy was the most commonly performed stoma and was associated with high rate of complications. KEY WORDS Intestinal Stoma, Complications, Loop Ileostomy, End Ileostomy, Skin Excoriation, Fistula, High Output Ileostomy

scholarly journals The Assessment of Early Complications and Risk Factors Affecting Their Occurrence in Breast Reconstructive Procedures

2021 ◽  
Author(s):  
Justyna Jończyk ◽  
Jerzy Jankau
Keyword(s):  
Risk Factors ◽  
Postoperative Complications ◽  
Breast Reconstruction ◽  
Complication Rate ◽  
Clinical Factors ◽  
Early Complications ◽  
Reconstructive Procedures ◽  
Factors Affecting ◽  
Rehospitalization Rate ◽  
Early Postoperative Complications

AbstractThe presence of postoperative complications may have a significant impact on the outcome of the breast reconstruction. The aim of this study was to investigate early postoperative complications and the risk factors for their occurrence. A prospective analysis was carried out to evaluate surgical outcomes after breast reconstructive surgeries performed over a 2-year period. Procedures included expander/implant (TE/IMP), pedicle transverse rectus abdominis musculocutaneous (pTRAM), and latissimus dorsi (LD) techniques. All adverse events which occurred within 6 weeks of surgery were ranked according to severity based on the contracted Accordion grading system. Outcomes were assessed for their association with surgical, demographic, and clinical variables. Sixty-one consecutive breast reconstruction procedures were analyzed. The overall complication rate was 60.7% (n = 37), and 8 patients (13.1%) required reoperation. The lowest complication rate was observed in implant-based reconstructions (TE/IMP, 18.8%; pTRAM, 72.7%; LD, 78.3%; p = 0.008). Mild complications occurred significantly more often after LD reconstructions (LD, 60.9%; pTRAM, 22.7%; TE/IMP, 12.5%; p = 0.031), while severe complications were significantly more frequent after the pTRAM procedures (pTRAM, 27.3%; TE/IMP, 6.2%; LD, 8.7%; p = 0.047). Severe complications were associated with higher rehospitalization rate (p = 0.010) and longer hospital stay. Study revealed a significant impact of the operative method on the incidence and severity of early complications after breast reconstruction procedures with little effect from other demographic and clinical factors.

scholarly journals A Prospective study on Gastrointestinal Perforation Peritonitis in Andhra Pradesh, India

2020 ◽  
Vol 6 (5) ◽  
pp. 333-337
Author(s):  
Dr. G. Someswara Rao ◽  
◽  
Dr. B. Visweswara Rao ◽  
Keyword(s):  
Andhra Pradesh ◽  
Surgical Intervention ◽  
Common Type ◽  
Western World ◽  
Common Complication ◽  
Clinical Presentations ◽  
Perforation Peritonitis ◽  
Hollow Organ ◽  
A Prospective Study ◽  
Complications And Mortality

Introduction: Perforation is defined as an abnormal opening in a hollow organ or viscus. All overthe world, perforation peritonitis is the most prevalent surgical emergency tackled and treated by asurgical team. The etiology leading to peritonitis in tropical countries shows a different spectrumfrom its western world. The present study was conducted to highlight the spectrum of hollow viscusperforation peritonitis in terms of etiology, clinical presentations, site of perforation, surgicaltreatment, postoperative complications, and mortality encountered. Methods: The study was aprospective observational study conducted from March 2016 to March 2019 in the Department ofGeneral Surgery, Great Eastern Medical School and Hospital, Andhra Pradesh. A total of 320 patientswith perforation peritonitis were included in the study and underwent exploratory laparotomy.Results: Out of 320 patients, there were 276 males (86.25%) and 44 females (13.75%). Duodenalperforation was the most common type (34.38%), which was mainly due to Acid peptic diseasefollowed by Jejunal and Ileal perforations. Wound infection was the most common complication. Themortality rate was 8.44% (27 patients). Conclusion: Early diagnosis, resuscitation with fluids, andtimely surgical intervention are the most important factors deciding the fate of the patient withperforation peritonitis.

scholarly journals Thoracoscopic recurrent tracheo-oesophageal fistula repair with mini endostapler: promising solution

2019 ◽  
Vol 12 (5) ◽  
pp. e229365
Author(s):  
Indalecio Cano Novillo ◽  
Belén Aneiros Castro ◽  
Araceli García Vázquez ◽  
Mónica De Miguel Moya
Keyword(s):  
Minimally Invasive ◽  
Surgical Approach ◽  
Oesophageal Atresia ◽  
High Rate ◽  
Common Complication ◽  
Fistula Repair ◽  
Safe Alternative ◽  
Endoscopic Techniques ◽  
Promising Solution

Recurrent tracheo-oesophageal fistula (TOF) is a common complication in children who underwent oesophageal atresia repair. The traditional surgical approach performed either by thoracotomy or cervicotomy is associated with a high rate of morbidity, mortality and new recurrence. In the last decades, endoscopic techniques have emerged as the minimally invasive alternative. However, it seems that the optimal treatment is still unknown. We present a patient with a recurrent TOF who underwent thoracoscopic closure using a 5.8 mm endostapler. The patient was extubated at the end of the procedure, and he started feeding the day after surgery. At 15 months of follow-up, he is asymptomatic. Thoracoscopic closure of TOF using endostaplers seems to be a safe alternative with some possible benefits compared with traditional and endoscopic approach.

Patient-related factors influence the risk of developing intestinal stoma complications in early post-operative period

2015 ◽  
Vol 87 (10) ◽  
pp. E116-E120 ◽  
Author(s):  
Mohanraj Harilingam ◽  
Joseph Sebastian ◽  
Charlene Twum-Barima ◽  
Mohamed Boshnaq ◽  
Sudhakar Mangam ◽  
...  
Keyword(s):  
Related Factors ◽  
Stoma Complications ◽  
Post Operative Period ◽  
Intestinal Stoma

scholarly journals Early complications of tracheostomy: a study on 100 patients at a single tertiary care centre

2017 ◽  
Vol 4 (1) ◽  
pp. 217
Author(s):  
Pooja Pal ◽  
Arvinder Singh Sood ◽  
Sumant Singla
Keyword(s):  
Tertiary Care ◽  
Care Centre ◽  
Early Complications ◽  
Tertiary Care Centre ◽  
Intraoperative Bleeding ◽  
Tube Obstruction ◽  
Emergency Procedures ◽  
Early Postoperative Complications ◽  
Life Saving ◽  
Fatal Complications

<p class="abstract"><strong>Background:</strong> Tracheostomy is a life saving procedure, which when performed correctly greatly impacts the final outcome of the patient. Although uncommon, fatal complications have been known to occur. The present study was conducted to observe the incidence of early complications of tracheostomy in a tertiary care centre.</p><p class="abstract"><strong>Methods:</strong> 100 consecutive patients subjected to tracheostomy were enrolled, and data pertaining to the indication, and intraoperative and early postoperative complications was collected.  </p><p class="abstract"><strong>Results:</strong> The overall incidence of complications was 77%, with 53% cases of intraoperative bleeding and 13% tube obstruction. A higher incidence of complications was noted in emergency procedures and pediatric tracheostomies. No mortality was seen in the present series.</p><p><strong>Conclusions:</strong> Serious complications may be associated with tracheostomies, many of which can be avoided by meticulous surgical technique and postoperative care.</p>

scholarly journals A study of surgical approach to typhoid ileal perforation at a tertiary care hospital of South Gujarat, India

2018 ◽  
Vol 5 (5) ◽  
pp. 1758
Author(s):  
Archana A. Nema ◽  
Jitendra R. Darshan
Keyword(s):  
Primary Closure ◽  
Loop Ileostomy ◽  
Tertiary Care ◽  
Exploratory Laparotomy ◽  
High Rate ◽  
Care Hospital ◽  
Ileal Perforation ◽  
Mortality And Morbidity ◽  
Clinical Presentations ◽  
Enteric Perforation

Background: Even with variety of procedures, typhoid (enteric) perforation still has a high rate of morbidity and mortality. The aim of the present study is to study clinical presentations, to evaluate management pattern of typhoid ileal perforation, to determine mortality and morbidity of perforation and to study the re-exploration rate and causes of re-exploration and its effect on mortality and morbidityMethods: This prospective observational study was conducted in the Departments of Surgery at Surat Municipal Institute of Medical Education and Research, Surat during June 2008 till October 2010. A total 45 patients with typhoid ileal perforation were included in the study. Among them, 32 cases (71%) undergone the simple primary closure of the perforation and peritoneal lavage after refreshing the edge, 7 cases (16%) undergone exploratory laparotomy with proximal loop ileostomy with primary closure and 6 (13%) were operated by exploratory laparotomy with resection anastomosis.Results: Mean duration of the stay for patient undergone PC+PL was 10.20 days and for ileostomy it was 18.4 days and for RA + PL it was 18.6 days. Total 37 incidence of complications were found in 45 cases. Among them wound infection was presented in 16 (43%) and burst abdomen presented in 2 (5%) cases. Fecal fistulae, post-operative collection and pneumonitis were present in 4 (11%) cases each.Conclusion: The overall mortality was found nearly 4 percent in our study. The typhoid ileal perforation should be always treated surgically. There are many operative techniques to deal with, but no one is full proof.

scholarly journals Epidemiological profile of people with intestinal ostomy at a referral center

2020 ◽  
Author(s):  
Iraktania Vitorino Diniz ◽  
Isabel Pires Barra ◽  
Mirian Alves da Silva ◽  
Simone Helena de Oliveira Soares ◽  
Ana Elza Oliveira de Mendonça ◽  
...  
Keyword(s):  
Elementary School ◽  
Data Collection ◽  
Medical Records ◽  
People With Disabilities ◽  
Clinical Profile ◽  
Northeastern Brazil ◽  
Reference Center ◽  
Referral Center ◽  
Intestinal Stoma ◽  
Epidemiological Profile

Objective: to describe the epidemiological and clinical profile of people with intestinal stoma. Methods: documentary research, carried out in a reference center for people with disabilities in northeastern Brazil. Data collection was performed from December 2018 to February 2019, through a review of medical records. Results: there was a predominance of males (56.6%), average of 56.7 years, 41.4% married, 22.0% had incomplete elementary school, 27.9% had an income of 2 to 3 minimum wages, 47.1% were retired and 53.4% lived in the capital. Neoplasia was the main cause of stoma (62.2%) and colostomies corresponded to 84.4%, of which 38.3% were definitive. 60.3% had complications and 54.4% of them corresponded to periestomal dermatitis. Conclusion: people with intestinal colostomy were male, elderly, married, retired, with low schooling and definitive stoma due to neoplasia. Knowing the profile is essential to plan the reception, assist the treatment and rehabilitation of people with intestinal stoma.

scholarly journals 163 Morbidity of Presumed Temporary Loop De-Functioning Stomas in Patients with Colorectal Cancer

2021 ◽  
Vol 108 (Supplement_6) ◽  
Author(s):  
J Alfred ◽  
S Macdonald ◽  
R Kalaiselvan
Keyword(s):  
Colorectal Cancer ◽  
Hospital Admissions ◽  
Single Centre ◽  
Patient Demographics ◽  
Emergency Procedures ◽  
Stoma Complications ◽  
Life Threatening ◽  
Picture Archiving And Communication ◽  
High Output

Abstract Objectives The incidence of parastomal hernia (PSH) can be up to 80% of patients who have a stoma following abdominal surgery (1). Surgical intervention is required in 70% of patients due to pain, obstructive symptoms, or stoma appliance issues (2). This study aims to show the morbidity related to a presumed temporary loop stoma. Method This was a retrospective cohort study of all left-sided colorectal cancer resections undertaken in a single centre. Electronic healthcare records and Picture Archiving and Communication System (PACS) were used to gather data on patient demographics, operative details and details of de-functioning stoma fashioned. Morbidity related to de-functioning stoma was determined based on hospital admissions and length of inpatient stay related to stoma, complications in relation to the stoma, return to theatre, stoma reversal and fate of stoma site. Results 147 patients (87 M; 60 F, median age 69 (23-93)) underwent left sided colorectal cancer resections at a single centre. In total, 50 de-functioning loop stomas were fashioned (49 loop ileostomies and 1 loop colostomy.) At a median follow-up of 23 months (8-44), prior to reversal, 12 PSH were identified. 38 of the de-functioning stomas were reversed at a median time of 11 months (1-44), 5 of which were emergency procedures due to obstruction (n = 3) or high output (n = 2). There were 9 stoma related re-admissions identified in 7 patients. Conclusions Presumed temporary defunctioning loop ileostomies in Low anterior resections is associated with significant morbidity, but low risk in terms of life-threatening complication.

scholarly journals Comparative study between POMPP score versus Boey score to predict morbidity and mortality in peptic perforation peritonitis

2021 ◽  
Vol 8 (2) ◽  
pp. 543
Author(s):  
Bhanu Prakash K. R. ◽  
Subhas Patil ◽  
Manasa Mohan
Keyword(s):  
Peptic Ulcer ◽  
Morbidity And Mortality ◽  
High Rate ◽  
P Value ◽  
Peptic Ulcer Perforation ◽  
Hollow Viscus ◽  
Mortality And Morbidity ◽  
Ulcer Disease ◽  
Ulcer Perforation ◽  
Perforation Peritonitis

Background: Peptic ulcer disease (PUD) results from an imbalance between stomach acid-pepsin and mucosal defense barriers. It affects 4 million people worldwide annually. Peptic ulcer perforation is one of the most common surgical emergencies and is associated with a high rate of morbidity and mortality. This is due to presence of various risk factors among the population like H. pylori infection, long term NSAID use, alcohol ingestion, smoking and steroid use. Peptic ulcer perforation peritonitis usually requires an emergency surgical intervention and hence the need for this study, to compare POMPP and Boey scores as predictors of morbidity and mortality in patients with peptic perforation peritonitis.Methods: This prospective observational study was conducted in the hospitals attached to Bangalore Medical College and Research Institute from November 2018 to May 2020. All patients above 18 years with features of hollow viscus perforation with per-operative finding of perforated peptic ulcer were included in the study. Patients with histopathology suggestive of malignancy were excluded.Results: A total of 65 patients were included in the study. On analysis of the data by Chi-square test, P value of both POMPP and Boey scores was found to be <0.05 which is statistically significant. The most important predictive factors of mortality and morbidity were duration of perforation >24 hours, age >65 years and pre-operative shock.Conclusions: Both scoring systems are easy to use and can assist in accurate and early identification of high-risk patients and are important in predicting mortality and morbidity in patients with peptic ulcer perforation.

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