scholarly journals Muscle splitting sigmoid loop colostomy: a viable option to prevent colostomy prolapse

2017 ◽  
Vol 4 (12) ◽  
pp. 3921
Author(s):  
Chalapathi Gontumukkala ◽  
Krishna Naik K. ◽  
Ramana Naik ◽  
Veera Swamy J.
Keyword(s):  
Anorectal Malformation ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Failure To Thrive ◽  
Rectus Muscle ◽  
Wound Dehiscence ◽  
Loop Colostomy ◽  
Superficial Wound ◽  
Colostomy Prolapse ◽  
Sigmoid Loop Colostomy

Background: The purpose the study was to assess the incidence of Colostomy prolapse with sigmoid loop colostomies performed through rectus muscle splitting Incision.Methods: Colostomy prolapse may present serious problems for patient care and stoma function6. Sigmoid loop colostomy was done for babies with High anorectal malformation (HARM) and Hirschsprung’s disease (HD) from Jan2012 to Dec2014 in two referral hospitals. All colostomies were sigmoid loop colostomies and done by a single surgeon through rectus muscle splitting incision. All patients were followed up for colostomy prolapse for at least 6 months.Results: A total of 110 babies managed with colostomy during the study period. The patients comprised of 68 males and 42 females. High anorectal malformation accounted for 66 babies [males 48, females18] while Hirschsprung’s disease was the surgical indication in 44 [males20, females24]. The age at colostomy ranged from 1day to 4 years. A total of 32 complications were recorded in 25patients [29%]. There were 4 deaths [3.6%]. Early complications like Haemorrhage and septicaemia was seen 4 patients. Colostomy stenosis was observed in 3 cases requiring only dilatation. Colostomy prolapse was seen only in 3 patients [3.24%]. Skin excoriation was the commonest complication, noted in 10 patients. Failure to thrive secondary to colostomy diarrhoea was observed in 3 patients. Superficial wound dehiscence occurred in 3 babies. Urinary tract infection seen in 5 and Intestinal obstruction requiring laparotomy occurred in one baby.Conclusions: Colostomy prolapse is very common after loop colostomies. Rectus muscle splitting incision for loop colostomies is safe and is associated with low incidence of colostomy prolapse.

Outcome of Short-Term and Long Term Antibiotic Prophylaxis in Colostomy Closure

2016 ◽  
Vol 4 (2) ◽  
pp. 43-48
Author(s):  
Md Jamal Saleh Uddin ◽  
Sukumar Chakrabarti ◽  
Md Shahidul Islam
Keyword(s):  
Antibiotic Prophylaxis ◽  
Wound Infection ◽  
Anorectal Malformation ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Colostomy Closure ◽  
Term Therapy ◽  
Short Term ◽  
Sigmoid Colostomy

Background and Objectives: Antibiotic prophylaxis is a common practice in children undergoing colostomy closure for anorectal malformation, Hirschsprung's disease. Traditionally, antibiotics are given for unnecessarily longer period of time, which consumes scarce health resources having alternate efficient use. The present study was undertaken to compare the outcome between short-term and long-term antibiotic prophylaxis in colostomy closure. Materials & Methods: This randomized clinical trial was conducted in Dhaka Shishu Hospital, Dhaka over a period of 15 months from April 2001 to June 2002. Children admitted with anorectal malformation, Hirschsprung's disease for colostomy closures were the study population. However, immuno-compromised children or children already getting antibiotics were excluded from the study. A total of 46 such children were consecutively included and were randomly allocated to long-term group (n = 21) and short-term group (n = 25). The long-term group received antibiotic up to 5th postoperative day, while the short-term group received the same antibiotic up to 2nd postoperative day. Transverse colostomy was the main procedure employed in colostomy closure; however, a few patients required sigmoid colostomy. The outcome measures were incidence of wound infection, hospital stay and cost of treatment. Result: Majority of the children were between 1 - 5 years of age (75% in short-term and 50% in long-term group) followed by under 1 year (10% in short-term and 40% in long-term group) and > 5 years (15% in short-term and 10% in long-term group). The overall male to female ratio was 3:1. Majority (85%) of the patients in both long­term and short-term groups belonged to lower income group. Over half (52.2%) of the children had anorectal malformations (ARM) and the rest (47.8%) had Hirschsprung's disease (HD). Children were generally malnourished according to Gomez classification. Majority (91%) was operated on by transverse colostomy and few (9%) by sigmoid colostomy. Three patients in each group developed postoperative wound infection. Blood culture of none of these patients yielded growth of any organism, though wound swab culture did so in 5 cases out of 6 infected patients. In 2 cases, the organism was E.coli, in 2 cases, it was Pseudomonas and in one case Staph. aureus. Total cost of antibiotics in short-term therapy was less than 50% of that required in long-term therapy. The outcome in terms of recovery, complications and postoperative hospital stay was no different between groups. Conclusion: The study concluded that short-term antibiotic prophylaxis is as efficacious as long-term in preventing wound infection in patients with colostomy closure for anorectal malformation and Hirschsprung's disease. Short-term antibiotic prophylaxis is cost-effective Ibrahim Cardiac Med J 2014; 4(2): 43-48

Hirschsprung’s Disease Anorectal Malformation Quality of Life Questionnaire--French Version

2017 ◽  
Author(s):  
Corine Baayen ◽  
Fanny Feuillet ◽  
Pauline Clermidi ◽  
Célia Crétolle ◽  
Sabine Sarnacki ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Anorectal Malformation ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Life Questionnaire ◽  
French Version ◽  
Quality Of Life Questionnaire

Association of Hirschsprung's disease and anorectal malformation

1991 ◽  
Vol 26 (2) ◽  
pp. 192-195 ◽  
Author(s):  
Sukawat Watanatittan ◽  
Anant Suwatanaviroj ◽  
Thavatchai Limprutithum ◽  
Thongkhao Rattanasuwan
Keyword(s):  
Anorectal Malformation ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease

The challenge of measuring quality of life in children with Hirschsprung's disease or anorectal malformation

2013 ◽  
Vol 48 (10) ◽  
pp. 2118-2127 ◽  
Author(s):  
Pauline Clermidi ◽  
Guillaume Podevin ◽  
Célia Crétolle ◽  
Sabine Sarnacki ◽  
Jean-Benoit Hardouin
Keyword(s):  
Quality Of Life ◽  
Anorectal Malformation ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease

Health-Related Quality of Life and Psychosocial Morbidity in Anorectal Malformation and Hirschsprung's Disease

2020 ◽  
Vol 30 (03) ◽  
pp. 279-286
Author(s):  
Xiaoyan Feng ◽  
Martin Lacher ◽  
Julia Quitmann ◽  
Stefanie Witt ◽  
Marieke J. Witvliet ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Anorectal Malformation ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease ◽  
Clinical Care ◽  
Health Related Quality ◽  
Related Quality ◽  
Health Related ◽  
Psychosocial Morbidity

AbstractAnorectal malformation (ARM) and Hirschsprung's disease (HD) are the most common congenital colorectal anomalies. Despite advances in surgical techniques and improvements in postoperative clinical care, short- and long-term physical and psychosocial morbidity of these patients remains high. This review outlines the current literature on the physical and psychosocial aspects of health-related quality of life (HrQoL) and its confounders in patients with ARM/HD. Moreover, important coping strategies are summarized to further improve HrQoL of ARM/HD patients and their families.

Diagnostic suggestion and surgical consideration for Hirschsprung’s disease associated with high anorectal malformation

2018 ◽  
Vol 14 (2) ◽  
pp. 78-82 ◽  
Author(s):  
Nitin Pant ◽  
Tanvir R. Khan ◽  
Shweta Malhotra ◽  
Piyush Kumar ◽  
Yadvendra Dheer ◽  
...  
Keyword(s):  
Anorectal Malformation ◽  
Hirschsprung's Disease ◽  
Hirschsprung’S Disease
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