EVALUATION OF INDICATIONS OF COLOSTOMY AND STUDY ITS COMPLICATION AT SURGERY DEPARTMENT OF ANMMCH, GAYA, BIHAR

Abstract

Objective: To evaluate the indications of colostomy and study its complication.Methodology: This prospective study wascarried out in department of general surgery, A. N. Magadh Medical College and Hospital, Gaya, Bihar from July 2016 to June 2019 A total 118 patients of colostomies done either elective or emergency setting for any cause was included in this study. Results: out of total 118 patients, Males (n=87 out of 74% were commonly affected then female (n=31 out of 118)26%. Maximum number of cases were in 51 to 60 age group (n=35 out of 118) 30%. The most common indication for colostomy formation was carcinoma (n=55, 46.6%), followed by intestinal obstruction (n=28, 23.7%). In colostomy patients total n=57 complications were observed in 54 patients that is 46.4% of patients. In our study the complication were reported as Local sepsis 25%, Prolapse 7%, Retraction 4%, Necrosis 4%, Parastomal hernia 1.6%, Stenosis 1.6%, Intestinal obstruction 1.6%, Bleeding 1.6%. Conclusion: The carcinoma of the colon and rectum is the most common indication for the colostomy. The local sepsis is the most common complication.