Open Access Surgery (Jun 2022)

Evaluation of Factors Affecting Colostomy Closure Outcome in Children: A One-Year Prospective Cohort Study

  • Aseme S,
  • Negussie T,
  • Tadesse A,
  • Dejene B,
  • Temesgen F,
  • Getachew H,
  • Derbew M,
  • Kiflu W

Journal volume & issue
Vol. Volume 15
pp. 57 – 64

Abstract

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Seblewongel Aseme,1 Tihitena Negussie,2 Amezene Tadesse,2 Belachew Dejene,2 Fisseha Temesgen,2 Hana Getachew,2 Milliard Derbew,2 Woubedel Kiflu2 1Department of Surgery, Defense University College of Health Sciences, Addis Ababa, Ethiopia; 2Department of Surgery, Addis Ababa University School of Medicine, Addis Ababa, EthiopiaCorrespondence: Seblewongel Aseme, Tel +251931284157, Email [email protected]: Colostomy Closure is a routine procedure in pediatric surgery services. It is usually done for indications such as anorectal malformation, Hirschsprung’s disease, and trauma. It is associated with significant complications.Purpose: To assess the effect of perioperative factors on colostomy closure outcome in children.Methods: This is a prospective observational study on all children who underwent colostomy closure at Tikur Anbessa Specialized Hospital and Menelik II Referral Hospital from January 2019-February 2020, and Demographic data, nutritional status of the child, duration of mechanical bowel preparation, prophylactic antibiotic, type of anastomosis, operative details, and other perioperative factors were recorded, and patients were followed postoperatively for any complications. Data were entered and analyzed using SPSS 23, and perioperative factors were analyzed using χ2 tests for association with outcome. A p value of 120 min was associated with an increased risk for postoperative need for transfusion; otherwise, there was no association between other perioperative factors and other complications.Conclusion: In this study, except for the duration of surgery, none of the other perioperative factors are associated with the complications of colostomy closure, so a guideline for optimal and uniform perioperative care of children undergoing colostomy closure should be prepared.Keywords: mechanical bowel preparation, surgical site infection, prophylactic antibiotic, colorectal surgery, duration of surgery, anemia, wound class

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