Abstract:
Background
Intestinal stoma is a very commonly performed procedure with a highrate of complications. Colostomy
may be done foremergency or elective surgical conditions for themanagement of wide ranges of
congenital andacquired benign or malignant gastrointestinalconditions for two main purposes: diversion
of thecolon or decompression of the colon (2,3).
Complications are divided into early andlate. Risk factors are the same as for most
ofabdominal surgery: advanced age, obesity,poor wound healing secondary to diabetes,and poor nutrition.
Objective
To describe Types, indication of colostomy and determinates of outcome of patients after emergency
abdominal surgery at JUMC between September 11, 2016 To September 11, 2017.
Method
A one-yearhospital based retrospective study, in JUMC, Jimma, Ethiopia from September 11, 2016 To
September 11, 2017, which will be conducted using data from patient cards, admission records, operative
log books and morbidity & mortality charts at JUMC.Data will be entered into and analyzed using SPSS
windows program version 24. Odds ratio and 95% CI will be calculated and P < 0.05 will be considered
statistically significant.
Results
Out of 50 cases, 20% of age at presentation is between 20-29 and 78% of them are male. 88% of the
patients came from rural area and large number of patients, 64% works as a farmer. Hartmann‟s End
colostomy accounts for 28% and 36% of colostomy cases are indicated for Gangrenous sigmoid
Volvulus. 13 (26%) out of 50 patients developed complication after surgery. The most common
complication is wound dehiscence which is 38% and Out of 13, 6 of them died after they developed
complication. The most common causes of death is MOF which accounts for 50%.
Conclusion and Recommendation
Out of 80 cases, 50 of them is evaluated. The most common age and sex at presentation is between
20-29 and Male respectively. Hartmann‟s end colostomy is the most common type of colostomy and GSV
is the most common indication. Wound dehiscence is the most common complication and MODS leaded
to death. My recommendation is to give attention for complication which leads to death
