Type, indication of colostomy and determinantes of outcome of patients after emergency abdominal surgery at jumc between september 11, 2016 to september 11, 2017

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