Para Versus Trans Rectus Stoma Placement for Prevention of Stoma Related Complications

Assiut University60 enrolled

Overview

Fecal divertion is a surgical procedure by which stoma is constructed through exteriorization of small intestine or large intestine(loop or end stoma).There are many indications for enterostomies such as malignancy, bleeding per rectum, MVO, Volvulus, iatrogenic colon injury, adhesive bands....... etc. Many factors concerning the operative technique are considered to influence the incidence of stoma related complications such as stoma prolapse, retraction, stenosis, para stomal herniation, para stomal soiling ,oedema and ileus. Site of stoma creation in relation to rectus abdominis muscle is believed to be one of them.

Fecal divertion is a surgical procedure by which stoma is constructed through exteriorization of small intestine or large intestine(loop or end stoma).There are many indications for enterostomies such as malignancy, bleeding per rectum, MVO, Volvulus, iatrogenic colon injury, adhesive bands. Many factors concerning the operative technique are considered to influence the incidence of stoma related complications such as stoma prolapse, retraction, stenosis, para stomal herniation, para stomal soiling ,oedema and ileus. Site of stoma creation in relation to rectus abdominis muscle is believed to be one of them.

Study Type

OBSERVATIONAL

Enrollment

Conditions

Stoma Malfunction

Eligibility

Sex: ALL

Medical Language ↔ Plain English

Inclusion Criteria: * All patient who recieve abdominal enterostomies either elective or emergencies in surgery department of assuit university hospital Exclusion Criteria: 1. Patient underwent repair of previous abdominal surgery 2. Patient known to have incisional or ventral abdominal hernia

Locations (1)

Outcomes

Primary Outcomes

para stomal herniation

* Stoma site was incised about 3-5cm from lateral edge of rectus abdominis muscle at para rectus position, or * at he lateral edge of the rectus abdominis muscle in trans rectal position.

Time frame: 6 months

Secondary Outcomes

a_wound infection b_post operative ilieus c_oedema of the stoma d_soiling around the stoma e:prolapse f: stenosis g:retraction

Stoma related other complication