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Volume 24 |
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Volume 24 |
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Number 2 |
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Colostomy in children: Indications and
common problems in Benin City, Nigeria
Osifo OD1, Osaigbovo EO2, Obeta EC3
ABSTRACT
Objective: To evaluate the indications for colostomy and highlight associated problems as well as its contribution to the successful treatment of children.
Methodology: This is a retrospective study of the indications, complications, parents/caregivers acceptance and outcome of colostomy in children over a ten-year period at the University of Benin Teaching Hospital, Benin City, Nigeria.
Results: There were 46 children aged two days and 15 years (mean 3 months ± 2.1) with male/female ratio 2.8:1. Congenital anomaly was the major indication and accounted for 40 (87%) with associated higher morbidity and mortality and an observed significant statistical difference compared with the acquired indications (P<0.0001). Anorectal anomaly accounting for 22 (48%) and Hirschsprung’s disease 18 (39%) were the congenital indications. Morbidity and mortality were mostly associated with children that had anorectal anomaly (P=0.0021). Acquired indications were mainly rectovaginal fistulae, perineal and left colonic injury which accounted for 6 (13%). Skin excoriation 39 (85%), colostomy prolapse 15 (33%) and persistent odour 21 (46%) resulted in poor acceptance by 10 (22%) parents/caregivers. Adequate preoperative counselling, skin protective paste and regular washing of colostomy site alleviated the complications. Wound infection and overwhelming sepsis were difficult to control in 14 (31%) with resultant six (13%) mortalities.
Conclusion: Colostomy still has much to offer in emerging paediatric surgery units. Adequate preoperative counselling of parents/caregivers, good stoma care and early stoma closure gave good results in our setting.
KEYWORDS: Colostomy, Children, Common Problems.
Pak J Med Sci April - June 2008 (Part-I) Vol. 24 No. 2 199-203
1. Osifo OD,
2. Osaigbovo EO,
3. Obeta EC
1-3: Paediatric Surgery Unit,
Department of Surgery,
University of Benin Teaching Hospital,
Benin City,
Nigeria.
Correspondence:
Osifo O.D,
Paediatric Surgery Unit,
Department of Surgery,
University of Benin Teaching Hospital (UBTH),
Benin City,
Nigeria.
E-mail: Leadekso@yahoo.com
* Received for Publication: November 13, 2007
* Revision Received: February 8, 2008
* Revision Accepted: February 12, 2008
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