IIARD International Institute of Academic Research and Development

INTERNATIONAL JOURNAL OF MEDICAL EVALUATION AND PHYSICAL REPORT (IJMEPR )

E-ISSN 2579-0498
P-ISSN 2695-2181
VOL. 8. NO. 5 2024
DOI: 10.56201/ijmepr.v8.no5.2024.pg29.40

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Comparing the Efficacy of Primary Anastomosis versus Diverting Stoma in the Management of Acute Colonic Perforation

Majid Yas Khudhair, Haitham Hadi Kadhum and Hayder Muneer Hadi

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Abstract

This study was done for comparing the Efficacy of Primary Anastomosis versus Diverting Stoma in the Management of Acute Colonic Perforation. The study was a prospective, randomized comparative study. It involved all eligible patients fulfilling the inclusion criteria of the study. It was conducted at in the period from 2021-2024. A total of 50 patients were recruited into the current study and divided into two groups after resection of perforation part: stoma group and anastomosis group. Overall, 50 cases had a mean age of 52.9±5.4 years, with the range of 39.0– 76.0 years. It included 33 (66%) males and 17 (34%) females. The leakage rate was significantly higher in the anastomotic group (9 cases), whereas it was experienced only in 1 (4%) cases in the other group (P<0.001). Consequently, postoperative mortality was higher in the same group (nine cases) (P=0.025). In conclusion, the diverting stoma appeared to be a safer procedure to perform in perforated colon with respect to morbidity and mortality rates but needs a strict nutritional, psychological, and special home care to enhance quality of life.

keywords:

Colonic perforation, stoma, Anastomosis

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