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
Majid Yas Khudhair, Haitham Hadi Kadhum and Hayder Muneer Hadi
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.
Colonic perforation, stoma, Anastomosis
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