Primary Repaire of Colon Without Stoma  Formation

Dr Nilesh Goswami; Dr Nirav S; Dr Chandrakant G; Dr Ladumor Gautam; Dr Manish B

Volume : II, Issue : X, October - 2013

Primary Repaire of Colon Without Stoma Formation

Dr Nilesh Goswami, Dr Nirav S, Dr Chandrakant G, Dr Ladumor Gautam, Dr Manish B

Abstract :

Management of colonic injuries for various pathologies of colon like perforation, trauma, volvulus, malignancy are generally managed by resection anastomosis of the diseased part followed by defunctioning stoma, due to fear of high failure rate of primary repair without diversion stoma. In past The reason for high failure rate were delayed resuscitation , lack of blood banks, minimal antibiotic developments and lack of proper skills etc. however with this development of all this things and morbidities associated with stoma like stomal hernia, prolapsed, skin excoriation ,need for revision surgery change the trends towards primary repair of colon without stoma formation Aim: To study results of primary repair of colon without stoma formation in various colonic injuries Method : In this study , we present 50 cases where primary anastomosis was done without defunctioning stoma with excellent post operative results and no morbidities of stoma in 40 cases compared with 10 cases where primary repair done with stoma formation.Conclusion Not creating stoma reduces morbidity immensely. The social stigma associated with stoma is also reduced