A RETROSPECTIVE STUDY OF COLOSTOMY RELATED MORBIDITY AND MORTALITY IN NEONATES WITH ANORECTAL MALFORMATION

Abstract

Introduction: A colostomy is a surgical procedure made in the large bowel to divert feces and flatus to an exterior, where it can be collected in an external appliance. As a method of treating intestinal obstruction, colostomies date back to the latter part of the eighteenth century, and some of the first survivors of this procedure were children with imperforate anus. There are numerous
and frequent common complications following construction of large bowel stomas, which may lead to significant morbidity and mortality. Materials and Methods: This study was conducted as retrospective analysis of complications related to colostomy performed for ARM in neonates attending Department of Paediatric Surgery between January 2022 and December 2022. All patients underwent colostomy under general anaesthesia. The patients who underwent colostomy for reason other than ARM were excluded
from the study. The parameters which were analysed from clinical records of the operated patients at colostomy include age, weight, type of ARM, colostomy stoma site, type of colostomy, and complications related to colostomy formation.
Results: The total number of neonates with ARM reported at the department during this period was 62. The age was ranged between one day to 4 days; weight was between 1.5 kg to 2.4kg. 36 were males and 26 were females. 32 neonates had low anomaly and were treated with anoplasty. 32 neonates had high/intermediate anomaly and were managed with colostomy. Out of 32
patients, 9 patients underwent transverse loop colostomy while 23 had sigmoid loop colostomy. All patients with anorectal malformation were worked up with invertogram and abdominal ultrasound.