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Determination of Ideal Time for Termination of End Ostomy Based on Primary Aetiology: A Retrospective Analysis

Sreeram Sateesh, Professor & Head, Department of General Surgery, Narayana Medical College, Nellore, Andhra Pradesh 524003, India. , Srinivas Rao Kancharlaa , Sreeram Sateeshb

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New Indian Journal of Surgery 9(1):p 78-82, Jan-Feb 2018. | DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9118.15

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Abstract

Construction of the ostomy is one of the routinely performed diversion procedure. End ostomies (ileostomy /colostomy) are being constructed for emergency abdominal conditions which requires resection of the bowel but reestablishment of its continuity may not be feasible at that situation. Termination of the loop ostomy is simple and it usually doesn’t require formal laparotomy. Whereas termination of end ostomy needs formal laparotomy and bowel mobilisation, adhesionolysis which is associated with increase intra and postoperative morbidities. This can be avoided by undertaking the procedure at appropriate time based on primary aetiology, that is for Traumaticconditions as primary cause end ostomy can be terminated safely at early stage (810 weeks). Where as in case infective and inflammatory conditions are the primary causes one should safely wait at least 16 weeks before taking up for the procedure.

 

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DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9118.15

Keywords

End Ileostomy; End Colostomy; Traumatic Causes; Infective and Inflammatory Causes; Termination of Ostomy. 

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