WOUND INFECTIONS

FREQUENCY FOLLOWING INTESTINAL STOMA CLOSURE

Abstract

Background: An intestinal stoma is a surgically created opening of the bowel
onto the body surface. Temporary ostomies can be created from small or large bowel in a variety
of manners and serves a valuable role in persons undergoing surgery for acute infectious events,
malignancy or trauma. Temporary faecal diversion is recommended with a low colorectal,
coloanal or ileoanal anastomosis. Objective: To find the frequency of wound infection following
intestinal stoma closure. Materials and methods: The case series study was conducted in
surgical unit Hayatabad medical complex Peshawar over 139 patients between March 2008 to
August 2009. Closure was done on the next day of admission. Patients were advised to report to
OPD if they develop wound infection in between follow up visits. Data were collected using a
specially designed proforma. Results: Out of 139 patients, 104(74.82%) were male and
35(25.18%) were female. Colostomy was done in 78(56.1%) patients and ileostomy in 61(43.9%)
of patients. Average age was 35.69 years ±16.5SD. There are 11(7.9%) wound infection
observed during the hospital while at 30th day of post-op follow up decreased to just 3(2.2%).
Average hospital stay was 4.96 days ± 2.06SD with a range of 3-10 days. Conclusions: Wound
infection was observed as compared to other national and international studies. Male were three
times more than females and wound infection was seen more in males.