Keywords
Colostomy; Newborn; Ziguinchor.
Abstract
Introduction : Digestive stoma is defined by the derivation of a segment of the digestive tract to the skin. It is called a colostomy when this segment corresponds to the colon. In the neonatal period it is most often carried out in an emergency context. The aim of this work is to report our experience in the management of colostomies in newborns at Ziguinchor Regional Hospital in Senegal (CHRZ).
Patients and Methods : We conducted a retrospective descriptive study at the CHRZ pediatric surgery department over a period of 7 years (January 2015 to December 2021). All patients aged 0 to 28 days who received a colostomy were included. The parameters studied were: frequency, age, sex, time to admission, indications, type of colostomy, postoperative outcomes. Data were collected from consultation registers and emergency registers. The analysis was carried out using Excel 2020 software.
Results : Over a 7-year period, 37 colostomies were performed on newborns. The male sex was predominant with a sex ratio of 2.7/1. Their average age was 3.2 days with extremes of 1 and 7 days. The majority of our patients, 56.76%, were admitted after 72 hours of progress. The main reason for performing the colostomy was anorectal malformation. The loop colostomy was more frequently performed. The evolution was favorable in 81.09%. The majority of deaths occurred between the 1st and 3rd day of admission.
Conclusion : Colostomy in the neonatal period is a procedure which is not without complications, especially since it is often carried out in an emergency context. Its frequent complications in new patients are mainly linked to diagnostic delay and associated malformations. Improving this situation requires a thorough preoperative assessment, appropriate surgical technique, good resuscitation and adequate equipment.
Citation
Diouf C, Seye C, Mbaye CT, Sangare M, Mbaye O,et al. (2024) Colostomy Indications and Results in New Born: Experience of a Develop ing Country. SM J Pediatr Surg 7: 3.