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Colostomy of Adult in developing countries Why? When? and
How? Abstract: A colostomy is defined as a surgically created opening in the abdomen through which a portion of the colon is brought up to the surface of the skin. This new opening is called a stoma. It allows stool to pass directly out of the body, bypassing a diseased or damaged section of the colon or after removal of this section. Its role is certain any time the artificial opening serves as a substitute anus through which the intestines can eliminate waste products temporally or permanently. Colostomy is able to offer a safe divertion. It may lead to its own morbidity and mortality. Moreover, in our developing countries, particularly tropical and subtropical, apart from severe complications related to inappropriate techniques, the colostomised’s life style has not be given deserved attention. Authors have carried out a one year retrospective study from 1st January to 31st December 2004 following a pre-established protocols to find out a real situation at the university teaching hospital of Lusaka. Criteria of inclusion was age above 15 years, have been operated in one of the five units of general surgery surgery, well documented file with regard to protocol required data; have been followed post-operatively for at least three months. In this paper results are given with regard to age and sex distribution, cause of colostomy, type of colostomy, postoperative morbidity mortality, secondary complications, nursing care. The authors advocate that colostomy should be looked at is a major operation. Its indications shall be judicious and its technique perfect. Ostomy nursing staff as the be improved and society of colostomised to create. |
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