Study of Colostomy: Its Indication and Complication

OBJECTIVE To evaluate the indications of colostomy and study its complication. METHODOLOGY This prospective study was carried out in department of general surgery, Al-Ameen medical college Bijapur from 2006 to 2016. A total 118 patients of colostomies done either elective or emergency setting for any cause was included in this study. RESULTS out of total 118 patients, Males (n=87 out of 118) 74 % were commonly affected then female (n=31 out of 118) 26 %. Maximum number of cases were in 51 to 60 age group ( n=35 out of 118) 30 %. The most common indication for colostomy formation was carcinoma (n=55, 46.6 %), followed by intestinal obstruction (n=28, 23.7 %). In colostomy patients total n=57 complications were observed in 54 patients that is 46.4 % of patients. In our study the complication were reported as Local sepsis 25 %, Prolapse 7 %, Retraction 4 %, Necrosis 4 %, Parastomal hernia 1.6 %, Stenosis 1.6 %, Intestinal obstruction 1.6 %, Bleeding 1.6 %. CONCLUSION The carcinoma of the colon and rectum is the most common indication for the colostomy. The local sepsis is the most common complication.