This prospective study involved one hundred patients with colostomies admitted at the Central Pediatric Teaching Hospital for colostomy closure over the period of two years (Jan.2000-
Jan2002).
Patients were divided in to two groups according to the technique of colostomy closure. In the first group, the closure was done by single layer of interrupted non-absorbable suture material; in the second group closure was done by double layer suturing technique. All patients were prepared by the same conventional method including fluid diet for three days
followed by two days washing enemas before operation with antimicrobial prophylaxis agents. Of these one hundred patients;(48) presented as cases of Hirschsprung`s disease, (50) were cases of ano-rectal malformations, and (2) were cases of traumatic colonic perforation. According to the type of the colostomy; there were (62) loop colostomy, and (38) double-barreled colostomy. According to the site of the colostomy; there were (84) patients with right transverse colostomy, (2) with left descending colostomy, (12) with sigmoidostomy, and (2) with cecostomy. Sixteen patients developed complications following colostomy closure; these were (wound infection, fecal fistula, small bowel obstruction, and other systemic infections).
We advise single layer bowel anastomosis for the following reasons:
1-operative time (anesthetic time) theoretically shorter with single layer closure.
2-less tissue handling (less trauma) with single layer closure.
3-less narrowing effect (as less suture material) on the already small bowel lumen. Too many
sutures and too many knots leading to comprise blood supply with double layer closure.
4-more cost benefit with single layer closure.
Background: The main objective was to compare the outcome of single layer interrupted extra-mucosal sutures with that of double layer suturing in the closure of colostomies.
Subjects and Methods: Sixty-seven patients with closure colostomy were assigned in a prospective randomized fashion into either single layer extra-mucosal anastomosis (Group A) or double layer anastomosis (Group B). Primary outcome measures included mean time taken for anastomosis, immediate postoperative complications, and mean duration of hospital stay. Secondary outcome measures assessed the postoperative return of bowel function, and the overall mean cost. Chi-square test and student t-test did the statistical analysis..
Resu
... Show MoreBackground: Closure colostomy is a common procedure in the pediatric surgical practice, considered a major one because it involves anastomosis of the large bowel, and requires strict bowel preparation and prophylactic antibiotics. It’s the last event in the management of some pediatric surgical conditions, as Hirschsprung’s disease and anorectal malformations.
Objectives: To evaluate the complications of colostomy closure in pediatric patients.
Patients and methods: A total of 106 patients underwent colostomy closure were enrolled in this prospective study conducted in Welfare Teaching Hospital in Medical City Complex, from October 2015 to January 2017, were reviewed looking fo
Background: Colostomy minimizes the risk of leakage at expense of requiring a second operation. In Iraq, published on colostomy closure in penetrating abdominal wall injuries is scarce.
Objective: to Study the prognosis of colostomy closure in post-conflict patients in Iraq.
J Fac Med Baghdad 2018; Vol.60, No.3 Received: June, 2018 Accepted: Oct., 2018 Published: Dec.2018
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Method: This is a retrospective study of 52 patients subjected to colostomy closure, recruited for the period 2008 to 2009
... Show MoreBackground: Colostomy minimizes the risk of leakage at expense of requiring a second operation. In Iraq, published on colostomy closure in penetrating abdominal wall injuries is scarce.
Objective: to Study the prognosis of colostomy closure in post-conflict patients in Iraq.
Method: This is a retrospective study of 52 patients subjected to colostomy closure, recruited for the period 2008 to 2009 from Al-Yarmouk Teaching Hospital and Children Central Teaching Hospital. Demographic data and information about colostomy (type, methods of preparation … etc.) were studied.
Results: Trauma was noticed in 57.7% patients. Transverse colon was the commone
... Show MoreBakground: A prospective study was designed to find out the prevalence of different types of T.B. among women and children.
Methods: A total of 390 patients aged from less than one year up to more than 65 years who attended T.B. center in Kirkuk city from beginning to end of 2005, were included in the study. A detail clinical and laboratory examination were carried out to confirm the diagnosis.
Results: The rate of infection in females (46.15%) was lower than males (53.84%). In pediatric age groups, the highest rate was among the age 12-14 (2.05%) and the lowest was among
>1-2 years and 9-11 years (0.76%). Inactive pulmonary T.B. was highest among the pediatric age group.
Conclusion: It is conclude
This research presents a comparison of performance between recycled single stage and double stage hydrocyclones in separating water from water/kerosene emulsion. The comparison included several factors such as: inlet flow rate (3,5,7,9, and 11 L/min), water feed concentration (5% and 15% by volume), and split ratio (0.1 and 0.9). The comparison extended to include the recycle operation; once and twice recycles. The results showed that increasing flow rate as well as the split ratio enhancing the separation efficiency for the two modes of operation. On the contrary, reducing the feed concentration gave high efficiencies for the modes. The operation with two cycles was more efficient than one cycle. The maximum obtained effici
... Show MoreAlthough rare, coarctation of aorta is a treatable cause of hypertension, transcatheter dilatation by balloon with or without stent are a well-known treatment strategy
Background: cerebellar astrocytroma is the commonest paediatric posterior fossa tumor.
Patients and method: 54 patients taken from the neuro-surgical unit in the specialized surgical hospital from Aug 1995 till March 2003, all patients studied thoroughly age, gender, Presentation, Radiological diagnoses, surgery, additive therapy & final outcome including 5 years survival &
conclusion is reached.
Results and discussion: the results show that more than half of the patients were at age 5-7 years with very slight male predominance, most cases diagnosed by CT, some with MRI or MRI
alone.Surgery was done for all cases & 16 patients' preceeded by VP shunt. The final out come is compared with other si
Congenital valvular pulmonary stenosis accounts for 5-10% of all congenital heart disease. Balloon pulmonary valvuloplasty is a safe and effective method in reduction of moderate to severe valvular pulmonary stenosis. This retrospective study done in Hawler surgical specialty cardiac center on pediatric patients who had pulmonary valve stenosis (with echocardiographic peak gradient 2:50mmHg) and treated by balloon pulmonary valvuloplasty. A total of 178 cases were involved, 93(52.25%) patient was male and 85 (47.75%) patients was female. 160 patient (89.89%) were treated with single balloon method 18 patient (10.11%) were managed by double balloon method technique. Follow up period of these patients range from 1 year to 10 years (mean of 5.
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