Skin Bridge versus Rod Colostomy in Children – Comparison between Complications
Languages of publication
Due to economic problems, sigmoid loop colostomy using glass rod may cause problems for our patients for finding glass rod and several visits.was to compare rod versus skin bridge colostomy.Material and methods. In this study, 42 cases who are candidate for colostomy were included. Cases were randomly placed in skin bridge and rod colostomy group. Independent sample t-test and Chi-square were used for comparison. SPSS version 16.0 (SPSS Inc, Chicago, IL, USA) was used for analysis.Results. Of 42 cases, 20 were male and 22 were female. Hirschsprung’s disease was the indication of colostomy in 33 cases. In nine cases, imperforate anus was the indication of colostomy. Mean time of surgery was 79.4 and 82.5 minute for the rod and skin bridge group respectively (P>0.05). Retraction was seen in 2 case of rod group, and no case of skin bridge group. Prolapse was seen in 2 (9.5%) case of rod group and 1(4.7%) case in skin bridge. There were no reports of necrosis, stenosis, and hernia in both groups.Conclusion. In the skin bridge group the rates of complications were lower but the groups are too small for statistical analysis. Colostomy with a skin bridge method may decrease number of revision and expenses and may be appropriate option. Sigmoid loop colostomy using skin bridge flap may be appropriate choice in developing country. Another study with more samples is recommended to better comparison of Skin Bridge versus rod colostomy.
1 - 12 - 2012
28 - 12 - 2012
- 1. Gordon P, Nivatvongs S: Principles and practice of surgery for the colon, rectum, and anus. Informa Healthcare USA. Inc: New York (NY). 2007: 605.
- 2. Masi P, Miele E, Staiano A: Pediatric anorectal disorders. Gastroenterol Clin North Am 2008; 37: 709-30.[Crossref][PubMed][WoS]
- 3. Bischoff A, Levitt MA, Lawal TA et al.: Colostomy closure: how to avoid complications. PediatrSurg Int 2010; 26: 1087-92.
- 4. Gharbi L, Huguier M: Lateral colostomy with subcutaneous bridge support. Ann Chir 2000; 125: 874-76.
- 5. Kalantar Motamedi M, Rezaei M, Kharazm P et al.: An Easy Solution for the Diverting Loop Colostomy: Our Technique. Med J Islamic Repub Iran (MJIRI) 2006; 20: 137-40.
- 6. Mollitt DL, Malangoni MA, Ballantine TV et al.: Colostomy complications in children. An analysis of 146 cases. Arch Surg 1980; 115: 455-58.
- 7. Lister J, Webster PJ, Mirza S: Colostomy complications in children. Practitioner 1983; 227(1376): 229-37.
- 8. Simson J, Brereton R: Temporary antimesenteric stomas without a skin bridge in infants. Ann RColl Surg Engl 1985; 67: 363-65.
- 9. al-Salem AH, Grant C, Khawaja S: Colostomy complications in infants and children. Int Surg 1992; 77: 164-66.
- 10. Chandramouli B, Srinivasan K, Jagdish S et al.: Morbidity and mortality of colostomy and its closure in children. J Pediatr Surg 2004; 39: 596-99.[Crossref]
- 11. Khan K, Younas M, Waheed T: Management of colostomies in infancy. J Postgraduate Med Institute 2011; 17: 7-10.
- 12. Nour S, Beck J, Stringer MD: Colostomy complications in infants and children. Ann R Coll SurgEngl 1996; 78: 526-30.
Publication order reference