IMPROVING TREATMENT OUTCOMES OF INTESTINAL STOMAS IN NEONATES AND INFANTS

Rustam Ochilovich Ochilov

Authors

Rustam Ochilovich Ochilov Tashkent State Medical University; Republican Center of Pediatric Minimally Invasive and Endoscopic Surgery, Tashkent, Uzbekistan

Keywords:

Neonatal intestinal stoma, infant surgery, colostomy, ileostomy, necrotizing enterocolitis, intestinal atresia, Hirschsprung disease, anorectal malformation, postoperative complications, pediatric surgery.

Abstract

:Intestinal stoma formation is an important life-saving stage in the surgical management of neonates and infants with severe congenital and acquired intestinal diseases. This article presents a retrospective clinical analysis of intestinal stoma treatment outcomes in infants who underwent colostomy or ileostomy at the Republican Center of Pediatric Minimally Invasive and Endoscopic Surgery in Tashkent, Uzbekistan, during 2021-2026. The study focuses on the structure of underlying diseases, the place where surgical treatment was performed, early and late stoma-related complications, postoperative care, parental education, and criteria for further reconstructive surgery. The analysis included 100 infants from the neonatal period up to 1 year of age. Overall stoma-related complications were observed in 62% of cases, including early complications in 38% and late complications in 24%. The obtained results confirm that standardized surgical technique, careful stoma site selection, intensive postoperative monitoring, and structured caregiver training are essential for reducing complications and improving clinical outcomes.

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