One-Stage Colonic Surgery without Stoma: Indications and Postoperative Outcomes

Abstract

Background: Colorectal surgery has advanced significantly, with one-stage colonic surgery without stoma emerging as a preferred option for selected patients. This study evaluates indications, techniques, and outcomes of one-stage colonic surgery without stoma. Objectives: To evaluate indications, demographic characteristics, and postoperative outcomes of one-stage colonic surgery without stoma. Method and Materials: A prospective observational study was conducted at Dhaka Medical College Hospital (May-October 2022) involving 42 patients. Data on demographics, clinical presentation, intraoperative details, and postoperative outcomes were collected. Result: The study included 42 patients with a mean age of 47.3 ± 12.5 years. Males constituted 66.7% (28), and females 33.3% (14). The most common indication was obstructive colonic cancer (33.3%, 14). Right hemicolectomy was the most performed procedure (28.6%, 12). Postoperatively, 19.0% (8) had wound infections, while 30.9% (13) had no complications. The mean hospital stay was 10.3 ± 4.2 days, with 52.4% (22) achieving complete recovery. Conclusion: One-stage colonic surgery without stoma is effective for selected conditions, with acceptable complications and favorable recovery outcomes, ensuring successful management.