The problems that a patient experiences after the creation of a temporary or permanent stoma can result from many factors, but a carefully constructed stoma located in an ideal location is typically associated with appropriate function and an acceptable quality of life. The construction of the stoma can be confounded by many concomitant conditions that increase the distance that the bowel must traverse or shorten the bowel's capacity to reach. Stomas can be further troubled by a variety of problems that potentially arise early in the recovery period or months later. Surgeons must be familiar with these obstacles and complications to avoid their occurrence and minimize their impact.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4882180 | PMC |
| http://dx.doi.org/10.1055/s-0036-1580628 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Acute Parastomal Hernia Presentations: A 10-Year Review of Management and Outcomes.
J Abdom Wall Surg
November 2024
Department of Colorectal Surgery, Liverpool Hospital, Liverpool, NSW, Australia.
Introduction: The acute presentation of parastomal hernia (PSH) can range from exacerbation of pain to life-threatening incarceration. Managing the acute PSH is challenging, particularly in the presence of concomitant midline incisional hernia. Most literature focuses on the outcomes of elective PSH repair.
View Article and Find Full Text PDF[Chinese expert consensus on standardized treatment of presacral cyst(2024 edition)].
Zhonghua Zhong Liu Za Zhi
December 2024
Article Synopsis
- Surgical excision is the main treatment for presacral cysts, but it's challenging due to nearby blood vessels and nerves, which can lead to complications and recurrence if done incorrectly.
- The Chinese Expert Consensus on the Standardized Diagnosis and Treatment of Presacral Cysts (2024 edition) was developed by a team of specialists to address these challenges and improve patient outcomes.
- Key updates in the 2024 consensus include new classifications for cyst anatomy, a focus on protecting sacral nerves during surgery, and clearer surgical approaches for different types of cysts.
Can serious postoperative complications in patients with Crohn's disease be predicted using machine learning?
World J Gastrointest Surg
October 2024
Department of Neuroscience and Anatomy, University of Melbourne, Melbourne 3010, Victoria, Australia.
Article Synopsis
- - The introduction of new anti-inflammatory treatments for Crohn's disease over the past 20 years has delayed the need for surgery but hasn't significantly reduced the likelihood of it happening.
- - Patients who delay treatment and present with severe complications, like intra-abdominal abscesses, tend to face a more difficult recovery and often require more extensive surgical interventions, leading to longer hospital stays.
- - The text suggests that analyzing available data could help identify high-risk patients, encourage centralization of specialized care, and improve distribution of healthcare resources to better manage Crohn's disease.
Timing of Stoma Closure in Neonates: the ToSCiN mixed-methods study.
Health Technol Assess
October 2024
National Perinatal Epidemiology Unit Clinical Trials Unit, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Background: Neonates undergoing emergency abdominal surgery frequently require a stoma; closing this stoma with a second operation is an essential part of recovery. Timing of closure varies. Optimal timing is unclear and would be best resolved through a randomised controlled trial; such a trial is likely to be challenging.
View Article and Find Full Text PDFA Last Resort: Dacron Vascular Graft Prosthesis for Management of a Blowhole Colostomy.
Am Surg
October 2024
Surgery Institute, Geisinger Medical Center, Danville, PA, USA.
The creation of a blowhole colostomy can be an effective option for patients with large bowel obstruction and severe abdominal disease. However, they are often difficult to manage secondary to poor appliance fitting, peristomal dermatitis, and pain. In 2021, a case series describing a novel technique using a Dacron Vascular Prosthesis (VUP medical, Brno, Czech Republic) sutured to the mucocutaneous junction to help with stoma management was described.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!