Management of the Difficult Stoma.

Surg Clin North Am

Wound Care Clinic, Alexander T. Augusta Military Medical Center, 9300 DeWitt Loop, Sunrise Pavilion, 2nd Floor, General Surgery Reception Desk, Fort Belvoir, VA 22060, USA.

Published: June 2024

AI Article Synopsis

  • Fecal ostomy creation is a routine surgery with various reasons for performing it, but it can lead to complications.
  • Providing preoperative education and marking the stoma site improves patient outcomes significantly.
  • Risk factors, especially obesity, increase the likelihood of complications, highlighting the need for surgeons and ostomy nurses to be skilled in managing these issues effectively.

Article Abstract

Fecal ostomy creation is a commonly performed procedure with many indications. Better outcomes occur when preoperative patient education and stoma site marking are provided. Despite a seemingly simple operation, ostomy creation is often difficult and complications are common. Certain risk factors, particularly obesity, are strongly associated with stoma-related complications. The ability to optimize the ostomy and stoma in the operating room and to troubleshoot frequently encountered post-operative stoma-related issues are critical skills for surgeons and ostomy nurses alike.

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Source
http://dx.doi.org/10.1016/j.suc.2023.11.008DOI Listing

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