Management of the Difficult Stoma

Surg Clin North Am. 2024 Jun;104(3):579-593. doi: 10.1016/j.suc.2023.11.008. Epub 2024 Jan 29.

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.

Keywords: Complications; Difficult; Ostomy; Stoma; Surgery.

Publication types

  • Review

MeSH terms

  • Colostomy* / methods
  • Humans
  • Ileostomy / adverse effects
  • Ileostomy / methods
  • Postoperative Complications / etiology
  • Postoperative Complications / prevention & control
  • Risk Factors
  • Surgical Stomas / adverse effects