Complications of abdominal colostomy

Birnbaum, Walter; Ferrier, Philip K.

doi:10.1016/0002-9610(52)90160-8

Cited by 53 publications

(18 citation statements)

References 7 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Abdominoperineal resection with a permanent colostomy is still necessary in at least 11% of patients suffering from rectal carcinoma [2]. Nine to 58% of patients with a colostomy reportedly develop a parastomal hernia [3][4][5][6][7][8], while the incidence following ileostomy is 28% [9]. Indeed, Goligher [10] noted that because this complication is so commonly seen, it should be considered almost inevitable.…”

Section: Mk Baig • Ja Larach • S Chang • C Long • Eg Weiss • mentioning

confidence: 99%

Outcome of parastomal hernia repair with and without midline laparotomy

et al. 2006

View full text Add to dashboard Cite

show abstract

Section: Mk Baig • Ja Larach • S Chang • C Long • Eg Weiss • mentioning

confidence: 99%

Outcome of parastomal hernia repair with and without midline laparotomy

et al. 2006

View full text Add to dashboard Cite

show abstract

“…Increased intra-abdominal pressure consequent upon straining or coughing may be associated with stoma prolapse [2,3]. Pregnancy in addition to raising intraabdominal pressure may result in stretching and weakening of the abdominal wall muscles and may be a further factor in the explanation of why stoma complications were more common in females in the Kingdom.…”

Section: Discussionmentioning

confidence: 99%

Colostomy complications — a surgical failure or a population problem

Abdulgaffer¹,

Zayeni²,

Isbister

1999

Coloproctology

View full text Add to dashboard Cite

Abstraer: Stoma related complications vary from population to population. This study was undertaken in order to compare the complications associated with the most frequently constructed stomata at King Faisal Specialist Hospital (loop transverse, loop sigmoid and end colostomy) and those previously reported by one of the authors from a different population in New Zealand. Diverting stomata were of the dependant loop type. All operations were performed by or under the supervision of the same surgeon. One hundred and forty-one colonic stomata were fashioned in 137 patients (72 men, 65 women). There were 74 end stomata, 60 loop transverse and 7 loop sigmoid colostomies. One hundred and twenty-seven stomata were fashioned electively and 14 were constructed as emergencies. One patient died post operatively from overwhelming sepsis following colonic perforation. Follow-up varied from l to 72 months and most complications occurred within the first 6 months. The overalt stoma complication rate was 22.7%. The complication tate was highest in patients in whom a Ioop transverse colostomy was performed. Stoma related complications were fewer in males than females (18.9% vs. 26.9%) and higher in patients having an emergency rather than ah elective stomata (35.7% vs. 21.3%) although these differences did not reach statistical significante. Patients with stomata and early (Dukes Stage A and B) cancer had fewer stoma related complications (15.7%) than more advanced patients (25%). These diŸ were not statistically significant either. The overall stoma related complication rate in the New Zealand study was 11.1% and this was significantly diffcrent from the rate recorded in the present study (p < 0.01). Ir is suggested that increased intra-abdominal pressure consequent upon straining in conjunction with frequent bending (rukoo) and kneeling (sujood) during prayer may be associated with ah increased risk of stoma prolapse and may be responsible for the differences in stoma prolapse rates identified between Saudi Arabia and New Zealand. Patients should thus be advised not bend of kneel for prayer immediately following colostomy surgery.

show abstract

“…Unfortunately despite improvements in stoma care, the number of surgical complications has been very high and remains so. In 1952, Birnbaum and Ferrier [7] described a series of complications, which equalled their frequency and distribution reported in a more recent series in 1970 [8] and those of the systematic review from 2010 published in this issue of Colorectal Disease [1]. Why have we not as surgeons improved our performance?…”

mentioning

confidence: 90%