Complications of Construction and Closure of Temporary Loop Ileostomy

Kaidar‐Person, Orit; Person, Benjamin; Wexner, Steven D.

doi:10.1016/j.jamcollsurg.2005.06.002

Cited by 171 publications

(160 citation statements)

References 70 publications

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“…The first surgical stoma was created more than 200 years ago. The earliest stomas were actually unintentional ones, enterocutaneous fistulas resulting from penetrating abdominal injuries or complications of intestinal diseases such as incarcerated hernias (11). A number of patients undergo surgeries for fecal diversion.…”

Section: Discussionmentioning

confidence: 99%

The Prevention and Treatment of Stoma Complications. A Report of 152 Cases

Uddin¹,

Ullah²,

Iqbal³

et al. 2017

IOSR JDMS

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Section: Discussionmentioning

confidence: 99%

The Prevention and Treatment of Stoma Complications. A Report of 152 Cases

Uddin¹,

Ullah²,

Iqbal³

et al. 2017

IOSR JDMS

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“…12, 13 We did not have any septic wound complications following closure of the umbistomas in our 2 patients. There was no intestinal obstruction post closure of umbistomas, a well-recognized associated complication.…”

Section: -5mentioning

confidence: 65%

Temporary Diverting Ileostomy via the Umbilicus: a Small Case Series

Mushaya

Chandra

Sansom

et al. 2015

International Surgery

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The umbilicus, a natural orifice, which is used as an access port during laparoscopic surgery, can be used as a stoma site with potential superior cosmetic results as one less incision is then required. Our objective was to assess the efficacy and safety of the umbilical stoma in a selected group of patients. This is a prospective case series in hospital patients admitted as emergency or elective. Patients who underwent laparoscopic colorectal surgery with a planned ileostomy at Box Hill Hospital were approached and invited to participate in the study, with the stoma being fashioned on the umbilicus. Outcomes of interest included demographics, the details regarding the original indication for operation, operative and hospital related outcomes, postoperative bowel related complications, and other surgical and medical complications. Outcomes of a total of 10 (5 males) patients who underwent umbilical covering ileostomy during the study period were analyzed. Two patients with ulcerative colitis had the second stage of their operation converting their end stomas to loop stoma. These were counted twice, totaling 12 stomas in 10 patients. Three patients had their umbistomas after receiving neoadjuvant treatment for rectal cancer. The median period patients have had umbistomas is 113 days. Overall morbidity during the initial operation was low, except for 1 patient who had a small bowel injury. There was no mortality. Minor peristomal skin changes were the most common postoperative complication. Three patients had their stomas reversed with excellent cosmesis. Umbistomas appear to be a safe and effective way to fashion covering stomas post laparoscopic surgery and save the patient an added incision with excellent cosmetic results.

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“…The major disadvantages of ostomy include the need for another operation, a longer hospital stay and ostomy related complications, such as parastomal hernia, stomal prolapse, ischaemic necrosis, peristomal abscess, chemical dermatitis, peristomal fistula, diarrhoea and dehydration, skin excoriation and stomal stenosis. (25,26) In one of the study, Prashant Raj Pipariya et al, (27) reported parastomal hernia in 3(6%) cases and skin excoriation in 8(16%) cases. In our study, skin excoriation was present in 19(63%) patients and parastomal hernia in 3(10%) patients.…”

Section: Discussionmentioning

confidence: 99%