Current Technologies for the Prevention of Parastomal Herniation (Review)

Yanishev, A.; Базаев, А В; Kokobelyan, A.; Abelevich, A. I.

doi:10.17691/stm2018.10.3.22

Cited by 4 publications

(1 citation statement)

References 33 publications

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“…(1)(2)(3)(4) The leading method of treatment for ALBO is emergency surgery (5)(6)(7) with the formation of a temporary or permanent colostomy. (1)(2)(3)(4)8) The presence of colostomy in patients reduces the quality of life; often there are specific complications: maceration of the skin, suppuration of the postoperative and paracolostomal wounds, necrosis of the colostomy, abscess of the abdominal cavity, paracolostomal fistula, colostomy prolapse, and parastomal hernia. (3,4,7) Improving the colostomy formation and methods for drainage of the paracolostomal space is an urgent task in surgery of the large intestine.…”

Section: Introductionmentioning

confidence: 99%

The Results of Applying the Original Colostomy in Patients with Acute Large Bowel Obstruction

Чарышкин¹,

Keshyan²,

Midlenko³

et al. 2019

IJBM

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The results of the original method of colostomy formation in 67 patients with acute large bowel obstruction (ALBO) were studied. All patients underwent sigmoid colon resection with the colostomy formation. In total, postoperative complications of a purulent-inflammatory nature (skin maceration, suppuration of postoperative and paracolostomic wounds, necrosis of colostomy, abscess of the abdominal cavity, and paracolostomal fistula) in both groups were observed in 30 (44.8%) patients. In Group 1 (n=40), with the classical method of colostomy formation, purulent-inflammatory complications were observed in 21 (52.5%) patients, in Group 2 (n=27) with the original method of colostomy formation in 4 (14.8%) patients. Bleeding from colostomy and colostomy prolapse occurred only in Group 1 in 8 (20%) patients. The proposed method of applying a colostomy helps reduce purulent-inflammatory complications by more than 3 times and provides prevention of bleeding and colostomy prolapse.

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Section: Introductionmentioning

confidence: 99%

The Results of Applying the Original Colostomy in Patients with Acute Large Bowel Obstruction

Чарышкин¹,

Keshyan²,

Midlenko³

et al. 2019

IJBM

View full text Add to dashboard Cite

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A modern view on the prevention of parastomal complications in ostomy patients

Dadaev,

Zurnadzh’yants,

Kchibekov

et al. 2024

jour

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Recently, due to the increase in intestinal diseases, there has been a tendency to increase the number of stomatized patients. It has been statistically proven that the elimination of intestinal stomas is fraught with the development of inflammatory phenomena in the area of the removed stoma in the early postoperative period, leading to the development of parastomal abscesses and phlegmon, which in turn are risk factors for the formation of parastomal hernias in the long-term postoperative period. A parastomal hernia makes it difficult to care for the stoma, thereby reducing the quality of life. The presented work provides an overview of the literature data on various methods of preventing the formation of parastomal hernias. In addition, methods for closing a stomal wound during the elimination of intestinal stomas are presented in order to prevent the development of complications after reconstructive operations.

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Acute Bowel Obturation: Treatment Outcomes

Чарышкин

Кешян

2021

Kreativnaâ hirurgiâ i onkologiâ

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Background. Two-stage colostomy is a common choice in treatment for obstruction-complicated colorectal cancer.Aim. Research into paracolostomy complications in obese and non-obese patients.Materials and methods. Material on obstruction-complicated colorectal cancer was collected from 50 patients divided into two cohorts by the body mass index (BMI). Cohort 1 contained 25 patients with BMI <24, and cohort 2 — patients with BMI >30.Results. Compared to cohort 1 with BMI <24, obese cohort 2 revealed more paracolostomy complications, the increase in parastomal skin lesions by 32% (p < 0.05), pyoinflammatory complications by 36% (p < 0.05) and abscesses by 24% (p < 0.05).Discussion. Paracolostomy complications in patients with BMI >30 are due to obesity, a poorly fitting colostomy bag, faecal leakage, skin irritation, infection and crude coagulation in haemostasis. Stoma gradually becomes difficult to visualise, faecal leakage continues and the paracolostomy space is poorly drained in obese patients, contributing to pyoinflammatory parastomal complications.Conclusion. The main causes of pyoinflammatory parastomal complications in obese patients are a low stoma positioning and poor paracolostomy drainage. The circumstances described warrant improvement of colostomy techniques in obese patients.

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Current Technologies for the Prevention of Parastomal Herniation (Review)

Cited by 4 publications

References 33 publications

The Results of Applying the Original Colostomy in Patients with Acute Large Bowel Obstruction

The Results of Applying the Original Colostomy in Patients with Acute Large Bowel Obstruction

A modern view on the prevention of parastomal complications in ostomy patients

Acute Bowel Obturation: Treatment Outcomes

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