Prospective analysis of stoma‐related complications

Robertson, Iain; Leung, Edmund; Hughes, David; Spiers, Mary; Donnelly, Leigh; Mackenzie, Iain; Macdonald, Angus

doi:10.1111/j.1463-1318.2005.00785.x

Cited by 262 publications

(241 citation statements)

References 9 publications

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“…14,20 In our study in a total of 106 stomas complications appeared in 23 so overall complications rate was 21.69% which falls within the range mentioned in literature. [21][22][23] Almost all the complications observed were local complications. In our study complications related to ileostomy were 10.37% as compared to colostomies which were 11.32% thus showing that ileostomies were relatively easier to manage through conservative means this in accordance with that mentioned in literature.…”

Section: Discussionmentioning

confidence: 99%

Ileostomies and Colostomies; Common Reasons and Complications of Construction: One Year Study

Hussain

Aslam

Khan

et al. 2015

TPMJ

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ABSTRACT… Background: An intestinal stoma is an opening of intestine on the anterior abdominal wall made surgically. The commonly performed procedures include colostomy and ileostomy. The purpose of the present study was to identify indications for commonly performed intestinal stomas and to study complications related to it. Objective: To identify indications for commonly performed intestinal stomas and to study complications related to it. Study Design: Observational study. Setting: Department of General Surgery, Unit-B, Lady reading Hospital, Peshawar. Period: 1 st Jan 2013, to 31 st Dec 2013. Subjects and Method: A total of 106 patients who underwent surgery and ended up in intestinal stomas, ileostomy or colostomy, were included in the study. Indications, immediate and late complications of stomas were recorded. Results: A break up of 106 patients of different intestinal stomas. Majority (61.32%) of patients were males. There were 49 ileostomies and 57 cases of colostomy making a total of 106 patients. Main indications of Ileostomy were enteric perforation (55.10%), and intestinal tuberculosis (20.40%). Main indications of colostomy were penetrating injuries (50.88%), and intestinal obstruction. In a total of 106 stomas local complications appeared in 23 (21.69%). Skin excoriation, ulceration, lap and wound infection were the most common respectively. Seventy eight stomas including 36 ileostomies and 42 colostomies were closed on an average of 3 months after primary operation. There were 7 cases of wound infection, 2 anastamotic leak-ages and one mortality (1.3%) in the stoma reversal group. Conclusion: Common indications for intestinal stomas were abdominal penetrating trauma, enteric perforation, intestinal obstruction and intestinal tuberculosis. Main complications included local skin problems, wound infection and retraction.

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Section: Discussionmentioning

confidence: 99%

Ileostomies and Colostomies; Common Reasons and Complications of Construction: One Year Study

Hussain

Aslam

Khan

et al. 2015

TPMJ

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“…The morbidity rate is high, ranging from 21 to 60 per cent2. This results in decreased quality of life (QoL), and disturbed physical and psychological well‐being3, 4, 5, 6, 7, 8, 9, 10.…”

Section: Introductionmentioning

confidence: 99%

Randomized clinical trial of intracutaneouslyversustranscutaneously sutured ileostomy to prevent stoma-related complications (ISI trial)

Sier¹,

Wisselink²,

Ubbink³

et al. 2018

British Journal of Surgery

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BackgroundIleostomy construction is a common procedure but can be associated with morbidity. The stoma is commonly secured to the skin using transcutaneous sutures. It is hypothesized that intracutaneous sutures result in a tighter adherence of the peristomal skin to the stoma plate to prevent faecal leakage. The study aimed to compare the effect of intracutaneous versus transcutaneous suturing of ileostomies on faecal leakage and quality of life.MethodsThis randomized trial was undertaken in 11 hospitals in the Netherlands. Patients scheduled to receive an ileostomy for any reason were randomized to intracutaneous or transcutaneous suturing (IC and TC groups respectively). The primary outcome was faecal leakage. Secondary outcomes were stoma‐related quality of life and costs of stoma‐related materials and reinterventions.ResultsBetween April 2011 and February 2016, 339 patients were randomized to the IC (170) or TC (169) group. Leakage rates were higher in the IC than in the TC group (52·4 versus 41·4 per cent respectively; risk difference 11·0 (95 per cent c.i. 0·3 to 21·2) per cent). Skin irritation rates were high (78·2 versus 72·2 per cent), but did not differ significantly between the groups (risk difference 6·1 (95 per cent c.i. –3·2 to 15·10) per cent). There were no significant differences in quality of life or costs between the groups.ConclusionIntracutaneous suturing of an ileostomy is associated with more peristomal leakage than transcutaneous suturing. Overall stoma‐related complications did not differ between the two techniques. Registration number: NTR2369 ( http://www.trialregister.nl).

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“…1,2 Multiple risk factors have been identified for such complications, but none are amenable to pre-operative modification. 3 Stomal prolapse ( Fig.…”

Section: Introductionmentioning

confidence: 99%

“…Transthoracic intercostal drain placement is standard practice. [1][2][3] We describe a novel transabdominal technique for placement of large bore chest drains for pleural, mediastinal, and abdominal drainage following oesophagectomy.…”

Section: Introductionmentioning

confidence: 99%

“…Donor-site complications add to patient morbidity and can lead to chronic pain and disability. 1 In spine surgery, substantial bone dust is generated with the use of highspeed drills and burrs that is usually discarded through irrigation and suction of the operative site. Although the dedicated surgeon may collect some of this bone dust by hand, this is a rather laborious and inefficient method.…”

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confidence: 99%

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