Retrospective analysis of stoma-related complications

Abstract

Objective: One of the few factors, that affect life of people have stoma negatively, are complications developing in tissues where placed stomas or near stomas. We aimed to evaluate the stoma practices performed frequently in our clinic.Methods: Between January 2008 and December 2011, the records of 96 patients who had stoma retrospectively. Factors indication for stoma, emergency procedure, preoperative stoma, type of stoma and complications siting recorded.Results: Ninety-six stoma patients were examined. Of them 66 (68%) of them was male, 30 (32%) of them was female. The mean age was 58.8±12.6 years. The most common colostomy patients were diagnosed obstruction of colon(66%) and ileostomy patients were diagnosed anastomosis protective ((75%). The most common type of stoma were as follows 54 loop colostomy, 16 end colostomy, 10 tube gastrostomy and 7 loop ileostomy. The overall complication rate was 48%. Both elective and emergency stomas had similar complication rates. The most common complication included peristomal skin irritation (63%), peristomal infection (25%) and prolapse (5%) The stoma with the highest complications rate was loop colostomy (57%). Conclusion:In our opinion, mortality and morbidity of stomas may be decreased with the meticulous surgical principle, regular follow-up and patient education.

Literature Review: Profile of Publications for the Patients with Stoma in Turkey

“…4,13,14,15 Most common stoma complications are skin problems, peristomal infection, mucocutaneous separation, stenosis, ischemia, stomal prolapses, parastomal hernia, retraction, anastomosis leakage, and acute renal failure. 13,15,16,17,18,19,20,21,22,23,24 Most common complications following stoma closure are wound site infection, postoperative ileus, and anastomosis leakage. 25 In a multicenter study by Baykara et al 13 stomal/peristomal complications were reported in 248 patients.…”

Nursing Diagnosis According to NANDA and NIC Practices of Ostomy Creation Patient with Colorectal Cancer

“…6,7,25,26 Ülkemizde yapılan retrospektif çalışmada da en sık karşılaşılan komplikasyon oranının %63 oranında peristomal cilt irritasyonu olduğu bildirilmektedir. 27 Kolorektal kanserli stoma açılan hastanın ameliyattan sonra stomasının ödemli, pembe ve sağlıklı bir görünümü olduğu gözlenmiştir. Stoma etrafındaki cilt değerlendirilmesinde postoperatif birinci günde REK skoru 0, üçüncü günde iki olarak belirlenmiştir.…”

Çocuklukta Kolostomi Komplikasyonları: 84 Hastanın Analizi

“…[1,3,9] stoma dermatitis is a condition that affects the comfort of life, but can be life threatened when it is complicated by infection and evisceration. [10] In terms of prevention, colostomy paste, zinc and antifungal creams have been used, and according to our experience, treatment of dermatitis after stomal inflammation is quite hard. For this reason, we think that the wound site should be cleaned and dried frequently before skin inflammation occurs to protect against stomal dermatitis.…”