Technical Tips for Difficult Stomas

Whitehead, Alia; Seah, Adrian; Cataldo, Peter A.

doi:10.1007/978-1-4614-9022-7_9

Cited by 3 publications

(2 citation statements)

References 18 publications

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“…As a preliminary guide to the stoma siting practitioner, the "ostomy triangle" should be identified, bounded by the anterior superior iliac spine laterally, the pubic tubercle inferomedially, and the umbilicus supramedially. 11 The geometric center of the triangle initially guides the clinician to a preliminary stoma site. Identification of the rectus abdominis muscle should be performed (►Fig.…”

Section: Technical Aspects Of Stoma Site Markingmentioning

confidence: 99%

Preoperative Considerations for the Ostomate

Wasserman

McGee

2017

Clinics in Colon and Rectal Surgery

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Section: Technical Aspects Of Stoma Site Markingmentioning

confidence: 99%

Preoperative Considerations for the Ostomate

Wasserman

McGee

2017

Clinics in Colon and Rectal Surgery

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“…In these circumstances, it is typically best to perform the well-constructed ostomy and accept the potential issues with pouching and function, especially when the stoma is expected to be temporary. 7…”

Section: Intraoperative Complications Inadequate Reachmentioning

confidence: 99%

Stoma Complications

Dawes,

Gahagan

2023

Clin Colon Rectal Surg

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Stoma-related complications are among the most common sources of perioperative morbidity in colorectal surgery. Complications can occur intraoperatively, in the immediate postoperative period, or even months to years after stoma creation. Although some will require urgent surgical intervention, most are treated nonoperatively with a combination of education, appliance adjustment, and behavioral intervention. Optimal management of stoma complications nearly always requires a multidisciplinary team approach, including surgeons, enterostomal therapists, and other allied health professionals, depending on the specific situation. Patients with a functional stoma should be expected to be able to do anything that patients without a stoma can do with minimal exceptions. The treatment of stoma complications therefore centers on improving stoma function and maximizing quality of life. Although timely and comprehensive intervention will result in the resolution of most stoma complications, there is no substitute for preoperative planning and meticulous stoma creation.

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Intestinal Stomas

McGee

Cataldo

2021

The ASCRS Textbook of Colon and Rectal Surgery

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Preoperative stoma site marking and patient education improve stoma-related clinical outcomes, patient quality of life and experience, while decreasing healthcare resource utilization.• The finished stoma should protrude from the skin, thereby improving the seal between the appliance and the peristomal skin and decreasing complications. • Optimal care for patients undergoing ostomy surgery includes preoperative and postoperative care by an ostomy nurse specialist, such as a WOCN-certified nurse. • Early stoma-related complications such as leakage, peristomal dermatitis, and dehydration can often be remedied with stoma care and patient education. • Loop ileostomy is preferred over transverse loop colostomy for temporary fecal diversion in most circumstances. • Stapled and hand-sutured techniques are both acceptable for loop ileostomy closure.

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Technical Tips for Difficult Stomas

Cited by 3 publications

References 18 publications

Preoperative Considerations for the Ostomate

Preoperative Considerations for the Ostomate

Stoma Complications

Intestinal Stomas

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