Complications of Stoma and The Management
Journal Title: Surgery & Case Studies: Open Access Journal - Year 2019, Vol 2, Issue 2
Abstract
A patient with stoma (colostomy or ileostomy) has poor quality of life and when he/she faced with stomal complications (Skin eczema, ischemia/necrosis, retraction, mucocutaneous separation, parastomal abscess, colostomy diarrhoea, parastomal hernia, obstruction, prolapse and retraction), the quality of life would go further down. So the people who are working in health system need to have more knowledge about the stoma and its complications. The definition of Quality of life is individuals’ perception of their position in life in the contest of the culture and value system in which they live, in relation to their goals, expectations, standards and concerns affecting complex ways by the person’s physical health, psychological state, level of independence, social relationships to salient features of their environment [1].The quality of life is very important problem for the patients with colostomy since they underwent surgery which made them to travel in the society with a new quality of life [2]. The stoma is the common surgical condition for general surgeons. The word “Stoma” comes from the Greek word meaning mouth or opening [3]. An intestinal stoma is an opening of the intestine on anterior abdominal wall made surgically [4]. Stomas are used to divert the fecal stream away from distal bowel in order to allow a distal anastomosis to heal as well as to relieve obstruction in emergencysituation. It may be temporary or permanent; depending on their role [5]. Though a lifesaving procedure, it may result in significant number of complications. Complications are divided into early complications (up to 30 days after operation) and late complications (more than 30 days after operation) [6,7]. Littre of Paris was the first to make a ventral colostomy in 1710 for a baby with imperforate anus [8]. Statically reported rates of complications of stomas vary widely in the literature [9]. Several reports focus solely on ileostomies or colostomies, making it even more difficult to make definitive conclusions about the overall incidence. Furthermore, conflicting data exists as to whether complication rates are equivalent with colostomies and ileostomies [10-12]. or are higher incidences with ileostomies [13]. Complication rates specific to loop ileostomies can be significant, ranging from 5.7% to 41% [14-16].and reoperation rates for loop ileostomies vary widely [16-19].
Authors and Affiliations
Thamilselvam P
Keywords
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- EP ID EP640429
- DOI 10.32474/SCSOAJ.2019.02.000132
- Views 64
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