Risk Factors for Stomatal Complications: A Literature Review
Main Article Content
Abstract
This literature review article comprehensivelya addresses the risk factors that contribute to stomatal complications, a major concern in current medical practice. The creation of stomata, surgical interventions to bypass intestinal or urinary contents, is valuable but can be accompanied by problems that affect the quality of life of patients.
Definition and Types of Complications: Complications in stomata range from necrosis of stomal tissue to prolapse and irritation of the surrounding skin. These complications can affect both stoma function and skin integrity, and understanding them is essential for informed clinical practice.
Risk Factors for Complications: The discussion focuses on risk factors that predispose to stomatal complications. Older age, obesity, and medical comorbidities, such as diabetes and cardiovascular disease, increase the likelihood of complications. The choice of surgical technique and the site of creation of the stoma also influence the occurrence of problems.
Preoperative Education and Preparation: Patient education and preoperative preparation are crucial elements in preventing complications. Patients should receive detailed information about stoma self-care and possible signs of complications. Proper preoperative preparation, which addresses pre-existing medical conditions, can mitigate risk factors.
Discussion: The discussion highlights the importance of a comprehensive evaluation and adaptation of surgical and postoperative planning according to individual risk factors. Emphasis is placed on the need for proper surgical technique and on the experience of the surgeon in creating stomata.
Conclusion: In conclusion, the creation of stomata is a valuable technique but not without challenges. Early identification and management of risk factors are critical to reducing the incidence and severity of complications. Patient education, careful planning, and preoperative preparation are essential to achieving optimal long-term results in stomatal management.
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
References
I. Koc, U., Karaman, K., Gomceli, I., Dalgic, T., Ozer, I., Ulas, M., ... & Akoglu, M. (2017). A Retrospective Analysis of Factors Affecting Early Stoma Complications. Ostomy/wound management, 63(1), 28-32.
II. Duchesne, J. C., Wang, Y. Z., Weintraub, S. L., Boyle, M., & Hunt, J. P. (2002). Stoma complications: a multivariate analysis. The American Surgeon, 68(11), 961-966.
III. Arolfo, S., Borgiotto, C., Bosio, G., Mistrangelo, M., Allaix, M. E., & Morino, M. (2018). Preoperative stoma site marking: a simple practice to reduce stoma-related complications. Techniques in coloproctology, 22, 683-687.
IV. Shabbir, J., & Britton, D. C. (2010). Stoma complications: a literature overview. Colorectal disease, 12(10), 958-964.
V. Krishnamurty, D. M., Blatnik, J., & Mutch, M. (2017). Stoma complications. Clinics in colon and rectal surgery, 30(03), 193-200.
VI. Persson, E., Berndtsson, I., Carlsson, E., Hallén, A. M., & Lindholm, E. (2010). Stoma‐related complications and stoma size–a 2‐year follow up. Colorectal Disease, 12(10), 971-976.