Therapeutic Management of Stoma Complications in Selected Patients
Journal Title: Polish Journal of Surgery - Year 2013, Vol 85, Issue 9
Abstract
Stoma complications occur in 21-75% of patients, and 30% of them require redo surgery within 10 years after previous surgical treatment. Medical treatment is successful in most cases with no need for surgery. However, severe stoma complications are the real challenge for medical team and require an individual approach to each patient. The aim of the study was to report stoma patients with severe complications of both ileo- and/or colostomy and present different options of medical treatment. Material and methods. Between March 2005 and April 2007 we treated 8 patients with severe stoma complications at the Department of General and Colorectal Surgery, Medical University of Łódź. There were 4 patients with colostomy, 3 patients with ileostomy and one patient with both ileo- and colostomy. The mean age of patients was 56,7 years (range 30-68 years). Results. In all patients we achieved either complete stoma-related wound healing or we observed substantial progress of wound healing with medical treatment. No patient required surgery for stoma complications. Conclusions. Stoma complications still occur in spite of adherence to rules of stoma care and surgical technique. Most of them can be treated conservatively. Much emphasis is put on close team work comprising doctors and nurses in the treatment of severe stoma complications.
Authors and Affiliations
Radzisław Trzciński, Teresa Kresińska-Kaba, Adam Dziki
Keywords
Related Articles
- EP ID EP74585
- DOI 10.2478/pjs-2013-0077
- Views 133
- Downloads 0
Przezszyjne wewnątrzwątrobowe zespolenie wrotno-systemowe u chorych po ortotopowym przeszczepieniu wątroby (OLTx) w leczeniu krwotoku z przewodu pokarmowego. Doświadczenie jednego ośrodka na podstawie trzech przypadków i przegląd literatury
Wstęp: Przezszyjne wewnątrzwątrobowe zespolenie wrotno-systemowe (TIPS) jest dobrze znaną metodą leczenia objawowego nadciśnienia wrotnego u pacjentów oczekujących na przeszczepienie wątroby. Wykonalność i skuteczność TI...
CTRC gene polymorphism may increase pancreatic cancer risk – preliminary study
Pancreatic cancer is often fatal due to delayed diagnosis and treatment difficulties. Objective: To analyze selected SPINK1, CTRC, CFTR, and PRSS1 gene mutations in cancer tissue and blood samples of patients with pancr...
Autoamputated Leiomyoma of the Uterus as a Rare Cause of the Mechanical Bowel Obstruction – Report of a Case
Mechanical obstruction of the gastrointestinal tract is one of the most common causes of the emergency surgical intervention. A rare cause of such condition might be the effect of the external pressure on the intestine e...
Why Women Who Have Mastectomy Decide Not to Have Breast Reconstruction?
Breast cancer is the most common malignancy occurring in women. The treatment of breast cancer is a complex, multistep process involving surgical treatment, chemotherapy, radiotherapy, hormone therapy, targeted therapy,...
Long-term results of incisional hernia repair with concomitant abdominoplasty in postbariatric patients
The aim of the study was evaluation of long-term results after simultaneous incisional hernia repair and abdominoplasty in patients following RYGB (Roux-en-Y Gastric By-pass) and estimation of quality of life before and...