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Article | IMSEAR | ID: sea-221031

ABSTRACT

INTRODUCTION: A stoma is defined as an opening into a hollow viscus either natural or surgically created which connects a portion of body cavity to the external environment[1]. Ileostomy or colostomy creation is a crucial part of numerous surgical procedures carried out for a variety of gastrointestinal problems. Despite the frequent occurrence of intestinal stomas, stoma-related problems are still frequent and are associated with high morbidity and expense. OBJECTIVE: The objective if this article is to understand these frequent issues, go into depth about how to prevent or avoid them, and provide management advice. METHOD: Prospective RESULTS: Peristomal skin complications and parastomal hernia were the most common complications. End colostomy had the highest incidence of morbidity, followed by loop colostomy and loop ileostomy. CONCLUSIONS: Ileostomy and colostomy forms are frequently done procedures, but sadly they are linked to high morbidity and stoma-related complication rates that range from 21 to 70%. It has been demonstrated that preoperative entero-stomal therapy consultation and stoma site labelling by either an entero-stomal therapist or skilled surgeon lessen postoperative problems. In addition, it is crucial to pay close attention to the technical aspects of stoma production. In order to definitively address concerns concerning the optimal trephine size, the use of prophylactic mesh, and other aspects of stoma creation, additional randomized trials are required. Clinical wound ostomy nurse specialists are extremely helpful following surgery, and the use of standardized protocols has further helped to reduce the frequency of common problems and readmissions for dehydration.

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