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Chapter-18 Complications of Stoma

BOOK TITLE: Stoma Care

Author
1. Balachandar TG
ISBN
9789352704873
DOI
10.5005/jp/books/18070_19
Edition
1/e
Publishing Year
2018
Pages
16
Author Affiliations
1. Apollo Hospitals, Greams Road, Chennai, Tamil Nadu, India
Chapter keywords
Stomal necrosis, retraction, peristomal skin irritation, parastomal abscess, ulcer, fistula, parastomal hernia, stricture, caput medusa, mucosal implants, stomal prolapse, bleeding, diversion colitis, constipation

Abstract

After reading this chapter the reader will be familiarize with the complications caused by stoma surgery. The complications of stoma are seen with a wide spectrum of problems to the ostomates. There are several factors which are related to the incidence of complications, for example, patients operated in the emergency will have a higher incidence of complication because they may not have had adequate preoperative preparations. The type of complications also depends upon the types of stoma. Ileostomies are associated with higher incidence of skin complications and leakage, while colostomies are associated with higher incidence of odor, prolapse and parastomal hernia. Stomal necrosis, retraction, peristomal skin irritation, parastomal abscess, ulcer, and fistula, parastomal hernia, stricture, caput medusa, mucosal implants, stomal prolapse, bleeding and peristomal varices, diversion colitis, constipation, etc. are the most complications which are covered thoroughly in this chapter. Tips for prevention, early deduction and management of simple complications are also discussed in this chapter.

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