title: [Anus praeter--site, care and corrective possibilities].
abstract: BACKGROUND
  The main indication for an colostomy is a carcinoma low down in the rectum. Apart from this, tumors in any part of the bowel or neighboring organs, and complications of inflammatory disease may make a diversion of feces necessary.
  A stoma should be sited at a distance from skin folds, and bony protuberance, and should be readily visible for self-care. Temporary "continence" can be achieved with special stool regulatory measures (in particular irrigation), while the patient can make to with a stoma cap or a mini-bag. Many complications of stoma, in particular necrosis, parastomal hernias, prolapse, too large a stoma, stenosis and stomal recurrent tumor can usually be eliminated by surgery.
  
  
  CONCLUSIONS
  Today excellent possibilities of stomal care are available for a wide range of problems, which can be determined and applied in cooperation with the various specialists.
authors.affiliation: Chirurgische Klinik und Poliklinik, Universität München.
authors.forename: A
authors.initials: A
authors.lastname: Frick
authors.forename: H
authors.initials: H
authors.lastname: Denecke
mesh_terms: D000818:Animals; D003108:Colonic Diseases / Q000601:surgery*; D003125:Colostomy / Q000379:methods*; D006224:Cricetinae; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications / Q000601:surgery*; D012002:Rectal Diseases / Q000601:surgery*; D012086:Reoperation
vernacular_title: Anus praeter--Sitz, Pflege und Korrekturmöglichkeiten.