[Stomata--surgical standards].
The placement of an intestinal stoma is still a common procedure despite the recent advantages in intestinal surgery. It is mandatory to apply meticulously sound surgical principles in order to achieve good results. Nevertheless, intestinal stomas are envisioned with a high perioperative morbidity which is mostly caused by surgical inadequacy. This can lead to considerable problems in management of the stoma in the long term and ultimately will affect quality of life of the patient. The cumulative morbidity can be given by 50% with prolaps, hernia, stenosis and necrosis as well as stoma retraction being the most relevant. In contrast, an adequate intestinal stoma will positively affect the quality of life of the patient. The availability of devices developed by the industry and the inauguration of a professional service in certain hospitals simplified the management of patients with a stoma. This significantly improved the standards of care especially regarding preoperative preparation and postoperative management. Thus, most patients are able to maintain an active and socially integrated life with minimal physical and psychical limitations.
Wagner
M
M
Klinik für Viszeral und Transplantationschirurgie, Inselspital Bern. markus.wagner@insel.ch
Malayeri
V
V
Seiler
C A
CA
Candinas
D
D
D006801:Humans; D007422:Intestines / Q000601:surgery*; D010535:Laparoscopy / Q000592:standards; D011183:Postoperative Complications / Q000209:etiology* / Q000601:surgery; D012086:Reoperation; D012307:Risk Factors; D054047:Surgical Stomas / Q000592:standards*