Stoma-associated complications-Prevention strategy and treatment concepts

被引：4

作者：

Kalev, Georgi ^{[1
]}

Marquardt, Christoph ^{[1
]}

Schiedeck, Thomas ^{[1
]}

机构：

[1] Klinikum Ludwigsburg, Klin Allgemein Viszeral Thorax & Kinderchirurg, Posilipostr 4, D-71640 Ludwigsburg, Germany

来源：

CHIRURG | 2022年 / 93卷 / 04期

关键词：

Stoma; Complications; Prophylaxis; Stoma therapist; Surgical technique; ANTERIOR RESECTION; PARASTOMAL HERNIA; LOOP ILEOSTOMY; COLOSTOMY; EDUCATION;

D O I：

10.1007/s00104-021-01438-1

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

Postoperative complications after the creation of an intestinal stoma have a considerable impact on the patient's quality of life. The accurate surgical technique is very important for their prevention and requires profound surgical knowledge as well as sufficient experience. The importance of the preoperative consultation as well as the postoperative care by stoma therapists is clearly proven. Depending on the severity of the complication, outpatient conservative treatment is initially indicated. A surgical local revision or laparotomy should only be considered if conservative treatment is no longer sufficient, whereby the indications for surgery should be set very cautiously. This article provides an overview of the current evidence regarding the prevention and treatment of postoperative stoma complications.

引用

页码：415 / 426

页数：12

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