Surgical management of ostomy complications

“Most stomal complications are managed non-operatively, through a multidisciplinary and multi-specialist approach. MISSTO in 2021 published the guidelines for the nursing management of stoma-related morbidity. In this context, a key role is played by nurses specialized in stoma care. Sometimes, the conservative approach is not effective to solve the complication, and surgical treatment becomes necessary. The aim of this mapping review is to get a comprehensive overview on the incidence, the risk factors, and the management (conservative and surgical) of the main surgical complications of ostomies,
identifying research gaps and collecting evidence for future research directions.”

“Stoma-related complications are frequent and require a step-up multidisciplinary management, from a conservative stoma care to surgical stoma revision. In theory,
stoma reversal, when not contraindicated, is the best treatment for stoma complications no longer manageable conservatively. Application of literature evidence in clinical practice for stoma creation and an improved management of stoma-related complications could significantly improve the quality of life of patients with ostomy. However, solid evidence from the literature about their correct management is lacking, and an international consensus is
needed to draw up new guidelines on this subject”

Parini, Dario et al. “Surgical management of ostomy complications: a MISSTO-WSES mapping review.” World journal of emergency surgery : WJES vol. 18,1 48. 10 Oct. 2023 Free Full Text

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