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Updated: Aug 29, 2026

Surgical Management of Meatal Stenosis with Meatoplasty
Published on: November 30, 2010
[Temporary stoma in infancy and childhood]
Insights
This study reviewed 70 pediatric ostomies (colostomies and ileostomies) performed between 1979-1989. Most complications, including prolapse and stenosis, required surgical intervention, highlighting the need for careful management in pediatric surgery.
Area of Science:
- Pediatric Surgery
- Gastrointestinal Surgery
Context:
- A decade-long review of pediatric ostomy procedures at a single institution.
- Analysis of indications, complications, and outcomes for colostomies and ileostomies in children.
Purpose:
- To evaluate the indications for and complications associated with pediatric ostomies.
- To assess the surgical outcomes and management of ostomy-related issues in pediatric patients.
Summary:
- 70 pediatric ostomies (colostomies and ileostomies) were performed between 1979-1989, with 56 closures.
- Common indications included acute abdomen (37%), atresia (26%), and Hirschsprung's disease (21%).
- Most ostomies (79%) were created in the first year of life, with prolapse, stenosis, and retraction being significant complications requiring operative treatment in 17% of cases.
Impact:
- Provides insights into the surgical management of pediatric ostomies.
- Highlights the incidence and types of complications, informing future surgical strategies.
- Contributes to the understanding of long-term outcomes for children requiring ostomies.
Abstract:
Between 1979 and 1989 70 colostomies and ileostomies were performed in children at the University Clinic of Freiburg. 56 of them could be closed in the same period. Indications for the stoma were an acute abdomen in 37%, atresia in 26% and M. Hirschsprung in 21%. 79% of the stomata were performed in the first year of life. The most serious complications were prolapse, stenosis and retraction. 17% of the stoma complications required an operative treatment.
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An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
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