Factors affecting closure of a temporary stoma
1Gastrointestinal Nursing Florence Nightingale School of Nursing and Midwifery King's College, London.
Summary
This study on temporary ostomy reversal found that over half of patients waited more than six months for closure. Early ostomy reversal, before 12 weeks, may reduce complications.
Area of Science:
- Surgical outcomes
- Patient care
Background:
- Temporary ostomies are created for various surgical reasons.
- Timely reversal of temporary ostomies is crucial for patient recovery and quality of life.
Purpose of the Study:
- To investigate the time to reversal of temporary ostomies.
- To identify reasons for delayed ostomy closure.
- To assess patient satisfaction with the scheduling and care related to ostomy reversal.
Main Methods:
- A cross-sectional, descriptive study was conducted.
- Data were collected via a postal survey of 61 patients who underwent temporary ostomy reversal.
- A literature review on delayed stoma closure was also performed.
Main Results:
- A 44% response rate (27 patients) was achieved.
- 52% of patients had ostomy reversal within 6 months; 48% waited longer (median 6.5 months).
- 48% experienced delayed closure, primarily due to adjuvant chemotherapy; 74% were satisfied with care.
Conclusions:
- Delayed ostomy reversal is common, often linked to adjuvant chemotherapy.
- Performing stoma closure before 12 weeks may minimize complications.
- Patient satisfaction with care was generally high despite delays.
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