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Current Management of Intestinal Stomas and Their Complications
Shingo Tsujinaka1, Kok-Yang Tan2, Yasuyuki Miyakura1
1Department of Surgery, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
Journal of the Anus, Rectum and Colon
|February 1, 2020
Summary
Proper stoma care and management are crucial for ostomates' quality of life. Healthcare professionals need updated knowledge on stoma management and complications to effectively support patients.
Area of Science:
- Medical Science
- Surgical Care
- Patient Management
Background:
- Inappropriate stoma site, improper management, and complications significantly reduce ostomates' quality of life.
- Adequate knowledge among healthcare professionals is essential for effective stoma creation and care.
Purpose of the Study:
- To provide a comprehensive review of stoma management principles and complications.
- To emphasize the importance of perioperative education and updated knowledge for healthcare providers.
Main Methods:
- Review of current concepts in perioperative patient management, including preoperative and postoperative education.
- Detailed discussion on the etiology and management of early stoma complications (e.g., ischemia, retraction).
- Exploration of late stoma complications (e.g., parastomal hernia, pyoderma gangrenosum) and their management.
Main Results:
- Pre- and postoperative patient education empowers ostomates towards independence in self-care and daily activities.
- Updated knowledge for healthcare providers enables them to act as primary crisis managers for ostomy patients.
Conclusions:
- Effective stoma management requires a thorough understanding of perioperative care and complication handling.
- Continuous education for healthcare professionals is vital for improving ostomates' well-being and outcomes.
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