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Early peristomal complications: detailed analysis, classification and predictive risk factors
Annali Italiani Di Chirurgia
|March 18, 2020
Summary
Peristomal complications after stoma surgery are common, with mucocutaneous separation being the most frequent. Urgent surgery and higher ASA scores increase the risk of persistent complications.
Area of Science:
- Surgical complications
- Stoma care
- Gastrointestinal surgery
Background:
- Peristomal complications are often overlooked in surgical practice.
- Assessing early peristomal complications and their risk factors is crucial for patient outcomes.
Purpose of the Study:
- To evaluate peristomal complications within 30 days post-stoma creation.
- To identify independent risk factors associated with the incidence and persistence of these complications.
Main Methods:
- Retrospective analysis of 111 patients undergoing stoma creation between January 2014 and June 2016.
- Utilized photography, a validated skin lesion scale, and the Clavien-Dindo score for complication assessment.
- Performed univariate and multivariate analyses to determine risk factors.
Main Results:
- 14% experienced mild and 59% relevant peristomal complications; 51% had mucocutaneous separation.
- Complications persisted at 30 days in 32% of patients.
- Double-barrel stomas, urgent surgery, and ASA scores III/IV were risk factors; male sex and age >70 were protective.
Conclusions:
- Early peristomal complications are frequent but typically mild.
- Persistence of complications beyond 30 days is linked to emergency surgery and higher ASA scores (III-IV).
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