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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:

Ostomy Care

Ostomy Care

Introduction
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.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:

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Related Experiment Video

Updated: Sep 19, 2025

Colonial Wig Pancreaticojejunostomy

Colonial Wig Pancreaticojejunostomy

Published on: March 12, 2019

Can Protective Colostomy Have a Role in Pressure Injury Management? A Prospective Non-Randomised Controlled Study.

Andrea Scotti¹, Franz Wilhelm Baruffaldi Preis¹, Marco Borrini¹

¹ASST Grande Ospedale Metropolitano Niguarda - Centro Ustioni e Chirurgia Plastica Ricostruttiva, Milan, Italy.

International Wound Journal

|June 5, 2025

Summary

This summary is machine-generated.

A protective colostomy significantly reduces complications and improves healing for spinal cord injury patients undergoing reconstructive surgery. This approach lowers infection rates and enhances quality of life, offering a valuable therapeutic option.

Keywords:

pressure ulcer spinal cord injuries surgical flaps wound and injuries wound infection

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Last Updated: Sep 19, 2025

Colonial Wig Pancreaticojejunostomy

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Published on: March 12, 2019

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Published on: November 4, 2010

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Development of a Benchtop Model for Evaluating the Compatibility of Wound Dressing Materials with Negative Pressure Wound Therapy Systems

Published on: May 2, 2025

Area of Science:

Plastic Surgery
Spinal Cord Injury Research
Wound Healing

Background:

Pressure injuries are a significant complication for individuals with spinal cord injuries (SCI) and neurological bowel dysfunction.
Reconstructive plastic surgery aims to address these injuries, but local complications can arise.
A modified therapeutic protocol investigated the role of protective colostomy.

Purpose of the Study:

To evaluate the efficacy of a protective colostomy in preventing complications following reconstructive plastic surgery for SCI patients.
To compare outcomes between patients with and without a protective colostomy.

Main Methods:

A case-control observational study involving 45 patients with SCI and Grade 3 or 4 pressure injuries.
Experimental group: Underwent protective colostomy. Control group: Received direct lesion reconstruction.
Statistical analysis included Fisher's exact test and Student's t-test to compare outcomes.

Main Results:

The protective colostomy group showed a significantly lower complication rate (17.65%) compared to the control group (44.44%) (p < 0.05).
Significant differences were observed in the number of lesions healed within 30 days and the rate of flap infections.
Quality of life outcomes were also positively impacted in the colostomy group.

Conclusions:

Protective colostomy is an effective strategy to prevent local complications after reconstructive surgery in SCI patients.
This approach can reduce long-term hospitalization, healthcare costs, and improve patient quality of life.
The findings support the integration of protective colostomy into the therapeutic protocol for this patient population.