Related Experiment Video
Updated: Apr 25, 2026
07:51
The C-seal: A Biofragmentable Drain Protecting the Stapled Colorectal Anastomosis from Leakage
Published on: November 4, 2010
23.7K
Factors Associated With Lack of Pre-Operative Stoma Site Marking Before Ostomy Surgery
Diego Schaps1, Sabran J Masoud1, Susanna S Hill2
1Department of Surgery, Duke Health System, Durham, North Carolina.
The Journal of Surgical Research
|April 23, 2026
Summary
Preoperative stoma marking is crucial for ostomy surgery, yet approximately 23% of patients undergoing proctectomy were not marked. Lower marking rates were observed in patients with inflammatory bowel disease, benign conditions, Hispanic ethnicity, and non-elective cases.
Area of Science:
- Colorectal Surgery
- Surgical Oncology
- Patient Outcomes
Background:
- Preoperative stoma site marking is a recommended practice for patients scheduled for ostomy surgery.
- However, the specific factors influencing the adherence to this marking protocol remain largely uncharacterized.
- Understanding these factors is essential for improving surgical preparation and patient care.
Purpose of the Study:
- To identify and analyze the demographic, clinical, and operative factors associated with preoperative stoma site marking in patients undergoing proctectomy.
- To determine the prevalence of stoma marking in this patient population and identify subgroups with lower adherence.
Main Methods:
- Analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP)-Proctectomy database from 2016 to 2022.
- Inclusion of patients undergoing procedures with planned ostomy creation.
- Statistical methods included Chi-square tests, univariable, and multivariable logistic regression to assess factors associated with preoperative stoma site marking.
Main Results:
- Out of 22,394 patients, 76.8% received preoperative stoma marking.
- Marking rates significantly varied by diagnosis (cancer vs. inflammatory bowel disease vs. benign), with lower rates for inflammatory bowel disease and benign pathologies.
- Non-elective cases (61.1%) had considerably lower marking rates than elective cases (77.9%).
- Multivariable analysis revealed lower odds of marking for inflammatory bowel disease, benign diagnoses, Hispanic ethnicity, non-elective status, and diverting ostomies.
Conclusions:
- A significant proportion of patients (approximately 23%) undergoing proctectomy with ostomy creation did not have preoperative stoma site marking.
- Adherence to stoma marking was notably lower in patients with inflammatory bowel disease, benign indications, Hispanic ethnicity, and those undergoing non-elective surgery.
- These findings highlight disparities in preoperative stoma marking and suggest areas for targeted quality improvement initiatives.
Related Concept Videos
01:24Ostomy Care
3.2K
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:
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:
3.2K
01:26Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
1.2K
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
1.2K
01:25Peptic Ulcer Disease V: Surgical Management and Nursing Care
1.3K
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
1.3K
01:21Inflammatory Bowel Disease V: Surgical Management
909
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:
Here are some common surgical interventions for IBD:
909
01:23Peripheral Artery Disease V: Postoperative Nursing Management
624
During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
624
01:16Tracheostomy Care I: Pre-procedural Steps
2.2K
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Required Equipment
The equipment necessary for tracheostomy care includes:
2.2K