Complications of stomas

Complications of stomas

Stoma complications are underestimated and common ( Summary box 74.6 ). On occasion, these complications require surgical revision. Sometimes, this can be achieved with an incision immediately around the stoma, but on occasion reopening the abdomen and freeing up the stoma may be necessary . Repair of parastomal hernias is particularly tech nically challenging and the recurrence rate is high. Simple suture of the parastomal hernia is associated with an almost 100% risk of recurrence and transfer to the opposite side of the abdomen, or insertion of a piece of prosthetic material within the abdominal wall around the stoma may be necessary (see Chapter 64 ). Summary box 74.6 Stoma complications /uni25CF /uni25CF /uni25CF /uni25CF /uni25CF /uni25CF /uni25CF /uni25CF -

Figure 74.8 Spouted ileostomy in the right iliac fossa. Skin irritation Stenosis Prolapse Parastomal hernia Retraction Bleeding Ischaemia Fistulation