Maydón GHG, Hernández VFX, Esparza IR, Belmonte MC

Language: Spanish
References: 16
Page: 205-209
PDF size: 45.11 Kb.

ABSTRACT

Introduction: A stoma is the surgical opening between a hollow viscus and the body surface. Better techniques and available equipment for minimally invasive surgery have popularized stoma uses and indications. Indications: The main indication for an intestinal stoma is the diversion of its contents, and most of them are temporary. Technical aspects: Adequate surgical technique and site selection are fundamental in order to prevent complications. The same basic principles are used in open and minimally invasive surgery. A viable and tension free intestinal segment should be used for stomal construction. Complications: Surgical technique importantly influences the incidence of mechanical complications, which are related with skin problems, prolapse, retraction and parastomal hernia. Any complication that compromises function requires surgical intervention. Recent technical improvements: An Alexis retractor can be used in obese patients to ease exposure. Prophylactic use of mesh to prevent parastomal hernias has been studied recently, but further clinical trials are needed in order to make a definitive recommendation. Conclusions: Use of laparoscopic techniques for stoma creation have shown to be safe and effective. The knowledge of precise indications and available techniques is capital in order to prevent stoma related complications.

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