Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2017 Jul;30(3):157-161.
doi: 10.1055/s-0037-1598155. Epub 2017 May 22.

Preoperative Considerations for the Ostomate

Molly A Wasserman  1 , Michael F McGee  1
Affiliations
Review

Preoperative Considerations for the Ostomate

Molly A Wasserman et al. Clin Colon Rectal Surg. 2017 Jul.

Abstract

Intestinal stomas significantly impact patients' quality of life. Stoma-related complications are common, but even without complications, patients are faced with new challenges in stoma management and daily activities. Preoperative patient education and stoma site marking, in conjunction with conscientious surgical stewardship, are key to patient satisfaction and successful operative outcomes.

Keywords: enterostomal therapist; patient education; stoma; stoma complications; stoma site marking.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
Preoperative stoma citing. ( A – D) Technical aspects of conscientious stoma citing. (A) Clothing overlying the abdomen is removed and the patient is evaluated in the sitting position with attention to the abdominal contour, body habitus, bony prominences, scars, abdominal folds, waistline, and beltline. Attention to siting the stoma within the rectus abdominis muscle (B) and away from bony prominences (e.g., rib cage) (C) will reduce hernia formation and facilitate successful stoma appliance application. (D) If there is the potential for creation of multiple stomas, attention to siting the stomas on different horizontal planes is essential.
See this image and copyright information in PMC

References

    1. United Ostomy Associations of AmericaAvailable athttp://www.ostomy.org/Home.html. Accessed September2015
    1. American Cancer Society.Cancer Facts & Figures 2016Available athttp://www.cancer.org/acs/groups/content/@research/documents/document/ac.... Accessed April 5, 2016
    1. Turnbull G B. Ostomy statistics: the $64,000 question. Ostomy Wound Manage. 2003;49(06):22–23. - PubMed
    1. Salvadalena G.Incidence of complications of the stoma and peristomal skin among individuals with colostomy, ileostomy, and urostomy: a systematic review J Wound Ostomy Continence Nurs 20083506596–607., quiz 608–609 - PubMed
    1. Cottam J, Richards K, Hasted A, Blackman A. Results of a nationwide prospective audit of stoma complications within 3 weeks of surgery. Colorectal Dis. 2007;9(09):834–838. - PubMed