A SURVEY OF TECHNICAL CONSIDERATIONS IN THE CONSTRUCTION OF INTESTINAL STOMAS

  • 1 January 1985
    • journal article
    • research article
    • Vol. 51  (8) , 462-465
Abstract
Reported complication rates for the construction of intestinal stomas are high. Many of these complications result from improper construction, improper location or other technical errors. To sample the techniques of stoma construction currently in use, a survey was conducted at the 69th Annual Clinical Congress of the American College of Surgeons in Atlanta [Georgia, USA] in conjunction with the scientific exhibit "Complications of Intestinal Stomas." A total of 245 surgeons completed the questionnaire with a mean age of 47.8 yr. The routine use of fascial-seromuscular tacking sutures and primary maturation of a loop colostomy in the presence of distal obstruction were among the most controversial technical points considered. Many other subtle but important principles of stoma construction were also discussed. Many of the techniques currently in use result from an underemphasis on the importance of proper stoma construction in many surgical training programs.

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