Kalev Georgi, Marquardt Christoph, Schiedeck Thomas
Klinik für Allgemein‑, Viszeral‑, Thorax- und Kinderchirurgie Klinikum Ludwigsburg, Posilipostraße 4, 71640, Ludwigsburg, Deutschland.
Chirurg. 2022 Apr;93(4):415-426. doi: 10.1007/s00104-021-01438-1. Epub 2021 Jun 17.
Postoperative complications after the creation of an intestinal stoma have a considerable impact on the patient's quality of life. The accurate surgical technique is very important for their prevention and requires profound surgical knowledge as well as sufficient experience. The importance of the preoperative consultation as well as the postoperative care by stoma therapists is clearly proven. Depending on the severity of the complication, outpatient conservative treatment is initially indicated. A surgical local revision or laparotomy should only be considered if conservative treatment is no longer sufficient, whereby the indications for surgery should be set very cautiously. This article provides an overview of the current evidence regarding the prevention and treatment of postoperative stoma complications.
肠道造口术后的并发症对患者的生活质量有相当大的影响。精确的手术技术对预防这些并发症非常重要，这需要深厚的外科知识以及丰富的经验。术前咨询以及造口治疗师的术后护理的重要性已得到明确证实。根据并发症的严重程度，最初应采用门诊保守治疗。只有在保守治疗不再充分时才应考虑手术局部修复或剖腹手术，手术指征的确定应非常谨慎。本文概述了有关术后造口并发症预防和治疗的当前证据。
