Shellito P C
Massachusetts General Hospital, and Department of Surgery, Harvard Medical School, Boston, USA.
Dis Colon Rectum. 1998 Dec;41(12):1562-72. doi: 10.1007/BF02237308.
This study was undertaken to review and summarize the complications of ileostomy and colostomy creation and subsequent closure.
The English-language medical literature for at least the past 15 years was reviewed comprehensively.
Complications of surgery for the creation of end, loop, and "end loop" stomas are presented. Technical factors, which might influence complication rates, are discussed. Optimal management of ostomy complications is presented, especially for peristomal hernias. Similarly, techniques and complications for stoma closure are analyzed.
Stoma creation is not a trivial undertaking; careful surgical technique minimizes complications (which are relatively frequent), and promotes good ostomy function. Peristomal hernias are difficult to cure permanently. The morbidity of ileostomy and colostomy closure is also appreciable.
本研究旨在回顾和总结回肠造口术和结肠造口术创建及后续关闭的并发症。
全面回顾了至少过去15年的英文医学文献。
介绍了末端、袢式和“端袢式”造口创建手术的并发症。讨论了可能影响并发症发生率的技术因素。提出了造口并发症的最佳管理方法，尤其是对于造口旁疝。同样，分析了造口关闭的技术和并发症。
造口创建并非小事；谨慎的手术技术可将并发症（相对常见）降至最低，并促进良好的造口功能。造口旁疝难以永久治愈。回肠造口术和结肠造口术关闭的发病率也相当可观。
