Ostomy Complications and Management
Many rectal cancer patients require a temporary or permanent ostomy. Operations that include an ostomy have high complication rates compared to operations without an ostomy. National Surgical Quality Improvement Program data showed a 37% complication rate for elective cases that include an ostomy. Ostomy-specific complications, including difficulties with pouching, appliance leakage, and local complications are even more common, and may profoundly affect quality of life (Figure 4.1). Ostomy complication rates vary by hospital, suggesting the potential for improvement in the technical aspects of ostomy creation, as well as the quality of perioperative care.
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