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Fundamentals of Rectal Cancer SurgeryFundamentals of Rectal Cancer Surgery

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Ostomy Complications and Management

Ostomy Complications and Management is a topic covered in the Fundamentals of Rectal Cancer Surgery.

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Anatomy and Embryology of the Colon, Rectum, and AnusAnatomy and Embryology of the Colon, Rectum, and Anus

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Many rectal cancer patients require a temporary or permanent ostomy. Unfortunately, operations that involve an ostomy have high complication rates compared to other types of surgery. National Surgical Quality Improvement Program data showed a 37% complication rate for elective cases involving an ostomy.[1] Ostomy-specific complications, including difficulties with pouching and local complications are even more common, and may profoundly affect patients’ quality of life (Figure 4.1).[2] Rates of ostomy problems have been shown to vary by hospital, suggesting the potential for improvements in the technical aspects of ostomy creation, as well as the quality of perioperative care.[2]

Figure 4.1
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Many rectal cancer patients require a temporary or permanent ostomy. Unfortunately, operations that involve an ostomy have high complication rates compared to other types of surgery. National Surgical Quality Improvement Program data showed a 37% complication rate for elective cases involving an ostomy.[1] Ostomy-specific complications, including difficulties with pouching and local complications are even more common, and may profoundly affect patients’ quality of life (Figure 4.1).[2] Rates of ostomy problems have been shown to vary by hospital, suggesting the potential for improvements in the technical aspects of ostomy creation, as well as the quality of perioperative care.[2]

Figure 4.1
Descriptive text is not available for this image

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Last updated: September 21, 2021

Citation

"Ostomy Complications and Management." Fundamentals of Rectal Cancer Surgery, 2021. ASCRS U, www.ascrsu.com/ascrs/view/Fundamentals-of-Rectal-Cancer-Surgery/2831029/all/Ostomy Complications and Management.
Ostomy Complications and Management. Fundamentals of Rectal Cancer Surgery. 2021. https://www.ascrsu.com/ascrs/view/Fundamentals-of-Rectal-Cancer-Surgery/2831029/all/Ostomy Complications and Management. Accessed March 21, 2023.
Ostomy Complications and Management. (2021). In Fundamentals of Rectal Cancer Surgery https://www.ascrsu.com/ascrs/view/Fundamentals-of-Rectal-Cancer-Surgery/2831029/all/Ostomy Complications and Management
Ostomy Complications and Management [Internet]. In: Fundamentals of Rectal Cancer Surgery. ; 2021. [cited 2023 March 21]. Available from: https://www.ascrsu.com/ascrs/view/Fundamentals-of-Rectal-Cancer-Surgery/2831029/all/Ostomy Complications and Management.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Ostomy Complications and Management ID - 2831029 Y1 - 2021/09/21/ BT - Fundamentals of Rectal Cancer Surgery UR - https://www.ascrsu.com/ascrs/view/Fundamentals-of-Rectal-Cancer-Surgery/2831029/all/Ostomy Complications and Management DB - ASCRS U DP - Unbound Medicine ER -
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Grapherence® [↑6]
    • Fundamentals of Rectal Cancer Surgery
    • Background
    • Rectal Anatomy
    • Rectal Cancer Biology and Hereditary Cancer Syndromes
    • Rationale for Multi-Modality Therapy
    • Preoperative Issues
    • Preoperative Staging
    • Role of Tumor Board
    • Indications for Preoperative Neoadjuvant Therapy
    • Local Excision
    • Indications for LAR Versus Intersphincteric Resection Versus APR
    • Indications for Extended Resection
    • Preoperative Preparation
    • Interoperative
    • Patient Positioning and Equipment for Rectal Cancer Surgery
    • Inferior Mesenteric Artery
    • Inferior Mesenteric Vein (IMV)
    • Splenic Flexure Mobilization
    • Surgical Techniques for Length
    • Technique of Total Mesorectal Excision (TME)
    • Tailored Mesorectal Excision (TME)
    • Bowel Transection and Anastomosis
    • Indications for Fecal Diversion
    • Abdominoperineal Resection
    • Standardized Operative Report
    • Management of Intraoperative Vascular and Urinary Complications
    • Postoperative Issues
    • Rectal Cancer Pathology Assessment
    • Adjuvant Therapy for Rectal Adenocarcinoma
    • Surveillance After Rectal Cancer Treatment
    • Management of Local Recurrences
    • Short-Term Complications - Anastomotic
    • Short-Term Complications - Urinary
    • Ostomy Complications and Management
    • Long-Term Complications – Bowel Dysfunction
    • Long-Term Complications - Sexual Dysfunction and Its Management
    • Parastomal and Perineal Hernias
    • Impact of Postoperative Complications On Oncologic Outcomes
    • Course Complete
    • Final Assessment
Grapherence® [↑6]
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Related Topics

  • Ostomy Surgery
  • Management of Rectal Cancer
  • Intestinal Stomas
  • Ulcerative Colitis: Surgical Management
  • Anastomotic Complications
  • Benign Colorectal Disease Trauma of the Colon and Rectum
more...
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