Retrospective analysis of stoma-related complications

Objective: One of the few factors, that affect life of people have stoma negatively, are complications developing in tissues where placed stomas or near stomas. We aimed to evaluate the stoma practices performed frequently in our clinic. Methods: Between January 2008 and December 2011, the records of 96 patients who had stoma retrospectively. Factors indication for stoma, emergency procedure, pre­operative stoma, type of stoma and complications siting recorded. Results: Ninety-six stoma patients were examined. Of them 66 (68%) of them was male, 30 (32%) of them was female. The mean age was 58.8±12.6 years. The most common colostomy patients were diagnosed obstruction of colon(66%) and ileostomy patients were diagnosed anastomosis protective ((75%). The most common type of stoma were as follows 54 loop colostomy, 16 end co­lostomy, 10 tube gastrostomy and 7 loop ileostomy. The overall complication rate was 48%. Both elective and emergency stomas had similar complication rates. The most common complication included peristomal skin ir­ritation (63%), peristomal infection (25%) and prolapse (5%) The stoma with the highest complications rate was loop colostomy (57%). Conclusion: In our opinion, mortality and morbidity of stomas may be decreased with the meticulous surgical principle, regular follow- up and patient education.