Stomakomplikationen - Korrekturverfahren

Translated title of the contribution: Stoma complications - Surgical repair

Frank Fischer*, Hans Peter Bruch, Uwe Roblick, Sibylle Ebert, Claudia Benecke, Thomas H.K. Schiedeck

*Corresponding author for this work


Background: Despite the progress of surgical technique, cumulative rates of complications after stoma construction up to 70% have been reported. It is therefore apparent that correcting procedures are a focus of surgeons interest. A well functioning stoma will preserve independence and complete socialisation of the patient. Preoperatively, the patient should be informed in details by an especially trained stomatherapist. The stoma should be positioned in distance to the umbilicus, iliac spine, costal arch, or operation wounds. The stoma site brings out the bowel through the rectus muscle without any tension, while the diameter amounts to two fingers. Constitutional faults or stoma construction at itself as a locus minoris resistentiae may further stoma complications. Besides stomal prolapse, stenosis and retraction, the peristomal herniation is the most common complication after stoma construction. Surgical repair contains local procedures, which leave the stoma where it is, stoma relocation and augmentation of the abdominal wall by alloplastic meshes. Own Data: From 1997 to 2002 631 stomata were created, while 23 stomata had to be corrected. There are satisfactory results with low complication rate. Conclusion: There are different procedures to correct stoma complications, while the risk of complications increases with each new intervention. Great care should be taken when a stoma is created in order to guarantee a high functionality combined with a minimized rate of complication.

Translated title of the contributionStoma complications - Surgical repair
Original languageGerman
Issue number2
Pages (from-to)79-86
Number of pages8
Publication statusPublished - 04.2003

Research Areas and Centers

  • Research Area: Luebeck Integrated Oncology Network (LION)


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