Late complications in patients with intestinal ostomies who underwent a preoperative site marking

Magali Thum,Aline Balista,Pamella Lucas,Ana Beatriz Morita,Ednalda Franck,Maria Angela Boccara De Paula

doi:10.30886/estima.v16.660_in

Abstract

Objectives: Describe late complications related to intestinal ostomies in patients undergoing a preoperative site marking. Method: Descriptive study with a quantitative approach. The convenience sample and was composed of 15 people with intestinal ostomies who underwent a preoperative site marking. Data collection was performed between January and March 2014 through a pre-established script that guided the physical examination and a questionnaire containing 13 questions related to the sociodemographic profile, diagnosis, and preoperative site marking. Results: It was verified that in 13 (87.7%) people who had site marked ostomies, it was located at a distance of more than 5 cm of surgical scars, iliac crest, umbilical scar, and waistline. Two people with ileostomy (13.3%) had intestinal loop protrusion short of recommended. Regarding postoperative complications, three participants (20%) presented peristomal dermatitis and one (6.7%), in addition to dermatitis, prolapse of the ostomy. Conclusion: The study showed that the postoperative complications reported by patients who underwent a preoperative stomatal site marking were poorly observed and that these was consisted of peristomal dermatitis and prolapse of the ostomy.

Highlights

The procedure of preoperative site marking of intestinal ostomies, with its importance to prevent complications, was defined by the United Ostomy Association (UOA), in 1993, as one of the rights of the person with an ostomy[1].The site marking consists of the procedure of choosing the best place for exteriorization of the future ostomy, being pointed as an impacting factor in the physical and emotional rehabilitation of the patient[2], because it favors better conditions for self-care and reduces the chances of leakage of the effluent to the skin, thereby reducing the incidence of peristomal lesions
Descriptive research with a quantitative approach, performed with people who lived with an ostomy and underwent a preoperative site marking registered in an association of people with ostomies from the interior of the state of São Paulo (Brazil)
The telephone interview was guided by a previously established script: initially, the purpose of the contact was presented and the participant was invited to answer two questions – the first was to ask whether the person had been undergoing a preoperative site marking of the ostomy; if not, the call was ended at this time; if so, the person was invited to participate in the study

Summary

Introduction

The procedure of preoperative site marking of intestinal ostomies, with its importance to prevent complications, was defined by the United Ostomy Association (UOA), in 1993, as one of the rights of the person with an ostomy[1]. The site marking consists of the procedure of choosing the best place for exteriorization of the future ostomy, being pointed as an impacting factor in the physical and emotional rehabilitation of the patient[2], because it favors better conditions for self-care and reduces the chances of leakage of the effluent to the skin, thereby reducing the incidence of peristomal lesions. Between the first and the seventh postoperative day, early complications such as ostomy retraction and cutaneomucous separation may occur. Late complications can occur, such as intestinal loop prolapse, stomatal stenosis, stomatal retraction, and paraestomic hernia[7,8]

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Conclusion