PapersFlow Research Brief
Stoma care and complications
Research Guide
What is Stoma care and complications?
Stoma care and complications refers to the clinical management of ostomies and the associated issues such as parastomal hernias, peristomal skin problems, and impacts on quality of life in patients following surgeries like proctocolectomy or pelvic evisceration.
Research on stoma care and complications encompasses 24,039 works addressing parastomal hernias, ostomy patient quality of life, stoma education, peristomal skin issues, psychological adjustment, and techniques like laparoscopic repair and prophylactic mesh. Studies examine complications in colorectal cancer survivors and the efficacy of mesh versus suture repairs for related hernias. Growth rate over the past five years is not available in the provided data.
Topic Hierarchy
Research Sub-Topics
Parastomal Hernia Prevention and Repair
Researchers evaluate prophylactic mesh placement and surgical techniques for hernia reduction. Studies compare open vs laparoscopic repairs and long-term recurrence rates.
Peristomal Skin Complications Management
Focuses on etiology, prevention, and treatment of skin disorders around stomas. Clinical trials assess pouching systems, topical agents, and nursing interventions.
Quality of Life in Ostomy Patients
Studies use validated scales to measure physical, social, and emotional impacts post-stoma formation. Longitudinal research tracks adaptation and intervention effects.
Psychological Adjustment to Stoma
Examines anxiety, depression, and body image changes in stoma patients. Interventions include counseling and support groups evaluated via RCTs.
Stoma Education and Patient Training
Researchers develop and test educational programs for self-management skills. Evaluations measure knowledge retention, complication rates, and satisfaction.
Why It Matters
Stoma care and complications directly affect surgical outcomes in procedures such as proctocolectomy for ulcerative colitis, where Parks and Nicholls (1978) described excising disease-prone mucosa while avoiding permanent ileostomy, reducing long-term management burdens. Mesh repair outperforms suture repair for incisional hernias, with Luijendijk et al. (2000) reporting lower recurrence rates regardless of hernia size in a New England Journal of Medicine study involving midline abdominal hernias. Leber (1998) identified long-term issues with polyester mesh in incisional hernia repairs, advising against its use, which informs safer prosthetic choices in stoma-related hernia management. Mudge and Hughes (1985) found an 11% incidence of incisional hernia one year post-major abdominal surgery in 337 followed patients, highlighting the need for vigilant postoperative monitoring to prevent stoma complications.
Reading Guide
Where to Start
'A Comparison of Suture Repair with Mesh Repair for Incisional Hernia' by Luijendijk et al. (2000) because it provides foundational evidence on mesh superiority for hernia repair relevant to parastomal complications, with clear recurrence data suitable for newcomers.
Key Papers Explained
Luijendijk et al. (2000) in 'A Comparison of Suture Repair with Mesh Repair for Incisional Hernia' establishes mesh repair's lower recurrence for incisional hernias, which Leber (1998) in 'Long-term Complications Associated With Prosthetic Repair of Incisional Hernias' builds on by warning against polyester mesh. Mudge and Hughes (1985) in 'Incisional hernia: A 10 year prospective study of incidence and attitudes' quantifies 11% incidence post-surgery, informing prevention needs addressed in Parks and Nicholls (1978) 'Proctocolectomy without ileostomy for ulcerative colitis.' Bricker (1950) 'Bladder Substitution After Pelvic Evisceration' complements by covering urinary aspects in stoma-involved pelvic procedures.
Paper Timeline
Most-cited paper highlighted in red. Papers ordered chronologically.
Advanced Directions
Current research emphasizes prophylactic mesh, psychological adjustment in ostomy patients, and peristomal skin management, as indicated by the cluster description, though no recent preprints or news are available.
Papers at a Glance
| # | Paper | Year | Venue | Citations | Open Access |
|---|---|---|---|---|---|
| 1 | A Comparison of Suture Repair with Mesh Repair for Incisional ... | 2000 | New England Journal of... | 1.8K | ✕ |
| 2 | Proctocolectomy without ileostomy for ulcerative colitis. | 1978 | BMJ | 1.3K | ✓ |
| 3 | Bladder Substitution After Pelvic Evisceration | 1950 | Surgical Clinics of No... | 1.2K | ✕ |
| 4 | Incisional hernia: A 10 year prospective study of incidence an... | 1985 | British journal of sur... | 1.0K | ✕ |
| 5 | Long-term Complications Associated With Prosthetic Repair of I... | 1998 | Archives of Surgery | 908 | ✕ |
| 6 | Global Guidelines for the Prevention of Surgical Site Infection | 2016 | Open Access CRIS of th... | 889 | ✓ |
| 7 | Level of aspiration. | 2004 | American Psychological... | 878 | ✕ |
| 8 | Sarcopenia is associated with postoperative infection and dela... | 2012 | British Journal of Cancer | 790 | ✓ |
| 9 | The ‘Holy Plane’ of Rectal Surgery | 1988 | Journal of the Royal S... | 786 | ✓ |
| 10 | Definition of standardized nutritional assessment and interven... | 1996 | Nutrition | 675 | ✕ |
Frequently Asked Questions
What is the advantage of mesh repair over suture repair for incisional hernias related to stomas?
Luijendijk et al. (2000) showed in 'A Comparison of Suture Repair with Mesh Repair for Incisional Hernia' that mesh repair is superior to suture repair for midline abdominal incisional hernias with lower recurrence rates regardless of hernia size. This finding applies to parastomal hernia management. The study was published in the New England Journal of Medicine.
How does proctocolectomy without ileostomy benefit ulcerative colitis patients with stomas?
Parks and Nicholls (1978) in 'Proctocolectomy without ileostomy for ulcerative colitis' developed a procedure that removes all disease-prone mucosa by excising the colon and upper rectum while stripping inflamed mucosa from the rectal stump to the dentate line. This avoids the need for a permanent ileostomy. The technique was reported in the BMJ.
What is the incidence of incisional hernia after major abdominal surgery?
Mudge and Hughes (1985) conducted a 10-year prospective study in 'Incisional hernia: A 10 year prospective study of incidence and attitudes' on 564 patients, finding 37 out of 337 completing 10-year follow-up (11%) had incisional hernias one year post-surgery. This underscores risks relevant to stoma sites. The work appeared in the British Journal of Surgery.
Why avoid polyester mesh in incisional hernia repairs near stomas?
Leber (1998) concluded in 'Long-term Complications Associated With Prosthetic Repair of Incisional Hernias' that polyester mesh should no longer be used due to associated long-term complications. This guides prosthetic selection for parastomal hernia repairs. The study was published in Archives of Surgery.
What role does bladder substitution play in stoma-related pelvic surgeries?
Bricker (1950) described bladder substitution after pelvic evisceration in 'Bladder Substitution After Pelvic Evisceration,' addressing urinary management in procedures that may involve stomas. This technique supports continence in complex cases. It was published in Surgical Clinics of North America.
What complications arise from prosthetic incisional hernia repairs?
Leber (1998) detailed long-term complications in 'Long-term Complications Associated With Prosthetic Repair of Incisional Hernias,' recommending against polyester mesh. These issues impact stoma care strategies. Findings were reported in Archives of Surgery.
Open Research Questions
- ? How effective is prophylactic mesh in preventing parastomal hernias across diverse patient populations?
- ? What psychological adjustment factors most influence quality of life in long-term ostomy patients?
- ? Which laparoscopic repair techniques minimize peristomal skin complications and recurrence rates?
- ? How do stoma education programs impact complication rates in colorectal cancer survivors?
- ? What are the optimal management strategies for parastomal hernias in sarcopenic patients undergoing colorectal surgery?
Recent Trends
The field maintains 24,039 works with no specified five-year growth rate; persistent focus remains on parastomal hernias, prophylactic mesh, and quality of life per the provided data, with no recent preprints or news altering directions from top-cited papers like Luijendijk et al. .
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