The impact of intestinal stoma formation on patient quality of life after emergency surgery—A systematic review

MacDonald, Scott; Wong, Li‐Siang; John‐Charles, Rachel; McKee, Tracey; Quasim, Tara; Moug, Susan

doi:10.1111/codi.16603

Cited by 3 publications

(1 citation statement)

References 58 publications

(106 reference statements)

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“…The stoma on the anterior abdominal wall, formed both after a scheduled surgical intervention and after an emergency surgery, radically changes the patient's lifestyle and makes his bowel movements uncontrollable. There are complications related to labor, sexuality, restrictions on travel and active recreation, and therefore postoperative adaptation in 70% of cases goes along with a long-term depression [19][20][21]. Lack of information about the availability of colostomy techniques that would meet all the necessary treatment requirements justifies the development and introduction of new techniques for colostomy formation with a pouch closing function.…”

Section: Discussionmentioning

confidence: 99%

Valve Formation during Colostomy by Means of Spherical Implants Based on Titanium Nickelide Both Wrapping and Non-Wrapping the Serous-Muscular Layer of the Intestine

Korobeinikova,

Dambaev,

Anikeev

et al. 2023

Sovrem Tehnol Med

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Imposition of a classic colostomy does not allow to control the passage of intestinal discharge. This shortcoming provides rationale for development of new materials for implants, as well as new techniques for valve formation.The aim of the study is to assess the possibility of using spherical implants based on titanium nickelide both wrapping and non-wrapping the serous-muscular layer of the intestine for valve formation during colostomy.Materials and Methods. Experiments were performed on 45 male Wistar rats with the average body weight of 587±10 g. Depending on the type of surgical intervention, all animals were divided into three groups. In the control group (n=15), a classic end colostomy was formed without spherical implants. In test group 1 (n=15), colostomy was formed using spherical implants made of titanium nickelide with wrapping the serous-muscular layer of the intestine; in test group 2 (n=15), the same procedure was performed without wrapping the serous-muscular layer. To assess the clinical condition of the animals, the authors monitored the body weight dynamics, food and water consumption, signs of discharge from the stoma, and recorded complications. The animals were euthanized on day 7, day 30, and day 60 of the experiment. During necropsy, the condition of the abdominal organs was assessed macroscopically with a special attention to the signs of adhesions. The severity of the inflammatory process in the area of surgical intervention was assessed histologically.Results. The survival rate in three groups was 100%. In the group with the formation of a colostomy non-wrapping the serous-muscular layer, a good effect of regeneration in the stoma area was shown, the connection of the skin flap and the intestinal wall was complete. Macroscopically, adhesions and inflammatory processes of the peritoneum in the control and two test groups were minimal.Conclusion. The present study shows the advantage of experimental modeling of colostomy using spherical titanium nickelide implants non-wrapping the serous-muscular layer of the colon compared to classical formation of colostomy. At that, wrapping the serous-muscular layer of the colon using spherical titanium nickelide implants is behind classical formation of a colostomy.

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Section: Discussionmentioning

confidence: 99%

Valve Formation during Colostomy by Means of Spherical Implants Based on Titanium Nickelide Both Wrapping and Non-Wrapping the Serous-Muscular Layer of the Intestine

Korobeinikova,

Dambaev,

Anikeev

et al. 2023

Sovrem Tehnol Med

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Which treatment strategy is optimal for acute left-sided malignant colonic obstruction? A Bayesian meta-analysis

Ouyang,

Yang,

Yang

et al. 2023

Int J Colorectal Dis

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Factors affecting the quality of life of people with colostoma

Bogdanovic-Vasic,

Savic,

Arandjelovic

et al. 2023

Med pregl

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Introduction. Colon cancer is a public health problem due to its frequency. According to the number of diagnosed cases, it is the third most common malignant tumor in the world in people of both sexes, and even the second most common in terms of mortality. The incidence is higher in developed regions, although increase is recorded in the developing countries due to changes in the living habits of the population. Operation is the method of choice in the disease treatment, and the performance of colostomy affects the patient?s life, although it significantly prolongs it. Material and Methods. Literature review available in scientific databases was used as material in order to present significant results of the latest existing research in the selected area. Results. A wide range of studies conducted to observe the predictive factors, which in different ways affect the quality of life of patients with colostomy, confirm that the psychological aspects of the newly created situation have the most prominent importance in further life. In addition to possible problems with nutrition, stoma care, dressing, physical activity, professional and sexual life, and travel, it seems that coping with stress and changes in physical appearance are the fields on which the most work should be directed by both the family and the patient, as well as members of the medical team. Conclusion. The quality of life of people with colostomy is interference of medical and rehabilitation treatment, and it depends on the patient?s willingness to cooperate during the entire treatment, care and rehabilitation process. All reference bodies and institutions should undertake activities to design a comprehensive strategy for improving life quality, primarily through the prism of improving one?s own body image, functional status, psychological and social support.

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The impact of intestinal stoma formation on patient quality of life after emergency surgery—A systematic review

Cited by 3 publications

References 58 publications

Valve Formation during Colostomy by Means of Spherical Implants Based on Titanium Nickelide Both Wrapping and Non-Wrapping the Serous-Muscular Layer of the Intestine

Valve Formation during Colostomy by Means of Spherical Implants Based on Titanium Nickelide Both Wrapping and Non-Wrapping the Serous-Muscular Layer of the Intestine

Which treatment strategy is optimal for acute left-sided malignant colonic obstruction? A Bayesian meta-analysis

Factors affecting the quality of life of people with colostoma

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