Stomas should be considered as distinct organ since it has its own anatomy (made by the surgeon), physiology (strictly dependent on the gastrointestinal tract) and pathophysiology (variable and present in approximately 30% of patients with colostomy or ileostomy) . The construction of a stoma, considered a simple surgical procedure, is associated with a high rate of complications. This should convince the surgeon that these complications must be prevented at the time of stoma construction “since quality is not due to chance, but it is always the result of intelligent efforts” (J. Ruskin, art critic, 1819–1900). Therefore, stomal complications should be avoided, even when the stoma is initially presented to the patient as a temporary situation (50% of the patients will never undergo bowel reconstruction).
KeywordsIncisional Hernia Rectus Muscle Bowel Loop Parastomal Hernia Marlex Mesh
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