Patterns of Stoma-Related Complications: Six-Year Real-World Data from 1002 Patients in a Tertiary Care Centre
Indian Journal of Surgery, 2026 (SCI-Expanded, Scopus)
- Yayın Türü: Makale / Tam Makale
- Basım Tarihi: 2026
- Doi Numarası: 10.1007/s12262-026-04666-z
- Dergi Adı: Indian Journal of Surgery
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CINAHL, Academic Search Ultimate (EBSCO), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest), Pharma Collection (ProQuest)
- Anahtar Kelimeler: Stoma, Ileostomy, Colostomy, Urostomy, Complications
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Objective: Stoma-related complications remain a significant source of morbidity, impaired quality of life, and increased healthcare costs despite advances in surgical techniques and perioperative care. Large-scale data describing complication patterns in centres with specialised stoma care services are limited. This study aimed to evaluate the hospital-documented frequency, distribution, and stoma-type–specific patterns of stoma-related complications over six years in a tertiary care hospital. Methods: A retrospective descriptive study was conducted including 1002 adult patients who underwent stoma formation between January 2019 and December 2024 in a tertiary care hospital. Data were obtained from hospital electronic records and standardised stoma follow-up forms completed by stoma and wound care nurses. Sociodemographic characteristics, stoma indications, stoma types, operative conditions, stoma site marking, and documented complication data were analysed. Descriptive statistics were used, and associations between stoma type and specific complications were evaluated using chi-square tests. Results: The mean age of the patients was 62.21 ± 13.19 years, and 64.9% were male. Ileostomy was the most frequently performed stoma type (41.1%), and 67% of stomas were temporary. Overall, 13.2% of patients had at least one hospital-documented stoma-related complication. Peristomal skin complications accounted for 9.6% of cases, with irritant dermatitis being the most common finding (4.8%). Stomal complications were observed in 5.2% of patients, most frequently stoma necrosis and retraction (1.5% each). Ileostomy was significantly associated with irritant dermatitis, while colostomy was significantly associated with parastomal hernia (p < 0.05). Conclusion: In this large single-centre retrospective series, the findings describe the specific hospital-documented frequency of stoma-related complications within our center. These findings reflect patterns recorded within a structured nurse-led follow-up system, rather than a cumulative incidence, and must be interpreted cautiously because follow-up duration was not standardized and complications treated outside the study centre may not have been captured. Structured stoma care and targeted monitoring, particularly in high-risk stoma types, may contribute to early detection and management of complications.