대장조루술 시 수술 전 장루위치 표시의 의의
The Significance of Preoperative Stoma Site Marking
최평화, 유창식, 조영규, 홍현기, 이혜옥, 김미숙, 김희철, 김진천,
소속 상세정보
최평화 ( Choi Pyong-Wha )
울산대학교 의과대학 외과학교실
유창식 ( Yu Chang-Sik )
울산대학교 의과대학 외과학교실
조영규 ( Cho Young-Kyu )
울산대학교 의과대학 외과학교실
홍현기 ( Hong Hyun-Ki )
울산대학교 의과대학 외과학교실
이혜옥 ( Lee Hae-Ok )
울산대학교 의과대학 외과학교실
김미숙 ( Kim Mi-Sook )
울산대학교 의과대학 외과학교실
김희철 ( Kim Hee-Cheol )
울산대학교 의과대학 외과학교실
김진천 ( Kim Jin-Cheon )
울산대학교 의과대학 외과학교실
KMID : 0356720010170060289
Abstract
Purpose: The complication after colostomy formation may place undue hardship and emotional trauma on the ostomates. The purpose of this study was to find the effect of preoperative stoma site marking on postoperative stoma related complication.
Methods: We recruited 127 colostomy patients who underwent sigmoid or descending end colostomy, by elective operation. Transverse colostomy, loop colostomy, and emergency operation were excluded in this study. We divided the patients into two groups according to preoperative stoma site marking by an enterostomal therapist. Postoperative stoma related complications were compared and analysed prospectively using chi-square test and paired t-test. Significance was assigned to a P value of <0.05.
Results: Among 127 patients, 49 were marked preoperatively (marking group) while 78 were not marked (non-marking group). Overall stoma related complications were developed in 32 (25%) cases. major complications including prolapse, parastomal hernia, stenosis were developed in 10 (8%) cases and minor complications including peristomal dermatitis and wound infection were developed in 22 (17%) cases. Stoma related complicatons were developed in 7 (14%) cases in the marking group and 25 (32%) cases in the non-marking group (P<0.05). Major complications were developed in 2 (4%) cases in the marking group and 8 (10%) cases in the non-marking group. Minor complications were developed in 5 (10%) cases in the marking group and 17 (22%) cases in the non-marking group. However, the difference in major and minor complications between the groups was not statistically significant. Of minor complications in the non-marking group, 9 (53%) cases due solely to postoperative frequent stool leakage caused by inappropriate location of the stoma. However, in the marking group, postoperative stool leakage was not observed.
Conclusions: Preoperative stoma site marking by an enterostomal therapist may reduce postoperative stoma
related complication. All elective procedure that result in stoma formation should be assessed and marked preoperatively.
키워드
장루 합병증;장루위치 표시
Stoma complication;Stoma site marking
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