Complications of ostomy surgery are rare if proper care guidelines are followed. Common complications include skin irritation, hernias, and infections. Mucocutaneous separation and stoma strictures are also possible. Proper patient education can prevent many complications, and any concerns should be discussed with a doctor.
Complications of ostomy surgery are relatively rare provided the patient follows proper care guidelines given by medical staff and keeps all doctor’s appointments as scheduled. Irritation on and around the surgical site is the most commonly reported complication and is usually easy to remedy. More serious ostomy complications can include developing a hernia or a skin infection. Conditions known as mucocutaneous separation or stoma strictures are also possible. Any questions or concerns about individual ostomy complications should be discussed with a doctor or other medical professional.
Skin irritation or the development of a skin infection are among the most common ostomy complications. Mild skin irritation occurs frequently and can usually be treated by keeping it clean and using over-the-counter topical creams or ointments. Redness, swelling, or discharge from the stoma site may indicate the presence of an infection. Oral and topical antibiotics are usually sufficient to treat mild infections, although more serious infections may require a short hospital stay. Occasionally, additional surgery may be needed if the infection spreads to other areas of the body.
Hernias can sometimes occur as a complication of a stoma. A hernia occurs when part of the intestine protrudes through a hole in the abdominal wall. Surgery is often needed to repair a hernia in order to prevent more serious complications from occurring. This type of surgery usually involves placing a mesh material between the intestines and the abdominal wall in an attempt to keep the intestines in the correct position.
Additional ostomy complications may include mucocutaneous separation or ostomy stricture. Mucocutaneous separation occurs when the skin surrounding the stoma doesn’t heal properly and begins to tear away from the stoma. In stoma stricture, the stoma opening narrows, making it difficult for stool to pass. Surgery is typically needed to treat both of these conditions.
With proper patient education, many ostomy complications can be avoided. Medical personnel will instruct the patient on how to properly care for the stoma and surrounding areas. Any questions or difficulties should be reported to a doctor immediately so that complications such as irritation and infection do not occur. Even with proper care, some ostomy complications are possible. For this reason, any new or persistent problems should be discussed with a doctor so that individual concerns can be addressed and treated as quickly as possible.
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