Complications - Ileostomy, construction of - general and visceral surgery
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Intraoperative complications
- Planned stoma site cannot be used because of the intraoperative anatomy→ Relocation to a site that is more uncomfortable or difficult to reach for the patient: preoperative marking of a secondary site by a stoma nurse!
- Failure to find the previously marked stoma site. Mark with waterproof pen, careful preoperative skin disinfection of the patient!
- Injuries to other parts of the bowel : Locate and suture the bowel injury!
- Vascular injuries: Avoid putting traction on the mesentery!
- Injuries caused by trocar positioning: Insert trocars under view, minilaparotomy!
- Thermal injuries to the bowel or skin: Do not use monopolar diathermy!
- Inability to construct the stoma because of adhesions (even with open technique)
Postoperative complications
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