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Complications - Colostomy (sigmoidostomy) creation, double-barreled, laparoscopic

  1. Intraoperative Complications

    Marked site unusable due to anatomical conditions in situ

    • Relocation to a site less accessible or more bothersome for the patient
    • Preoperative marking of an alternative site by the stomatherapist

    Inability to locate the previously marked excision site

    • Marking with a waterproof pen
    • Careful preoperative sterile washing of the patient

    Injuries to other sections of the intestine

    • Locate the injured site and suture

    Injuries to vessels

    • Avoid tension on the mesentery

    Injuries due to trocar positioning

    • Trocar insertion under direct vision
    • Mini-laparotomy

    Thermal damage to the intestine or skin

    • Avoidance of monopolar coagulation

    Obstruction of stoma placement due to adhesions (also in open technique)

Postoperative Complications

General ComplicationsGeneral surgical risks (bleeding, rebleeding, thrombosis, embolism, HIT)Subcut

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