ABSTRACT
Although the advent of restorative proctocolectomy and stapled low anterior anastomosis has lessened the need for permanent ileostomy and permanent end colostomy, the abdominal stoma still serves a critical function in the management of benign and malignant diseases. Currently, approximately 100,000 patients undergo stoma surgery in the United States, annually (1). Many of these patients will have major complications from the operation, and all of them will experience at least some problems as a result of the stoma. These problems are biopsychosocial in nature and may include surgical complications, peristomal skin complications, and problems with odor, noise, anxiety, depression, sexual dysfunction, and social isolation (2-4). The judicious assessment of the need for the stoma, careful surgical technique, and skilled enterostomal nursing are essential for a satisfactory outcome.
