Procedural Guide For Colostomy Cases

Patients who have undergone a colostomy should consult their doctor under the following circumstances:

• If the skin around the stoma turns an unusual color or becomes painful.
• If the stool has a foul odor.
• If a part of the intestine protrudes from the stoma.
• If symptoms of obstruction, such as vomiting, increasing abdominal pain, or bloating without passing gas, occur.
• If the patient develops a fever with no apparent cause.

Complications After Colostomy Surgery

1. Necrosis: Tissue death around the stoma may occur, and the stoma may appear dark 24-72 hours after surgery. This condition requires surgical intervention to prevent infection or perforation.
2. Stoma Retraction: The stoma may retract into the abdomen, which can result from surgical error or excess weight gain. A surgical revision may be required to reposition the stoma.
3. Stenosis (Narrowing): Stoma narrowing can occur at the skin level, causing discomfort during stool passage. This can be treated through dietary changes, cleaning, and dilating the stoma.
4. Prolapse: This occurs when the intestine protrudes from the stoma, often due to surgical issues or reduced blood flow. After the patient leaves the hospital, the stoma can be managed using a loop colostomy or a support belt to prevent further complications.