Methodology for preventing parastomal complications when imposing a single-barrel colostomy

Groshilin V.S.; Kuznecov V.D.; Plahotnikov I.A.; Antonova A.V.; Gabyzov M.A.; Davydenko Ya.A.

doi:https://doi.org/10.17116/operhirurg2025902113

Groshilin V.S.

Rostov State Medical University

ORCID: 0000-0001-9927-8798

Kuznecov V.D.

Rostov State Medical University

ORCID: 0000-0003-0292-4357

Plahotnikov I.A.

Kalinin Republican Clinical Hospital

ORCID: 0000-0002-3719-4764

Antonova A.V.

Rostov State Medical University

ORCID: 0000-0003-3191-5687

Gabyzov M.A.

Rostov State Medical University

ORCID: 0009-0000-0832-7647

Davydenko Ya.A.

Rostov State Medical University

ORCID: 0009-0000-6898-1421

Methodology for preventing parastomal complications when imposing a single-barrel colostomy

Authors:

Groshilin V.S., Kuznecov V.D., Plahotnikov I.A., Antonova A.V., Gabyzov M.A., Davydenko Ya.A.

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Journal: Russian Journal of Operative Surgery and Clinical Anatomy. 2025;9(2): 13‑21

DOI: 10.17116/operhirurg2025902113

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To cite this article:

Groshilin VS, Kuznecov VD, Plahotnikov IA, Antonova AV, Gabyzov MA, Davydenko YaA. Methodology for preventing parastomal complications when imposing a single-barrel colostomy. Russian Journal of Operative Surgery and Clinical Anatomy. 2025;9(2):13‑21. (In Russ.)
https://doi.org/10.17116/operhirurg2025902113

Подписка 2026 Оперативная хирургия и клиническая анатомия (Пироговский научный журнал) (Russian Journal of Operative Surgery and Clinical Anatomy)

Использование инфографики авторами научных работ

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Abstract:

OBJECTIVE

The aim of the study is to reduce the number of parastomy complications and to improve the quality of life of stoma patients.

MATERIAL AND METHODS

To assess the effectiveness of the proposed method, an analysis was conducted of 52 clinical observations of patients divided into 2 groups, whose operations were accompanied by the formation of a single-barrel end colostomy. In the first clinical group, including 25 patients, a specialised therapeutic and diagnostic algorithm was used, combining the choice of optimal colostomy localisation, analysis of anatomical characteristics of the anterior abdominal wall, taking into account the state of vascularisation of the stoma and its mesentery, as well as the length and location of the driving section of the intestine. In the second group (control group) 27 patients were stomised using traditional technologies without taking into account individual anatomical parameters.

RESULTS

The presented study takes into account the results of treatment of patients who underwent surgeries with the formation of a single-barrel terminal colostomy. The surgeries were performed using the patient-oriented approach, which took into account individual anatomical features of muscular-aponeurotic structures of the anterior abdominal wall, individual features of vascularisation and topography of the intestinal area intended for stomisation.

CONCLUSIONS

The results of the study confirmed the possibility of reducing the incidence of early and later paracolostomy complications and repeated surgical interventions, as well as improving the quality of life of stoma patients due to the introduction of a personalised algorithm into practice.

Keywords:

end colostomy

paracolostomy complications

predictors of the development of complications of intestinal stomas

Authors:

Groshilin V.S.

Rostov State Medical University

ORCID: 0000-0001-9927-8798

Kuznecov V.D.

Rostov State Medical University

ORCID: 0000-0003-0292-4357

Plahotnikov I.A.

Kalinin Republican Clinical Hospital

ORCID: 0000-0002-3719-4764

Antonova A.V.

Rostov State Medical University

ORCID: 0000-0003-3191-5687

Gabyzov M.A.

Rostov State Medical University

ORCID: 0009-0000-0832-7647

Davydenko Ya.A.

Rostov State Medical University

ORCID: 0009-0000-6898-1421

Received:

28.01.2025

Accepted:

27.02.2025

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References:

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