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Beverly Hills · 435 N. Bedford Dr., Suite 308Mon–Fri 9:00 am – 5:00 pmMost PPO insurance accepted
Allen KamravaMD · MBA · FACS · FASCRS

Procedure

Stoma Revision

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1-6 weeks
Success rate
70-90%
Recurrence
10-30%

What it is

What is a Stoma Revision?

A stoma revision is a surgical procedure to correct a complication or problem with an existing colostomy or ileostomy. Common indications include stoma retraction (sinking below the skin level), prolapse (protruding too far out), stenosis (narrowing of the opening), parastomal hernia, or persistent skin problems and leakage that cannot be managed with appliances. The goal of the procedure is to create a new, well-functioning, and easily manageable stoma, which may involve resiting the stoma to a new location or revising it at the current site.

Am I a candidate?

Who is a Good Candidate for a Stoma Revision?

Ideal candidates are patients with significant stoma-related complications that are affecting their quality of life and cannot be managed with conservative measures. This includes patients with appliance leakage leading to severe skin irritation, difficulty with pouching, pain, or cosmetic concerns from a large prolapse or hernia. The patient should be in a reasonable state of health to tolerate another surgical procedure. For elective revisions, patients should be optimized in terms of nutrition and management of any underlying disease.

Recovery

What is the Recovery Like?

Recovery depends on the complexity of the revision. A simple local revision may be done as an outpatient procedure with a quick recovery of a few days to a week. A more complex revision requiring a laparotomy and/or resiting of the stoma will involve a hospital stay of 3-7 days. It may take some time for the new stoma to function normally. Patients will work with an ostomy nurse to learn how to care for the revised stoma. Full recovery and return to normal activities can take 4-6 weeks.

Risks & considerations

What are the Risks?

Risks of stoma revision are similar to those of the initial stoma creation. These include general surgical risks like bleeding and infection. Specific risks include recurrent stoma complications (retraction, prolapse, hernia), stoma necrosis or ischemia, and wound complications at the surgical site. If a laparotomy is required for the revision, there are additional risks of bowel injury, adhesions, and incisional hernia.

Sources

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