External stoma and peristomal complications following radical cystectomy and ileal conduit diversion: a systematic review.
An ileal conduit is the most common urinary diversion following radical cystectomy for invasive bladder cancer. Unlike internal complications commonly described in urological literature, reports about the incidence of external complications are sparse. A Medline database review (1996-2008) of Englis...
| Publicado en: | Ostomy Wound Management Vol. 56; no. 1; pp. 28 - 36 |
|---|---|
| Autores principales: | , , , |
| Formato: | pictorial research systematic review tables/charts Journal Article |
| Publicado: |
HMP Global
2010 Jan
|
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=105300853&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 105300853 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 08895899 4F3 jtl: Ostomy Wound Management issn: 08895899 maglogo: N pubinfo: dt: 2010 Jan vid: 56 iid: 1 pid: 20465 pub: HMP Global place: Malvern, Pennsylvania artinfo: ui: 105300853 105300853 2010544985 NLM20093715 105300853 ppf: 28 ppct: 8 formats: tig: atl: External stoma and peristomal complications following radical cystectomy and ileal conduit diversion: a systematic review. aug: au: Szymanski KM St-Cyr D Alam T Kassouf W affil: Department of Surgery (Urology), McGill University Health Center & Montreal General Hospital, Montreal, Quebec, Canada; wassim.kassouf@muhc.mcgill.ca sug: subj: Cystectomy Adverse Effects Ostomy Adverse Effects Postoperative Complications Urinary Diversion Adverse Effects Candidiasis Constriction, Pathologic Dermatitis, Contact Folliculitis Hernia Human Medline Pressure Ulcer Prolapse Pyoderma Gangrenosum Wound Care ab: An ileal conduit is the most common urinary diversion following radical cystectomy for invasive bladder cancer. Unlike internal complications commonly described in urological literature, reports about the incidence of external complications are sparse. A Medline database review (1996-2008) of English-language literature was conducted to: 1) describe and compare external stoma and peristomal complications and complication rates among outpatients with ileal conduit diversion following radical cystectomy, and 2) summarize commonly used prevention and management strategies. Fourteen publications (mostly retrospective, single-center studies) met inclusion criteria. The reported incidence of complications ranged from 15% to 65%. Divided according to pathogenesis, the most commonly reported complications are 1) stoma or abdominal wall-related changes - parastomal hernia, stoma prolapse, stenosis, and retraction; and 2) peristomal skin changes - chemical injury: irritant contact dermatitis, pseudoverrucous lesions, and alkaline crustations; mechanical injury: pressure ulcers, skin stripping injuries, mucocutaneous separation; infection: candidiasis, folliculitis; immunologic disorders: allergic contact dermatitis; and disease-related lesions: varices, pyoderma gangrenosum, malignancy. Peristomal complications also appear to be under-recognized and under-reported. Research to establish the validity and reliability of assessment tools and long-term follow-up studies are needed to improve the evidence-base of prevention and care. pubtype: Academic Journal doctype: pictorial research systematic review tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
|---|