Safe Surgical Practices For The Construction Of Elimination Stomas To Prevent And Reduce Postoperative Complications: A Scoping Review Protocol

Authors

Keywords:

Ostomy, Postoperative Complications, Practice Guideline, Primary Prevention, Surgical Procedures, Operative

Abstract

Objective: To identify the best practices for the safe construction of stomas in order to prevent and minimize postoperative complications, and secondarily to highlight gaps for future research.  Introduction: The creation of stomas is used in the management of the gastrointestinal tract, but postoperative complications are common due to the techniques employed. Recent advances have allowed for the identification of ideal practices. Inclusion Criteria: These will include guidelines, systematic reviews, meta-analyses, protocols, and recommendations for professionals in the creation of stomas, excluding outdated, irrelevant, or qualitative sources. Methods: This scoping review will be conducted following the JBI methodology for scoping reviews (2024) and will adhere to the PRISMA-ScR guidelines. The main databases to be searched include PubMed/MEDLINE, Embase, Web of Science, Scopus, Cochrane Library, BVS, LILACS, Trip Medical Database, Epistemonikos, and CINAHL. Grey literature sources will also be included. The search will consider published and unpublished studies from 2015 onward, in any language. Titles and abstracts will be screened in Rayyan by two independent reviewers, followed by full-text reading of eligible studies. Data will be extracted using standardized forms in Excel and presented in PRISMA-ScR diagrams, tables, and descriptive narratives. Methodological deviations will be reported when applicable.

References

Zelga P, Kluska P, Zelga M, Piascecka-Zelga J, Dziki A. Patient-related factors associated with stoma and peristomal complications following fecal ostomy surgery: a scoping review. J Wound Ostomy Continence Nurs. 2021;48(5):415-430. doi: 10.1097/WON.0000000000000796

Ambe PC, Kurz NR, Nitschke C, Odeh SF, Möslein G, Zirngibl H. Intestinal ostomy. Dtsch Arztebl Int. 2018 Mar 16;115(11):182-7. doi: 10.3238/arztebl.2018.0182

Kim S, Kim MH, Oh JH, Jeong SY, Park KJ, Oh HK, et al. Predictors of permanent stoma creation in patients with mid or low rectal cancer: results of a multicentre cohort study with preoperative evaluation of anal function. Colorectal Dis. 2020 Apr;22(4):399-407. doi: 10.1111/codi.14898

Everhov ÅH, Kalman TD, Söderling J, Nordenvall C, Halfvarson J, Ekbom A, et al. Probability of stoma in incident patients with Crohn's disease in Sweden 2003-2019: a population-based study. Inflamm Bowel Dis. 2022 Aug 1;28(8):1160-8. doi: 10.1093/ibd/izab245

Malik T, Lee MJ, Harikrishnan AB. The incidence of stoma-related morbidity: a systematic review of randomised controlled trials. Ann R Coll Surg Engl. 2018 Sep;100(7):501-8. doi: 10.1308/rcsann.2018.0126

MacDonald S, Wong LS, Ng HJ, Hastings C, Ross I, Quasim T, et al. Postoperative outcomes and identification of risk factors for complications after emergency intestinal stoma surgery: a multicentre retrospective study. Colorectal Dis. 2024 May;26(5):994-1003. doi: 10.1111/codi.16947

Costa JM, Souza Ramos R, Santos MM, Silva DF, Silva Gomes T, Batista RQ. Complicações do estoma intestinal em pacientes em pós-operatório de ressecção de tumores de reto. Rev Enferm Atual In Derme. 2017

Dellafioore F, Caruso R, Bonavina L, Udugampolage NS, Villa G, Russo S, et al. Risk factors and pooled incidence of intestinal stoma complications: systematic review and meta-analysis. Curr Med Res Opin. 2022 Jul;38(7):1103-13. doi: 10.1080/03007995.2022.2081455

Correa Martinez A, Bock D, Carlsson E, Petersén C, Erestam S, Kälebo P, et al. Stoma-related complications: a report from the Stoma-Const randomized controlled trial. Colorectal Dis. 2021 May;23(5):1091-1101. doi: 10.1111/codi.15494

Miyo M, Takemasa I, Ikeda M, Tujie M, Hasegawa J, Ohue M, et al. The influence of specific technical maneuvers utilized in the creation of diverting loop-ileostomies on stoma-related morbidity. Surg Today. 2017 Aug;47(8):940-50. doi: 10.1007/s00595-017-1481-2

Wente MN, Seiler CM, Uhl W, Büchler MW. Perspectives of evidence-based surgery. Dig Surg. 2003;20(4):263-9. doi: 10.1159/000071183

Garas G, Ibrahim A, Ashrafian H, Ahmed K, Patel V, Okabayashi K, et al. Evidence-based surgery: barriers, solutions, and the role of evidence synthesis. World J Surg. 2012 Aug;36(8):1723-31. doi: 10.1007/s00268-012-1597-x

Knight SR. The value of systematic reviews and meta-analyses in surgery. Eur Surg Res. 2021;62(4):221-8. doi: 10.1159/000519593

Aromataris E, Lockwood C, Porritt K, Pilla B, Jordan Z, eds. Manual JBI para Síntese de Evidências. JBI; 2024. Available from: https://synthesismanual.jbi.global. doi: 10.46658/JBIMES-24-01

Ouzzani M, Hammady H, Fedorowicz Z, Elmagarmid A. Rayyan—a web and mobile app for systematic reviews. Syst Rev. 2016;5:210

Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA extension for scoping reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018 Oct 2;169(7):467-73

Page MJ, McKenzie JE, Bossuyt PM, Boutron I, Hoffmann TC, Mulrow CD, et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ. 2021;372:n71

Published

2025-09-27

How to Cite

Souza, T. F. de, De Castro, L. . C. de, Moraes, J. T., & De Oliveira, F. H. de. (2025). Safe Surgical Practices For The Construction Of Elimination Stomas To Prevent And Reduce Postoperative Complications: A Scoping Review Protocol. Revista De Divulgação Científica Sena Aires, 14(3), 1712–1723. Retrieved from https://rdcsa.emnuvens.com.br/revista/article/view/866

Issue

Section

Literature Review