Table of contents
Ostomy surgery
What's new
Added 2023 ASCRS/SAGES and 2022 ASCRS guidelines on ostomy surgery.
Guidelines
Key sources
The following summarized guidelines for the management of ostomy surgery are prepared by our editorial team based on guidelines from the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES/ASCRS 2023) and the American Society of Colon and Rectal Surgeons (ASCRS 2022,2019,2017,2013).
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Perioperative care
Preoperative preparation: as per ASCRS/SAGES 2023 guidelines, consider allowing intake of clear liquids up to 2 hours before general anesthesia.
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Perioperative nausea and vomiting prophylaxis
Perioperative pain control
Perioperative hemodynamic control
Surgical interventions
Choice of surgical approach
As per ASCRS/SAGES 2023 guidelines:
Use a minimally invasive surgical approach for colorectal resection when appropriate and provided expertise is available.
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Avoid using nasogastric tubes and intra-abdominal drains for colorectal surgery.
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Preoperative marking
Ostomy creation
Ostomy closure
Parastomal hernia repair
Specific circumstances
Patient education
Follow-up and surveillance
Discharge from hospital: as per ASCRS/SAGES 2023 guidelines, consider offering hospital discharge before the return of bowel function in selected patients after colorectal resection.
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Postoperative care (general principles)
Postoperative care (early mobilization)
Postoperative care (ileus prevention)
Postoperative care (removal of urinary catheters)