Available online 24 March 2023, 100959

Author links open overlay panel, Abstract

Intestinal stoma formation continues to be an essential tool in the surgical armamentarium used in a variety of conditions for temporary or permanent fecal diversion. Despite the best efforts of surgeons and wound, ostomy, and continence nurses, patients continue to suffer high rates of peristomal skin complications with associated quality of life and financial morbidity. A proactive approach to maintain peristomal skin health coupled with early recognition and treatment of skin complications is essential to optimize patient outcomes.

Section snippetsHealthy Skin Physiology and Barrier Function

Peristomal skin is the skin circumferential to a stoma, beginning at the mucocutaneous junction and encompassing all skin in direct contact with the ostomy appliance.8 Healthy peristomal skin is physically intact, free of visible inflammation and altered sensitivity, and similar in color and texture to the surrounding skin. The central stoma exposes peristomal skin to repeated mechanical, chemical, and infectious insults, making the maintenance of its natural protective barrier essential. Once

Conclusion

Approximately half of ostomates will suffer PSCs with significant pain and distress, decreased quality of life, and increased healthcare costs. A proactive rather than reactive approach is crucial as a large proportion can be prevented through patient education, risk factor mitigation, and preventive stomal practices. Effective perioperative patient education with close follow up in the first postoperative month is essential to ensure favorable patient outcomes. All healthcare providers caring

Declaration of Competing Interests

Disclosure: The authors report no potential conflicts of interest. (Author: please confirm complete and correct)

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