Outcomes of Midline Stoma

Assiut University

Status: Enrolling

Conditions: Stoma Colostomy; Stoma Ileostomy

Treatments: Procedure: Midline stoma

Study type: Interventional

Funder types: Other

Identifiers

NCT07616830

RF-2-6-2025

Details and patient eligibility

About

• Ileostomy or colostomy is a common surgical procedure used for diverting the lower gastrointestinal content away from distal pathology or anastomotic insufficiency. Once the distal problem has been fixed, the plan is to reverse the stoma. However, the reversal of a stoma is associated with complications, including anastomotic leaks, wound infection, and incisional hernias which can reach up to 33-50%.

• The ideal site for a stoma on the abdominal wall depends on several factors, including the patient's anatomy, the type of stoma (colostomy or ileostomy), operative findings, and the patient's preferences. Stomas have traditionally been fashioned through the rectus muscle, away from the midline of the abdomen, and below the umbilicus.

• Management of a stoma placed at the center of a long midline laparotomy wound is challenging with the risk of faecal contamination of midline incision. However in many scenarios, the surgeon is left without options rather than to exteriorize the bowel loop through the midline. Moreover, advantages of midline stoma may include:

  1. Easy to create and save operative time.
  2. Minimize destruction of the anterior abdominal wall (less tissue injury).
  3. Eliminate the long-term risk of incisional hernia at the site of previous stoma.

Only, few reports assess the outcomes of midline ostomy as a temporary stoma

Full description

This is a prospective cohort study

Enrollment: 30 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Patients who will undergo temporary stoma (ileostomy/colostomy) through midline incision.

Exclusion criteria

• Patients with jejunostomy.
• Patients with severe sepsis.

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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30 participants in 1 patient group

Midline stoma group

Experimental group

Description:

Patients who will undergo temporary stoma (ileostomy/colostomy) through midline incision

Treatment:

Procedure: Midline stoma