PREOPERATIVE STOMA SITE MARKING FOR FECAL DIVERSIONS (Colostomy &
Ileostomy): Position Statement of the Canadian Society of Colon and Rectal Surgeons & NSWOCC
Saturday, May 23, 2020
1120 - 1155
Panel presenters will describe the step by step process in the development of a National Position statement for stoma site marking for fecal diversions. Collaboration occurred through a task force comprising 20 health professionals from the Canadian Society of Colon and Rectal Surgeons and Nurses Specialized in Wound, Ostomy and Continence Canada.
“Marking the site for a stoma preoperatively provides an opportunity to select the optimal site, which can reduce postoperative problems.”1 Obesity, emergency surgery, diabetes and preoperative stoma site marking have been demonstrated to have the most significant impact on complication rates. Stoma site marking is the only factor that is modifiable and has a protective role.2,3,4
The purpose of the position statement is to guide surgeons and NSWOCs in the effective placement of fecal stomas for patients undergoing ostomy surgery to improve patient outcomes through reduced postoperative complications. The task force all agreed that location is crucial. A thorough review of the process for the literature review will be presented and the consensus for the clinical procedure specific to stoma marking.
1. WOCN Society and ASCRS Position Statement on Preoperative Stoma Site Marking for Patients Undergoing Colostomy or Ileostomy Surgery. J Wound Ostomy Continence Nurs. 2015;42(3):249-252.
2. Boyles A. Stoma and peristomal complications: Predisposing factors and management. Gastrointestinal Nurs. 2010;8(7):2636.
3. Registered Nurses’ Association of Ontario. (2019) Supporting Adults Who Anticipate or Live with an Ostomy. Best Practice Guidelines Toronto, Canada. Registered Nurses’ Association of Ontario.
4. D Miller, M Fresca, D Johnston, M McKenzie, E Pearsall on behalf of the Provincial ERAS Enterostomal Therapy Nurse Network. Perioperative Care of Patients with an Ostomy - A Clinical Practice Guideline developed by the University of Toronto’s Best Practice in Surgery. Best Practice in Surgery. 2016. Retrieved from
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