Practical tips and tricks for stoma creation under difficult situations

Patients undergoing colorectal surgery may need a stoma for a variety of clinical or disease related factors. Stoma creation can result in short- and long-term complications particularly when performed in demanding situations. In addition, a problematic stoma may have longstanding implications for overall functional outcomes and patient satisfaction. This manuscript seeks to identify high risk patient populations for challenging stoma creation and pragmatic techniques to mitigate complications.