Stoma site marking: systematic review with meta-analysis

The marking of the stoma is the determination of the ideal place to besiege the stoma, aiming at self-care, resumption of normal activities and quality of life. Objective: To systematically analyze the relationship between marking of the ostomy site and post-surgical complications related to the stoma. Methods: A search was performed in the databases (Medline, Embase, Scopus, Web of Science, SciELO, Lilacs, Cochrane via pubmed, Proquest and Cinahl). Cohort, case-control, and cross-sectional studies were eligible. Article selection and data extraction were performed by three independent reviewers. Random effects meta-analyses for crude and adjusted measures of association. Results: 13,703 articles were found, of which 1,709 were excluded. 11,994 titles and abstracts were read and, after analysis, only 13 studies met the eligibility criteria and three were included in the meta-analysis. There was no statistically significant difference between the practice of previous and post-smarkingsurgical complications related to the stoma. Conclusions: Studies have shown the existence of postoperative complications even in patients who have been marking as the location of the stoma. However, they emphasized the importance of preoperative information, marking and adaptation to the devices, in addition to patient education for care and self-care, ratifying the WOCN guideline.