An array of stomal complications can occur in patients undergoing APR. The majority of these are preventable by careful attention to site selection and operative technique. Stenosis, retraction or prolapse was reported to occur in 8 (6.9%) of 115 patients. The incidence of paracolostomy hernia and prolapse was 5/115 (4.3%).
Most complications can be minimised if APR is performed by an experienced team with knowledge of relevant pelvic anatomy paying careful attention to details of operative techniques.
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