Research and expert opinion on siting a stoma: a review of the literature

Marking the optimal position for a stoma on the patient's body before an operation is likely to result in fewer postoperative problems such as appliance leakage. A literature search was undertaken to examine and evaluate current practice internationally. Four recent articles describe the procedure; these articles were consensus documents or expert opinion, with limited robust research to support the statements made. Despite some variations in techniques, there was general agreement within the articles. Interestingly, when comparing recent and historical information on stoma siting, there were reassuringly few changes. Thus, in practice, although poorly researched, it is considered essential for people to have their stoma site marked as part of their preoperative preparation before elective stoma-forming surgery.