Attitudes and technical maneuvers regarding enterostomy management and stoma creation among surgeons: A cross-sectional study

Table 4 Concepts and attitudes toward preoperative stoma site marking, n (%)

Items	n = 401
What do you think of preoperative stoma site marking?
Meaningful and should be strictly observed	186 (46.4)
Meaningful, and the area around the marking site is also appropriate	33 (8.2)
Meaningful, but the judgment of the surgeon should be the primary consideration	111 (27.7)
Meaningful, but not all marked sites (identified by enterostomal therapists) are suitable for stoma creation	70 (17.5)
Meaningless and can be omitted	1 (0.3)
In your impression, the rate of preoperative stoma site marking in your department is approximately
80%-100%	134 (33.4)
60%-80%	118 (29.4)
40%-60%	62 (15.5)
< 40%	87 (21.7)
In your impression, what are the reasons for not choosing the preoperatively marked stoma site by an enterostomal therapist as the primary site (multiple answers)?
Inappropriate marking	179 (44.6)
The stoma site marked preoperatively is not a suitable trocar site	219 (54.6)
Defunctioning stoma marking according to standards for permanent stoma	209 (52.1)
Prior site marking is inconsistent with the surgeon’s operating habits	108 (26.9)
Which temporary ileostomy skin site position do you prefer?
Right umbilical level, trocar site	90 (22.4)
Right lower quadrant, McBurney point (trocar site)	159 (39.7)
Right rectus abdominis muscle, specimen incision	113 (28.2)
Hypogastrium region, specimen incision	13 (3.2)
No fixed position	26 (6.5)
Which permanent colostomy skin site position do you prefer?
Left umbilical level, trocar site (outer margin of the rectus abdominis muscle)	74 (18.5)
Lower left quadrant of the umbilicus, outer margin of the rectus abdominis muscle	124 (30.9)
Lower left quadrant of the umbilicus, through the rectus abdominis muscle	160 (39.9)
Lower left quadrant of the umbilicus, lateral rectus abdominis muscle	29 (7.2)
No fixed position	14 (3.5)
Which transverse colostomy skin site position do you prefer?
Right subcostal margin	120 (29.9)
Left subcostal margin	124 (30.9)
Linea alba above the umbilicus	138 (34.4)
No fixed position	19 (4.7)

For multiple-answer items, percentages indicate the response rate for each option and therefore do not sum to 100%.