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Table 3 Summary of treatments for mucocutaneous separation (MCS)

From: Surgical management of ostomy complications: a MISSTO–WSES mapping review

Type of treatment

Indications

Drawbacks

Non-operative management

Superficial or small deep MCS

Risk of infections

Risk of enlargement of MCS

Patient discomfort

Emergency surgical treatment

Deep MCS with signs of intra-abdominal contamination

Risk of surgical complications (infections, recurrence, ischemia)

Risk of non-surgical complications

Elective surgical treatment

Superficial MCS after failure of conservative treatment because:

circumferential MCS

sign of severe infections

severely symptomatic patients

Deep MCS without signs of intra-abdominal contamination

Risk of surgical and non-surgical complications