Introduction:
The most common risk factors for ostomy complications include the cause of stoma emergence (cancer, inflammatory bowel diseases), the type of stoma, concomitant diseases, and stoma care during pre- and postoperative periods.

Aim:
In this study, authors assessed the impact of stoma care and stoma site designation prior to surgery based on the occurrence of ostomy complications.

Material and methods:
The study included 104 patients (49 women, 54 men, with the mean subject age being 57 years) in whom a stoma was diagnosed in 2010–2022. The study was conducted in a group of patients who were diagnosed with an intestinal stoma between 2010–2022.

Results and discussion:
The overall risk of ostomy complications was 84.62%, and the most common complication in the analysed arm was dermatitis around the stoma, which occurred in 78 patients (75% of participants). The study found a 13-fold increase in the risk of ostomy complications in patients who were not under the care of a stoma nurse and in whom a stoma site was not determined prior to surgery (RR = 13.11, CI: 4.21–58.64, P < 0.001). The analysis found a lower risk of dermatitis in patients under the care of a stoma nurse when compared to stoma patients without such care (RR = 0.38, CI: 0.16–0.78, P = 0.014).

Conclusions:
The outcomes of this study confirmed that the stoma site should be determined prior to any surgical procedure in which there is a risk of stoma emergence. In addition, every patient with a stoma should be under the care of a stoma nurse pre- and post-operatively.