Although Japan was much behind the western countries in the stoma-rehabilitation it has been making rapid progress in these ten years. And it has become one of the most developed countries in the world. The progress is due to the seminars every 6 months for stoma-rehabilitation, which has been supported by the Japan Society of Colo-proctology.
Stoma-rehabilitation in our country does not depend on the enterostomal therapist(ET), but on the closed co-work of the nurses and the doctors. Surgical methods have been improved to prevent from postoperative complications by making a bud stoma through the extra-peritonealroute at the marking site.
Advancement of the urostoma-care has contributed to the total pelvic exenteration for the locally invasive rectal cancer. Coloproctology can not be developed without enough understanding about the stoma-rehabilitation.
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