A patient with a peristomal complication requires definitive treatment. What is this treatment?

In the context of managing peristomal complications, definitive treatment often necessitates a surgical approach, particularly if the complication is significant or unresolved by non-surgical methods. Surgical excision is performed to remove any excess tissue or correct anatomical issues that may lead to complications around the stoma, such as retraction, prolapse, or necrosis.

This option is a targeted intervention to directly address the anatomical concerns affecting the stoma's viability and function, potentially improving the patient's quality of life and stoma care.

Other treatments, while possibly relevant in management, do not provide the same level of definitive resolution for most peristomal complications as surgical excision does. For instance, medication adjustment may help alleviate related symptoms but does not directly correct structural issues. Stoma revision involves surgical changes to the stoma itself, which could also be a solution; however, it is a broader procedure that may not specifically resolve immediate complications. Colonoscopy is typically performed for diagnosis of gastrointestinal conditions and is not a treatment for peristomal complications. Thus, surgical excision stands out as the appropriate definitive treatment in this scenario.