{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,6]],"date-time":"2026-01-06T10:19:10Z","timestamp":1767694750570,"version":"3.48.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"1","license":[{"start":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T00:00:00Z","timestamp":1752537600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,1,6]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Burns to the perianal region pose specific challenges in management due to the complex structure of the surrounding tissue, bacterial contamination, and repetitive stress. Fecal diversion via diverting ostomy may be elected in these injuries because of its potential to enhance wound healing and skin graft adherence; however, its use introduces alternative risks such as prolonged ileus, fistula, leakage, and failure of reversal. This study aimed to determine the perspectives of burn surgeons regarding the use of diverting ostomy for perianal burn injuries. We conducted a survey of 12 physicians who are burn center directors in the Northeast Region of the American Burn Association regarding their practices for patients with full-thickness perianal burn injuries requiring a skin graft. Response rate was 11\/12 (92%). Six individuals (54.5%) reported \u201cNever (0%)\u201d to performing a diverting ostomy in this context; the remaining 5 individuals responded \u201cRarely (&amp;lt;10%).\u201d Reasons stated for performing a diverting ostomy in the \u201cRarely\u201d group included cases where the patient suffered an intra-anal or anorectal injury. These results were summarized with a relevant review of the literature and experience in our clinical practice. Our findings indicate that diverting ostomy is a relatively uncommon practice for burn surgeons treating full-thickness buttocks injuries. With appropriate wound care and critical care management, good outcomes can be obtained without the need for diverting ostomy. Non-surgical alternatives to fecal diversion are commonly used by burn specialists and should be considered in perianal burn injuries.<\/jats:p>","DOI":"10.1093\/jbcr\/iraf141","type":"journal-article","created":{"date-parts":[[2025,7,15]],"date-time":"2025-07-15T12:10:46Z","timestamp":1752581446000},"page":"231-235","source":"Crossref","is-referenced-by-count":0,"title":["Diverting Ostomy Practices in Burn Surgeons Treating Full-Thickness Perianal Injuries"],"prefix":"10.1093","volume":"47","author":[{"given":"Annie Cate","family":"Schmidt","sequence":"first","affiliation":[{"name":"Sidney Kimmel Medical College, Thomas Jefferson University , Philadelphia, PA 19107 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne","family":"Seyferth","sequence":"additional","affiliation":[{"name":"Sidney Kimmel Medical College, Thomas Jefferson University , Philadelphia, PA 19107 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michelle","family":"Hughes","sequence":"additional","affiliation":[{"name":"Jefferson Burn Center, Thomas Jefferson University Hospital , Philadelphia, PA 19107 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William B","family":"Hughes","sequence":"additional","affiliation":[{"name":"Jefferson Burn Center, Thomas Jefferson University Hospital , Philadelphia, PA 19107 ,","place":["United States"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,7,15]]},"reference":[{"key":"2026010605130326200_ref1","doi-asserted-by":"publisher","first-page":"640","DOI":"10.1097\/ta.0000000000000405","article-title":"Management of adult patients with buttock and perineal burns: the Ross Tilley Burn Centre experience","volume":"77","author":"Merchant","year":"2014","journal-title":"J Trauma Acute Care Surg"},{"key":"2026010605130326200_ref2","doi-asserted-by":"publisher","first-page":"171","DOI":"10.1055\/s-0038-1677004","article-title":"Diverting ostomy: for whom, when, what, where, and why","volume":"32","author":"Plasencia","year":"2019","journal-title":"Clin Colon Rectal Surg"},{"key":"2026010605130326200_ref3","doi-asserted-by":"publisher","first-page":"S137","DOI":"10.1097\/01253092-200603001-00177","article-title":"Diverting ostomy in adult patients with perineal burns: 175","volume":"27","author":"Nickerson","year":"2006","journal-title":"J Burn Care Res"},{"key":"2026010605130326200_ref4","doi-asserted-by":"publisher","first-page":"102","DOI":"10.7196\/SAJS.1398","article-title":"The use of diverting colostomies in paediatric peri-anal burns: experience in 45 patients","volume":"51","author":"Price","year":"2013","journal-title":"S Afr J Surg"},{"key":"2026010605130326200_ref5","doi-asserted-by":"publisher","first-page":"595","DOI":"10.1016\/S0305-4179(02)00065-7","article-title":"The use of temporary diverting colostomy to manage elderly individuals with extensive perineal burns","volume":"28","author":"Nakazawa","year":"2002","journal-title":"Burns."},{"key":"2026010605130326200_ref6","doi-asserted-by":"publisher","first-page":"840","DOI":"10.1016\/j.burns.2007.11.009","article-title":"A non-surgical device for faecal diversion in the management of perineal burns","volume":"34","author":"Bordes","year":"2008","journal-title":"Burns."},{"key":"2026010605130326200_ref7","doi-asserted-by":"publisher","first-page":"238","DOI":"10.1016\/j.jss.2012.11.057","article-title":"Do older Americans undergo stoma reversal following low anterior resection for rectal cancer?","volume":"183","author":"Dodgion","year":"2013","journal-title":"J Surg Res"},{"key":"2026010605130326200_ref8","doi-asserted-by":"publisher","first-page":"70","DOI":"10.1016\/j.jamcollsurg.2014.02.024","article-title":"Do trauma stomas ever get reversed?","volume":"219","author":"Godat","year":"2014","journal-title":"J Am Coll Surg"},{"key":"2026010605130326200_ref9","doi-asserted-by":"publisher","first-page":"243","DOI":"10.1111\/iwj.13018","article-title":"Overview of psychosocial problems in individuals with stoma: a review of literature","volume":"16","author":"Ayaz-Alkaya","year":"2019","journal-title":"Int Wound J"},{"key":"2026010605130326200_ref10","doi-asserted-by":"publisher","first-page":"e703","DOI":"10.1016\/j.cgh.2020.12.026","article-title":"Stoma formation in Crohn\u2019s disease and the likelihood of antidepressant use: a population-based cohort study","volume":"20","author":"Blackwell","year":"2022","journal-title":"Clin Gastroenterol Hepatol"}],"container-title":["Journal of Burn Care &amp; 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