Marked site not usable due to intraoperative anatomy
- Relocation to a site that is more uncomfortable or difficult to reach for the patient
- Preoperative marking of a secondary site by an enterostomal therapist.
Failure to find the previously marked stoma site
- Mark with waterproof pen
- Careful preoperative disinfection of the patient
Injuries to other parts of the bowel
- Locate and suture the bowel injury
Vascular injuries
- Avoid putting traction on the mesentery
Injuries caused by trocar positioning
- Insert trocars under view
- Minilaparotomy
Thermal injuries to the bowel or skin
- Do not use monopolar diathermy
Inability to construct the stoma because of adhesions(even with open technique)