What should be paid attention to about the stoma?

For those with a temporary ostomy, the timing of retraction surgery is very important. Generally, it is necessary to wait until the condition is basically stable, and it takes about three months to recover before performing the surgery. In addition to evaluating the recovery of the physical condition and the operation time before stoma retraction, what other aspects should be paid attention to? Come take a look with me.

First, understand what is an ostomy.

An ostomy can be permanent or temporary. It depends on the reason for the surgery. Stoma restoration is possible if a large enough portion of healthy bowel remains to reattach. A temporary ostomy can be used for certain health problems. These include problems such as bowel cancer, ulcerative colitis, Crohn's disease, and intestinal damage.

ostomy surgery performed?

How the stoma is retracted depends on the type of ostomy. Stoma retraction is a minor surgery that takes about two hours, and one type involves making a large incision, which takes longer to heal. Another type uses smaller incisions and heals in less time.

Before the operation, the following points should be paid attention to :

In addition to assessing the physical condition, recovery situation, and operation time before stoma restoration, the following points need to be paid attention to:

1. The anastomotic stoma is completely healed without stenosis or obstruction. Preoperative gastrointestinal radiography or colonoscopy and other examinations to ensure that the distal intestinal segment is normal.

2. The general condition can tolerate the second operation. Their physical condition has recovered, the cardiopulmonary, liver, and kidney functions are good, and he can tolerate the trauma of the second operation.

3. The primary disease is under control. The primary disease of the body has been checked by CT, PET-CT, angiography, etc., and it is evaluated that the primary disease is well controlled, and the conditions for stoma restoration operation are met.

4. Evaluation of the skin condition around the stoma. Stoma restoration is repositioning the intestinal tube in the abdominal cavity and suturing the abdominal wall. The skin condition around the stoma will affect the local healing of the postoperative wound.

5. Bowel preparation. Preoperative bowel preparation reduces postoperative infection-related complications.

6. Pelvic floor training. During the temporary stoma period, excrement is directly discharged from the stoma, and the original contractile function of the sphincter will decrease. In order to restore the anal bowel control function as soon as possible after the recuperation, it is recommended to do pelvic floor training before the operation to return to normal life faster.

7. Stoma patients are willing to pay back. People with a stoma have a need for stoma recovery and are willing to return to normal life through a second surgery.

After stoma restoration :

Will take a recovery process after repayment. On the second or third day after the operation, old bloody stools will be discharged, and the color will gradually become normal. There will also be frequent stools, and the specific situation and time vary from person to person. If you have had radiotherapy treatment in the early stage, it will take longer, and the control will be worse, which will affect the quality of life to a certain extent. But please don't be discouraged, time is good that heals everything, and everything will be fine.
 

The following items are also required:

1. Adult diapers. Prevent uncontrolled bowel movements, especially when preparing to go out or sleep. Leaky and frequent bowel movements are normal.

2. Wet wipes. It can be used to cleanse after defecation to keep the skin dry.

For more information on Innomed® ostomy pouch, refer to the previous articles. If you have customized needs, you are welcome to contact us; we will serve you wholeheartedly. At Longterm Medical, we transform this data by innovating and developing products that make life easier for those who need loving care.

Editor: kiki Jia

Date: March 1,2023