By Calum Lyon, Amanda Smith
This leading edge instruction manual bridges the space among the colorectal physician, the stoma nurse and the dermatologist. It addresses the questions of what pathology is concerned, what should be performed via nurses, whilst to consult a dermatologist, and what may be performed by means of a dermatologist. Now in its moment variation, the e-book has been revised all through and includes new info on foodstuff and baby stoma sufferers.
Read or Download Abdominal Stomas and Their Skin Disorders, Second Edition (Series in Dermatological Treatment) PDF
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Extra info for Abdominal Stomas and Their Skin Disorders, Second Edition (Series in Dermatological Treatment)
The stoma may not be perfectly round in shape. In this situation, a template is made from which to cut subsequent appliances (Fig. 13). Teaching patients how to measure their stoma may help to reduce some of their anxieties and help prevent problems occurring in the future. On discharge from hospital, the patient may experience temporary loss of conﬁdence, which may increase anxiety and even the ability to cope. For patients to adapt to a stoma, the major source of emotional support is the family.
Fligelstone LJ, Wanandeya N, Palmer BV. Osmotic therapy for acute irreducible stoma prolapse. Br J Surg 1997; 84: 390–1. Hata F, Kitagawa S, Nishimori H, et al. A novel, easy and safe technique to repair a stoma prolapse using a surgical stapling device. Dig Surg 2005; 22: 306–10. Chang SC, Shen MH, Lee HHC. Local repair for a loop colostomy using a linear stapling device. J Soc Colon Rectal Surgeon 2008; 1: 22–6. Potter KL. Surgical oncology of the pelvis: ostomy planning and management. J Surg Oncol 2000; 73: 237–42.
However, if surgery is necessary, local repair is usually advocated initially. Before mesh hernioplasty was introduced, suture repair of the defect in the abdominal wall sheath was routinely undertaken. However, the recurrence rate for this procedure was unacceptably high, often reaching up to 70%. Better results have been reported with the use of mesh, but recurrence may still occur in up to 35% of repairs (20). The mesh can be placed by a conventional open surgical approach or, more recently, laparoscopically.
Abdominal Stomas and Their Skin Disorders, Second Edition (Series in Dermatological Treatment) by Calum Lyon, Amanda Smith