Common types of stoma surgery


Located in the right lower quadrant.

Family Stoma Care System Education Points:

Infants/toddlers tend to swallow air when feeding and may benefit from emptying air from the pouch every three to four hours or using a pouch with filter to slowly release air.

Effluent

The stoma generally begins to function the second to third day after surgery. There is continuous output that is often liquid or pasty in nature. The output is somewhat odorous and contains intestinal enzymes that are irritating to peristomal skin if leakage of effluent under the skin barrier occurs.


Ileostomy

 

  • May be constructed as loop stoma.
  • Often located near waistline.
  • Most often constructed as loop stoma with rod or catheter placed as support device during surgery and removed 10 to14 days later.

Family Stoma Care System Education Points:

  • Infants/toddlers tend to swallow air when feeding and may benefit from emptying air from the pouch every three to four hours or using a pouch with filter to slowly release air.
  • Deodorizing agents are available.


Transverse_colostomy

Effluent

The stoma generally begins to function by the third and fourth day after surgery. Initially may be liquid effluent; then consistency will vary based upon fluid and food intake. Usually pasty to very soft effluent. Occasionally transverse colostomy discharge is firm. Gas and faecal odor are formed by large bowel bacterial action on undigested carbohydrates. If leakage under skin barrier occurs, it can irritate peristomal skin.


May be constructed as end or loop stoma.

Family Stoma Care System Education Points:

  • Infants/toddlers tend to swallow air when feeding and may benefit from emptying air from the pouch every three to four hours or using a pouch with filter to slowly release air.
  • Deodorizing agents are available.
  • A colostomy does not prevent constipation, so the frequency of output is unpredictable. You may wish to discuss with the stoma care nurse how to monitor daily output.

Effluent

The stoma generally begins to function the third to fifth day after surgery. Consistency of effluent will be semisolid to firm. Gas and faecal odor are formed by large bowel bacterial action on undigested carbohydrates. If leakage under skin barrier occurs, it can irritate peristomal skin.


Descending_colostomy

sigmoid_colostomy


Ureterostomy is a diversion in the most distal place possible in the ureter and brought out through the abdominal wall and anastomosed to the skin. It may be unilateral or bilateral depending upon kidney function. Ureteral stents are usually sutured in place to maintain patency. They are often not pouched due to proximity near the costal margin, which is not ideal for pouch adherence. They usually have a dressing around the tube insertion site and empty into a drainage bag or the nappy. Peristomal skin irritation is uncommon.

Ileal conduit is when the ureters are diverted through a small segment of the ileum (the "conduit"), which has been disconnected from the intestinal tract, and urine is expelled from it. It is the most common urostomy created.

ureterostomy_ileal

Vesicostomy is a diversion at the bladder level used to provide temporary bladder drainage. The dome of the bladder mucosa is sutured to the abdominal skin opening as a stoma. Urine is allowed to empty into the nappy area. Peristomal skin irritation is uncommon.

Family Stoma Care System Education Points:

Adequate fluid intake is important to prevent urinary tract infections and stone formation.

Effluent

Immediately after creation of a urinary diversion, there is a continuous production of urine. In general, no anti-reflux mechanism, therefore patients are at risk for urinary tract infections. Unless there is a urinary tract infection, only minor odour should be present. Urine may be irritating when it comes in contact with skin. When a segment of ileum or colon is used to construct a stoma, mucus is often expelled with urine.


Print this content
Send to a friend [+]
Thank you for sharing ConvaTec content across the internet. In order for us to send the request we will need you to provide the following information.
* Sender name:
* E-mail from:
* E-mail to:

13258
http://uk.live.nodeb.convatemp.dk/external-link.aspx
Other ConvaTec websites
Click here to exit

Cookies are needed for this website to work optimally. They also help us to know a little bit about how you use our website, which improves the browsing experience.  Cookies on this site are used for traffic measurement and optimisation of page content only. By continuing to browse on this website, you indicate your consent to the use of cookies.  You may block the use of cookies by following the "How to block and avoid cookies" instructions

Learn more about our Cookie policy