LYCOS RETRIEVER 
Stoma
built 656 days ago
Stoma site selection should be a priority during the preoperative visit. Marking the site for a stoma preoperatively allows the abdomen to be assessed in a lying, sitting and standing position. Evaluation in these multiple positions allows determination of the optimal site. This evaluation can help reduce postoperative problems such as leakage, fitting challenges, need for expensive custom pouches, skin irritation, pain and clothing concerns. Poor stoma placement can cause undue hardship and have a negative impact on psychological and emotional health. Proper placement of the stoma enhances patient independence in stoma care and resumption of normal activity.
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Stoma is a Greek word meaning mouth or opening. It is a surgically created opening from the abdomen to the bowel or urinary tract. It is used as a method of elimination for either bowel or bladder waste. It protrudes through the abdomen wall, has a moist, soft, fleshy feel and is pinkish-red in colour, similar to the inside of your mouth.
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Stoma patients often have problems with the consistency and volume of their faeces. The output from an ileostomy peaks three to four hours after a main meal, often in the evenings. With a colostomy, the main output occurs in the morning after breakfast. Patients often find that they must restrict or change their diet to avoid excess wind, odour or loose stool. Eggs and fish often cause problems with bad smells, and fizzy drinks and beer produce excess wind and runny motions.
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Stoma covers simply cover the stoma's opening to prevent leaks while no pouch is present. They are small and comfortable as well, with differing design elements to suit every need. Some stomas are short and flush to the skin, which can cause difficulties covering them up. In these cases, convex inserts can be helpful to create a seal around the stoma.
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Measuring the Stoma and Applying the Correct Wafer Size To prevent skin problems and stool leakage from the pouch system, the wafer must fit properly onto the peristomal skin. The cut-to-fit wafer needs to be cut to the correct size before use. Another wafer option is the convex style.
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TRACOE® Stoma Buttons were developed for tracheostomized and laryngectomized patients who only require a device to keep the tracheostoma open instead of a conventional tracheostomy tube. Made of flexible soft silicone, TRACOE® Stoma Buttons are available in two models. The low profile TRACOE® Stoma Button features a unique outside flange that will accommodate a variety of accessories and is large enough to reduce the risk of tube aspiration. The TRACOE® Grid Button has all the features of the TRACOE® Stoma Button plus dual tabs to attach a neck strap. Each TRACOE® Grid Button is supplied with a removable mesh grid to keep foreign objects from entering the trachea. Both models are available in 16 different sizes.
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