Some pathological conditions can become worse to necessitate a person to undergo ostomy surgery. An ostomy refers to a diversion in the digestive or urinary tract. In most cases, the ostomy remains easily manageable. In some cases, however, complications can arise. In this article, we will talk about stoma complications. Necrosis This condition occurs as a result of inadequate blood supply, leading to a dark, black stoma. Reasons for this condition include tension on the mesentery, the extra thickness of the abdominal wall, tighter suture line, and blood clotting. The doctor will devise a treatment plan based on the extent of necrosis. Detachment Too much tension on mesentery can also result in the stoma separating from the adjoining skin. This detachment of stoma leads to its sinking or retraction, making it hard for it to open into the ostomy pouch properly. You can treat this problem by using a modified convex pouching system, which pressed the peristomal skin to encourage the necessary protrusion of the stoma. Stenosis This condition refers to the extreme narrowing of the stoma, leading to difficulty passing stools. Reasons for this condition include inadequate suturing of the stoma, edema, mucocutaneous separation, and formation of scar that compresses the stoma. Treatments to fix this issue may include stoma dilation and surgical intervention. Prolapse Prolapse refers to the telescoping of the bowel through the stoma. Common risk factors that may lead to this complication include poor abdominal wall support and the pressure buildup inside the abdomen due to sneezing, coughing, laughing, and tumor formation. The way to manage this issue is to reduce protrusion by applying gentle pressure on the stoma. The application of a binder or prolapse belt is also a way to manage this issue conservatively. Hernia A hernia is a condition that refers to the bowel protruding into the subcutaneous tissue around the stoma. This development causes a noticeable bulge in the peristomal skin area. Your doctor will recommend wearing a binder or a modified ostomy appliance to manage this issue medically. You may need surgery to resolve the issue if herniation has resulted in a blockage. To prevent herniation, you can wear a binder before lifting heavy objects, and guard your stoma with your hands while coughing. Obstruction
Certain diseases and kinking of a bowel loop inside the abdomen can result in a bowel obstruction, which results in the patient’s inability to pass stools. To manage this issue, you may need surgical intervention.
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Keenan Motley
I write about Healthcare! ArchivesCategories |