SlideShare a Scribd company logo
1 of 11
Download to read offline
Stoma care
Introduction
• Stoma
• Artificial union made between 2 conduits or
• Between a conduit and the outside
• Type of stoma
• Colostomies
• Loop colostomy
• End colostomy
• Double barreled
• Ileostomies
• Urostomies
• Defunctioning stomas
Colostomies
• Loop colostomy
• A loop of colon is exteriorized,opened,and sewn to the skin
• A rod under the loop prevents retraction (removed after 7days)
• Defunctioning stoma
• Temporary
• Prone to complications than end colostomy
Colostomy
• End colostomy
• The bowel is divided
• Proximal end brought out as a stoma
• Distal end may be
1. Resected
2. Closed & left in the abdomen (Hartman's procedure)
3. Exteriorized (forming mucous fistula)
Colostomy
• Double-barrelled (Paul Mikulicz) colostomy
• Colon is brought out as double barrelled
• Closed using an enteretome
Ileostomies
• Protrude from the skin
• Emit fluid motions
• Contain active enzymes
• need skins protection
• Usually following proctocolectomy
• For ulcerative colitis
• Loop ileostomies can also be formed
Defunctioning stomas
• Loop colostomy/ileostomy
• Uses
• Relieve distal obstruction
• Protect distal anastomoses
• Minimise severity of leakage
Urostomies
• Fashioned after total cystectomy
• Bring urine from ureters to abdominal wall
• Via ileal conduit
• Usually incontinent
Alternatives to colostomy
• Total anorectal reconstruction
• Posterior sagittal anorectoplasty
Complications of stomas
• Early
• Haemorrhage at stoma site
• Stoma ischemia
• High output (lead to hypokalemia)
• Obstruction secondary to adhesion
• Stoma retraction
• Delayed
• Obstruction (fail at operation to close lateral space around stoma)
• Dermatitis
• Stoma prolapse
• Stoma intussusception
• Stenosis
• Parastomal hernia
• Fistulae
• Psychological problem
Choosing a stoma site
• Avoid
• Bony prominences – ASIS,costal margins
• The umbilicus
• Old wounds/scars - may be adhesions beneath
• Skin folds and creases
• The waistline
• Assessed pre-op by the stoma nurse
• Colostomies : left iliac fossa
• Ileostomy/ileal conduit : right iliac fossa

More Related Content

What's hot (20)

Types of intestinal stomas and management
Types of intestinal stomas and management Types of intestinal stomas and management
Types of intestinal stomas and management
 
Complications of stomas
Complications of stomasComplications of stomas
Complications of stomas
 
Enterocutaneous fistula
Enterocutaneous fistulaEnterocutaneous fistula
Enterocutaneous fistula
 
Stoma
Stoma Stoma
Stoma
 
SPLENIC INJURY.pptx
SPLENIC INJURY.pptxSPLENIC INJURY.pptx
SPLENIC INJURY.pptx
 
Colostomy
ColostomyColostomy
Colostomy
 
Intestinal obstruction
Intestinal obstructionIntestinal obstruction
Intestinal obstruction
 
Stomas
StomasStomas
Stomas
 
Perforated peptic ulcers
Perforated peptic ulcersPerforated peptic ulcers
Perforated peptic ulcers
 
Diverticular disease
Diverticular diseaseDiverticular disease
Diverticular disease
 
Gastric Outlet Obstruction (GOO)
Gastric Outlet Obstruction (GOO)Gastric Outlet Obstruction (GOO)
Gastric Outlet Obstruction (GOO)
 
Operative surgery ppt mbbs students
Operative surgery ppt mbbs students Operative surgery ppt mbbs students
Operative surgery ppt mbbs students
 
3. COLOSTOMY..ppt
3. COLOSTOMY..ppt3. COLOSTOMY..ppt
3. COLOSTOMY..ppt
 
Abdominal injuries, lecture
Abdominal injuries, lectureAbdominal injuries, lecture
Abdominal injuries, lecture
 
Stoma
StomaStoma
Stoma
 
LAPAROSCOPIC APPENDECTOMY
LAPAROSCOPIC APPENDECTOMYLAPAROSCOPIC APPENDECTOMY
LAPAROSCOPIC APPENDECTOMY
 
Intestinal fistulas
Intestinal fistulasIntestinal fistulas
Intestinal fistulas
 
Aetiopathogenesis and management of calculus cholecystitis
Aetiopathogenesis and management of calculus cholecystitisAetiopathogenesis and management of calculus cholecystitis
Aetiopathogenesis and management of calculus cholecystitis
 
Stoma management
Stoma managementStoma management
Stoma management
 
Post cholecystectomy complications
Post  cholecystectomy complicationsPost  cholecystectomy complications
Post cholecystectomy complications
 

Similar to Stoma Care Guide: Types, Procedures, Complications

Similar to Stoma Care Guide: Types, Procedures, Complications (20)

intestinal stomas 07OCT22.pptx
intestinal stomas  07OCT22.pptxintestinal stomas  07OCT22.pptx
intestinal stomas 07OCT22.pptx
 
Intestinal stoma( COLOSTOMY)
Intestinal stoma( COLOSTOMY)Intestinal stoma( COLOSTOMY)
Intestinal stoma( COLOSTOMY)
 
Colostomy
ColostomyColostomy
Colostomy
 
Ostomy/stoma care
Ostomy/stoma care Ostomy/stoma care
Ostomy/stoma care
 
STOMA CARE BY SIS. RAMA.pptx
STOMA CARE BY SIS. RAMA.pptxSTOMA CARE BY SIS. RAMA.pptx
STOMA CARE BY SIS. RAMA.pptx
 
stoma-170724172245 (1).pdf
stoma-170724172245 (1).pdfstoma-170724172245 (1).pdf
stoma-170724172245 (1).pdf
 
intestinal Stoma
intestinal Stomaintestinal Stoma
intestinal Stoma
 
Ostomy surgery
Ostomy surgeryOstomy surgery
Ostomy surgery
 
CARE OF COLOSTOMY.pdf
CARE OF COLOSTOMY.pdfCARE OF COLOSTOMY.pdf
CARE OF COLOSTOMY.pdf
 
CARE OF COLOSTOMY.pdf
CARE OF COLOSTOMY.pdfCARE OF COLOSTOMY.pdf
CARE OF COLOSTOMY.pdf
 
Cutaneous urinary Stoma
Cutaneous urinary StomaCutaneous urinary Stoma
Cutaneous urinary Stoma
 
Surgical Operations Matary 2021 -extracted.pdf
Surgical Operations Matary 2021 -extracted.pdfSurgical Operations Matary 2021 -extracted.pdf
Surgical Operations Matary 2021 -extracted.pdf
 
OSTOMY nehu.pptx
OSTOMY nehu.pptxOSTOMY nehu.pptx
OSTOMY nehu.pptx
 
Colostomy
ColostomyColostomy
Colostomy
 
Colostomy -Large intestine
Colostomy -Large intestineColostomy -Large intestine
Colostomy -Large intestine
 
Stoma in surgery
Stoma in surgeryStoma in surgery
Stoma in surgery
 
LIVER INFECTIONS.pptx
LIVER INFECTIONS.pptxLIVER INFECTIONS.pptx
LIVER INFECTIONS.pptx
 
colostomy care APPLICATION PROCEDURE.pptx
colostomy care APPLICATION PROCEDURE.pptxcolostomy care APPLICATION PROCEDURE.pptx
colostomy care APPLICATION PROCEDURE.pptx
 
ostomy-care.pptx
ostomy-care.pptxostomy-care.pptx
ostomy-care.pptx
 
2. giardia
2. giardia2. giardia
2. giardia
 

More from Medical Student (17)

Neural tube defect
Neural tube defectNeural tube defect
Neural tube defect
 
Meningitis
MeningitisMeningitis
Meningitis
 
Epilepsy
EpilepsyEpilepsy
Epilepsy
 
Medical exam checklist
Medical exam checklistMedical exam checklist
Medical exam checklist
 
Febrile seizure
Febrile seizureFebrile seizure
Febrile seizure
 
Sigmoid volvulus
Sigmoid volvulusSigmoid volvulus
Sigmoid volvulus
 
Familial colorectal cancer
Familial colorectal cancerFamilial colorectal cancer
Familial colorectal cancer
 
Fibroadenosis
FibroadenosisFibroadenosis
Fibroadenosis
 
Lung abscess
Lung abscessLung abscess
Lung abscess
 
Empyema
EmpyemaEmpyema
Empyema
 
Bronchiectasis
BronchiectasisBronchiectasis
Bronchiectasis
 
Hemophilia
HemophiliaHemophilia
Hemophilia
 
Disseminated intravascular coagulation
Disseminated intravascular coagulationDisseminated intravascular coagulation
Disseminated intravascular coagulation
 
Failure to thrive
Failure to thriveFailure to thrive
Failure to thrive
 
Pulmonary embolism
Pulmonary embolismPulmonary embolism
Pulmonary embolism
 
Pneumothorax
PneumothoraxPneumothorax
Pneumothorax
 
Pleural effusion
Pleural effusionPleural effusion
Pleural effusion
 

Recently uploaded

Measurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptxMeasurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptxDr. Dheeraj Kumar
 
Plant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdfPlant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdfDivya Kanojiya
 
History and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdfHistory and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdfSasikiranMarri
 
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptxPresentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptxpdamico1
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdfDolisha Warbi
 
World-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxWorld-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxEx WHO/USAID
 
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand UniversityCEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand UniversityHarshChauhan475104
 
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Badalona Serveis Assistencials
 
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptxSYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptxdrashraf369
 
Giftedness: Understanding Everyday Neurobiology for Self-Knowledge
Giftedness: Understanding Everyday Neurobiology for Self-KnowledgeGiftedness: Understanding Everyday Neurobiology for Self-Knowledge
Giftedness: Understanding Everyday Neurobiology for Self-Knowledgeassessoriafabianodea
 
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisVarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisGolden Helix
 
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdfMedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdfSasikiranMarri
 
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamAkebom Gebremichael
 
Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.ANJALI
 
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...MehranMouzam
 
LESSON PLAN ON fever.pdf child health nursing
LESSON PLAN ON fever.pdf child health nursingLESSON PLAN ON fever.pdf child health nursing
LESSON PLAN ON fever.pdf child health nursingSakthi Kathiravan
 
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptxL1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptxDr Bilal Natiq
 
Nutrition of OCD for my Nutritional Neuroscience Class
Nutrition of OCD for my Nutritional Neuroscience ClassNutrition of OCD for my Nutritional Neuroscience Class
Nutrition of OCD for my Nutritional Neuroscience Classmanuelazg2001
 
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners
 
CCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdfCCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdfMyThaoAiDoan
 

Recently uploaded (20)

Measurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptxMeasurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptx
 
Plant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdfPlant Fibres used as Surgical Dressings PDF.pdf
Plant Fibres used as Surgical Dressings PDF.pdf
 
History and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdfHistory and Development of Pharmacovigilence.pdf
History and Development of Pharmacovigilence.pdf
 
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptxPresentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
Presentation for Bella Mahl 2024-03-28-24-MW-Overview-Bella.pptx
 
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
PULMONARY EDEMA AND  ITS  MANAGEMENT.pdfPULMONARY EDEMA AND  ITS  MANAGEMENT.pdf
PULMONARY EDEMA AND ITS MANAGEMENT.pdf
 
World-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptxWorld-Health-Day-2024-My-Health-My-Right.pptx
World-Health-Day-2024-My-Health-My-Right.pptx
 
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand UniversityCEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
CEHPALOSPORINS.pptx By Harshvardhan Dev Bhoomi Uttarakhand University
 
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
Presentació "Real-Life VR Integration for Mild Cognitive Impairment Rehabilit...
 
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptxSYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
SYNDESMOTIC INJURY- ANATOMICAL REPAIR.pptx
 
Giftedness: Understanding Everyday Neurobiology for Self-Knowledge
Giftedness: Understanding Everyday Neurobiology for Self-KnowledgeGiftedness: Understanding Everyday Neurobiology for Self-Knowledge
Giftedness: Understanding Everyday Neurobiology for Self-Knowledge
 
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic AnalysisVarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
VarSeq 2.6.0: Advancing Pharmacogenomics and Genomic Analysis
 
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdfMedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
MedDRA-A-Comprehensive-Guide-to-Standardized-Medical-Terminology.pdf
 
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom KidanemariamANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
ANEMIA IN PREGNANCY by Dr. Akebom Kidanemariam
 
Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.Statistical modeling in pharmaceutical research and development.
Statistical modeling in pharmaceutical research and development.
 
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
Study on the Impact of FOCUS-PDCA Management Model on the Disinfection Qualit...
 
LESSON PLAN ON fever.pdf child health nursing
LESSON PLAN ON fever.pdf child health nursingLESSON PLAN ON fever.pdf child health nursing
LESSON PLAN ON fever.pdf child health nursing
 
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptxL1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
L1.INTRODUCTION to ENDOCRINOLOGY MEDICINE.pptx
 
Nutrition of OCD for my Nutritional Neuroscience Class
Nutrition of OCD for my Nutritional Neuroscience ClassNutrition of OCD for my Nutritional Neuroscience Class
Nutrition of OCD for my Nutritional Neuroscience Class
 
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
 
CCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdfCCSC6142 Week 3 Research ethics - Long Hoang.pdf
CCSC6142 Week 3 Research ethics - Long Hoang.pdf
 

Stoma Care Guide: Types, Procedures, Complications

  • 2. Introduction • Stoma • Artificial union made between 2 conduits or • Between a conduit and the outside • Type of stoma • Colostomies • Loop colostomy • End colostomy • Double barreled • Ileostomies • Urostomies • Defunctioning stomas
  • 3. Colostomies • Loop colostomy • A loop of colon is exteriorized,opened,and sewn to the skin • A rod under the loop prevents retraction (removed after 7days) • Defunctioning stoma • Temporary • Prone to complications than end colostomy
  • 4. Colostomy • End colostomy • The bowel is divided • Proximal end brought out as a stoma • Distal end may be 1. Resected 2. Closed & left in the abdomen (Hartman's procedure) 3. Exteriorized (forming mucous fistula)
  • 5. Colostomy • Double-barrelled (Paul Mikulicz) colostomy • Colon is brought out as double barrelled • Closed using an enteretome
  • 6. Ileostomies • Protrude from the skin • Emit fluid motions • Contain active enzymes • need skins protection • Usually following proctocolectomy • For ulcerative colitis • Loop ileostomies can also be formed
  • 7. Defunctioning stomas • Loop colostomy/ileostomy • Uses • Relieve distal obstruction • Protect distal anastomoses • Minimise severity of leakage
  • 8. Urostomies • Fashioned after total cystectomy • Bring urine from ureters to abdominal wall • Via ileal conduit • Usually incontinent
  • 9. Alternatives to colostomy • Total anorectal reconstruction • Posterior sagittal anorectoplasty
  • 10. Complications of stomas • Early • Haemorrhage at stoma site • Stoma ischemia • High output (lead to hypokalemia) • Obstruction secondary to adhesion • Stoma retraction • Delayed • Obstruction (fail at operation to close lateral space around stoma) • Dermatitis • Stoma prolapse • Stoma intussusception • Stenosis • Parastomal hernia • Fistulae • Psychological problem
  • 11. Choosing a stoma site • Avoid • Bony prominences – ASIS,costal margins • The umbilicus • Old wounds/scars - may be adhesions beneath • Skin folds and creases • The waistline • Assessed pre-op by the stoma nurse • Colostomies : left iliac fossa • Ileostomy/ileal conduit : right iliac fossa