Journal of Wound Ostomy & Continence Nursing
Sometimes stomas may even be located in a deep fold. Figure 15 features a patient with multiple creases around the stoma. Achieving a secure seal in all of these clinical situations depends on the convex skin barrier being flexible enough to conform securely to …
HCP Education: Ostomy Basics Patient Information - Convatec
A retracted stoma is recessed to slightly below the skin surface. Recessed stomas can occur over time due to internal surgical scarring, weight fluctuations, and other unforeseen events. Like the flush stoma, a retracted stoma calls for the use of a convex skin barrier.
WOCN - Peristomal Skin Assessment Guide for Clinicians
Consider use of convex pouching system and/or an ostomy belt for patient with retracted stoma, flush stoma, or peristomal skin folds. OR. Consider flexible, flat one-piece pouching system for patient with stoma in deep fold/crease. Change pouch when leaking, and do not reinforce with additional tape. If purulent drainage:
Convexity Guide - Stoma Supplies to Simplify Stoma - ConvaTec
Stoma pulled into the abdomen below skin level or having little or no spout. Skin Folds. A stoma which is deep in a skin fold/crease. Soft or Flaccid Abdomens. An abdomen requiring firm level of support to stabilize the pouching system. Need More Help? Please feel free to consult with one of our Clinical Support Specialists.
Convex Skin Barrier Options | Hollister US
If it has an irregular shape, doesn’t protrude from the skin, and/or is positioned in a skin crease or fold, a convex barrier may provide a more secure seal than a flat barrier. And a proper barrier fit may help prevent leakage and protect your skin from irritation and damage.
In the following pages you will find examples of different stoma problems and concrete suggestions for intervention and management of the stoma. Mucosa level with the skin Most flush stomas do not cause problems. If causing leakage it may require soft or shallow convexity. Contact your Stoma Care Specialist for appropriate advice.
Advances in Skin & Wound Care - LWW
Upon removal of her two-piece pouching system, a deeply recessed stoma was surrounded by a 2-cm area of moist, white, raised hyperplasia in a circumferential pattern, followed by an erythematous ring. When sitting, the stoma receded into her abdominal fat, and a prominent skin fold was noted at the 3- and 9-o’clock positions . The patient was ...
Surgical management of ostomy complications: a MISSTO–WSES …
2023年10月10日 · Stoma-related complications are common and require a step-up management, from conservative stoma care to surgical stoma revision. A study of literature evidence in clinical practice for stoma creation and an improved management of stoma-related complications could significantly increase the quality of life of patients with ostomy.
Characteristics of Convex Skin Barriers and Clinical Application ...
2021年11月1日 · The group reached consensus on 5 characteristics of convex skin barriers: depth, compressibility, flexibility, slope, and tension location. These statements provide a basis for quantifying the most...
Recessed Stomas - Ostomy - Inspire
2012年7月17日 · One of the best ways to manage a recessed stoma is with a convex wafer that presses the skin around the stoma down and eliminates the recess. Once the stoma is no longer recessed, the outflow goes into the pouch (good) and …