Case sharing of edema after enterostomy

Postoperative stoma edema is also a common problem for some stoma friends. How to care for stoma edema after stoma surgery? Please follow me to take a look.

What is stoma edema?

Enterostomy edema refers to swelling of the stoma mucosa and is the most common complication after enterostomy surgery. Any type of enterostomy, including ileostomy, colostomy, and urostomy, may have varying degrees of edema in the early or late postoperative period. The normal appearance of the enterostomy mucosa is bright red or pink, with a smooth and moist surface. The height is 1.5cm slightly higher than the skin or at the same level as the skin surface, which is convenient for protecting the skin around the enterostomy when pasting the stoma bag.

How to treat stoma edema?

1. Mild stoma edema:

Early postoperative edema will gradually relieve within 6-8 weeks after the operation, and no special treatment is required.

Nursing measures:

Before changing the stoma bag, measure the size of the stoma first. The center hole of the chassis should be 1~2mm larger than the stoma root.

2. Severe stoma edema:

The volume of the enterostomy increases significantly, and the tissue fluid in the enterostomy mucosa, submucosal microvessels or interstitial spaces concentrates, resulting in an obvious pink color of the enterostomy mucosa, and folds on the enterostomy mucosa Completely disappear.

Nursing measures:

1. Pay attention to the cutting of the chassis to avoid damage to the intestinal stoma mucosa and ischemia.

2. Choose an ostomy bag with a larger chassis diameter. When cutting the chassis, it should be slightly larger than the stoma mucosa by about 2mm, so as to avoid the stoma with a swollen stoma that affects blood circulation and leads to ischemic necrosis.

If the stoma edema is serious and you cannot evaluate it by yourself, it is recommended to seek medical treatment in time and seek medical help.

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