Case sharing after ostomy

Personal physical problems and inaccurate nursing methods will cause complications after stoma surgery.

Of course, complications are not terrible, and effective measures should be taken in time to find out. Let me share with you a postoperative case of ostomy, please take a look with me.

case:

an uncle in his 60s in the customer group asked for help. More than a year after the operation, he found a lump in his stomach next to the stoma, which was obvious when he was standing, but not when he was lying down.

It can be seen from the picture above that this is one of the most common complications after stoma surgery - parastomal hernia.

Parastomal hernia is one of the most common postoperative complications of enterostomy. It is caused by the lateral prolapse of the small intestine or colon through the stoma due to various reasons. The etiology of parastomal hernia includes many factors.

So what is a parastomal hernia ?

The U.S. parastomal hernia care guidelines point out that any factors that increase abdominal pressure: such as severe coughing, vomiting, intra-abdominal tumor growth, pregnancy will promote the occurrence of parastomal herniae, such as female obesity, multiple births or weak abdominal wall, Or there is increased intra-abdominal pressure caused by chronic obstructive pulmonary disease, and it may be due to factors such as postoperative malnutrition, advanced age, and local infection of the wound that will lead to weak and defective abdominal wall tissue next to the stoma, and other tissues in the abdominal cavity. For example, the intestine protrudes from the weak point, causing the abdominal wall next to the stoma to bulge.

The complications of parastomal hernia are as high as 30%-50%, especially in the elderly.