8 January 2010

Stoma

differentiate type

previous scars
site
size
end or loop
contents

complications:
stricture
retraction
prolapse
para-stomal hernia
skin excoriation

malnutrition
electrolyte disturbance
stones

Indications
end/exteriorization
diversion
feeding
lavage/decompression

preparation:
psycho-social priming
site
away from bone or surface landmarks
accessible to patient
within rectus abdominis sheath (above line of douglas)