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A person who has undergone an ileostomy, colostomy, or urinary ostomy may require an ostomy bag following the procedure. Medicare considers ostomy bags and related supplies to be prosthetic devices.
Colostomy supplies fall into the Medicare category of prosthetic devices. Medicare Part B will cover these supplies if a Medicare-enrolled healthcare professional deems them medically necessary.
Ordinarily the pouch must be emptied or changed a couple of times a day depending on the frequency of activity; in general the further from the anus (i.e., the further 'up' the intestinal tract) the ostomy is located the greater the output and more frequent the need to empty or change the pouch. [4]
Jones and Kehm preferred tissue paper as a colostomy cover (held in place with a band or garment) rather than a colostomy bag. [6] They found that irrigation of the colostomy varied with each patient's bowel habit but that most patients developed a routine of every-other-day irrigation, whereas a few needed no irrigation. [6]
The Hartmann's procedure with a proximal end colostomy or ileostomy is the most common operation carried out by general surgeons for management of malignant obstruction of the distal colon. During this procedure, the lesion is removed, the distal bowel closed intraperitoneally, and the proximal bowel diverted with a stoma .
-ectomy : surgical removal (see List of -ectomies). The term 'resection' is also used, especially when referring to a tumor.-opsy : looking at-oscopy : viewing of, normally with a scope-ostomy or -stomy : surgically creating a hole (a new "mouth" or "stoma", from the Greek στόμα (stóma), meaning "body", see List of -ostomies)
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