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Wound, ostomy, and continence nursing is a nursing specialty involved with the treatment of patients with acute and chronic wounds, patients with an ostomy (those who have had some kind of bowel or bladder diversion), and patients with incontinence conditions (those with issues of bladder control, bowel control, and associated skin care).
An ostomy pouching system [1] is a prosthetic medical device that provides a means for the collection of waste from a surgically diverted biological system (colon, ileum, bladder) and the creation of a stoma. Pouching systems are most commonly associated with colostomies, ileostomies, and urostomies. [2]
Colostomy Patient with a colostomy complicated by a large parastomal hernia, which is when tissue protrudes adjacent to the stoma tract. CT scan of same patient, showing intestines within the hernia. Parastomal hernia is the most common late complication of stomata through the abdominal wall , occurring in 10 to 25% of the patients.
Only the proximal stoma is functioning. Most often, double-barrel colostomy is a temporary colostomy with two openings into the colon (distal and proximal). The elimination occurs through the proximal stoma. Colostomy surgery that is planned usually has a higher rate of long-term success than surgery performed in an emergency situation.
The Stamm gastrostomy is an open technique, [4] requiring an upper midline laparotomy and gastrotomy, with the catheter brought out in the left hypochondrium.It was first devised in 1894 by the American Gastric Surgeon, Martin Stamm (1847–1918), who was educated greatly in surgery when he visited Germany.
The first concepts of colon surgery were thought to have originated in the 15th century as a means to relieve obstructed bowel. The first reported ostomy, performed in 1776 by Pillore of Rouen as an attempt to circumvent blockage caused by a rectal tumor, was done at the insistence of the patient despite opposition from other doctors.