STOMA CARE IN TEMPORARY ILEOSTOMY PATIENTS AFTER EMERGENCY SURGERY

Abstract

　In ileostomy patients,who underwent emergency operations due to surgical complications,stoma care may be limited because of inadequate preparation preoperatively. To clarify the problems of ileostomy care under such conditions,we analyzed pre-and postoperative stoma care in 8 patients. Patients who preoperatively had the stoma site marked by informed consent experienced less skin and stoma site complications and achieved independent stoma care sooner than other patients. Skin trouble could be attributed to stomal deformity and massive exdate from the drain. In the early postoperative stages,the use of a surgidrain-open-top was effective for collecting watery discharges. We conclude that informed consent and stoma site markings should be done preoperatively,and that it is necessary to select and adjust various stoma devices in each patient.