NURS 205 Lecture Notes - Lecture 14: Abdominal Wall, Colostomy, Radiation Enteropathy
9 Dec 2016
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Document Summary
Intestinal reconstruction: bowel is brought thru an opening in the abdominal wall. Inability to afford ostomy supplies: limited ostomy nurse availability, limited follow-up, peristomal skin complications are common, can negatively impact quality of care. Reasons for ostomy surgery: cancer (colon, rectum, bladder), trauma (mva, stabbing, radiation enteritis and cystitis), ibd, diverticulitis, familial adenomal polyposis. Procedure opening where portion of the colon is diverted to abdominal wall skin surface. An end stoma or loop stoma may be created. Hartman"s procedure formation of a temporary end colostomy, accompanied by over-sewing of the distal colonic or rectal remnant. 2 surgical sites: abdominal incision: proximal sigmoid colon is brought thru the abdominal wall and formed into a permanent colostomy. Stool perineal incision: distal sigmoid colon, rectum, and anus are removed. Site may be left open, packed, and have drains. Reconnect ureters to segmented piece of ileum, which is sutured closed on one end.
