This is also known as a “loop colostomy”. This is usually performed in cases of an emergency, and can be reversed later on. Part of the colon is brought up to skin level and fixed in place using a stoma rod. The exposed bowel loop is cut and its ends are then rolled down and later sewn on the skin.
This is also called an “end colostomy”. A section of the colon or rectum is removed and the remaining portion is lifted to the surface of the abdomen, creating a stoma.
In an ileostomy, a part of the small intestine forms the stoma. In an urostomy, the stoma is connected to the ureters.
Stoma care: How should a stoma be cared for?
Post-surgery, stoma care is of utmost importance. Although the opening should have the same coloration as any other part of the skin, its output can make it tender or sore. The following are some ways to mitigate effects of output:
- Using a pouch of the correct size and skin barrier opening can prevent injury to or swelling of the stoma. If the opening is too big, the output may irritate the skin.
- To prevent leakage and resultant skin irritation, the pouching system should be changed on a regular basis. Be sure to set a regular schedule for changing the pouch.
- Exercise care in separating the pouching system from the skin. To do this, push your skin away gently from the sticky barrier instead of pulling the barrier away from the skin.
- Skin around the stoma should be cleansed with water, and completely dry the skin before replacing the skin barrier or pouch.
- Be aware of any allergies you may have to the adhesive or skin barrier. Remember that these may not develop right away, but may occur after weeks, months or years. A stoma nurse can recommend certain types.
In ileostomies, or surgeries resulting from injury or disease in the small or large intestine, waste passes through the stoma into a pouch, similar to a colostomy. After the surgery, the stoma is likely to be swollen and will become smaller in the following weeks.