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Stoma Prolapse  [PDF]
?zgür Korkmaz,H.Gül?en Y?lmaz,?brahim H. Ta?y?ld?z,Y?lmaz Akgün
Dicle Medical Journal , 2008,
Abstract: The incidence of prolapse which is a late complication of stoma ranges between 0–25%. In this study the records of the patients who had been treated and followed up with the diagnosis of stoma prolapse between 1995 -2005 in the General Surgery Department of Dicle University Hospital were examined, retrospectively. There were 12 patients (5 men, 7 women) with a mean age of 51,6±15.01 years. The causes of stoma construction were malign diseases in 9 patients and benign diseases in 3 of them. The average time between construction of stoma and formation of prolapse was 10,9±6.84 month. The type of stoma was loop in 7 patient, end stoma in 4 patient and double bowel enterostomy in 1 patient. Of nine patients with stoma prolapse had been subjected chemotherapy. The overall rate of stomal prolapsus was 3,1% in this series. It was 10,8% in patients who had received chemoradiotherapy. Since stomal prolasus is a serious complication and its reconstruction needs general anesthesia great care should be shown when creatig a stoma.
An Interesting Case of Bishop-Koop Stoma Prolapse  [PDF]
Bilal Mirza
APSP Journal of Case Reports , 2010,
Abstract: An Interesting Case of Bishop-Koop Stoma Prolapse
Experiencing sexuality after intestinal stoma
Paula, Maria Angela Boccara de;Takahashi, Renata Ferreira;Paula, Pedro Roberto de;
Journal of Coloproctology (Rio de Janeiro) , 2012, DOI: 10.1590/S2237-93632012000200012
Abstract: objective: identify the social representations (sr) of ostomized people in terms of sexuality after the stoma. methods: an exploratory, descriptive, qualitative study using the social representation theory with 15 ostomized people (8 females), mean age of 57.9 years, between august and september 2005. data obtained from transcribed interviews were submitted to content analysis, resulting in the thematic unit "giving new meaning to sexuality" and subthemes. results: the study demonstrated that the intestinal stoma interferes in the sexuality experience, showing that the meanings attributed to this experience are based on individual life stories, quality of personal relationships established in practice and perception of sexuality, despite the stoma. conclusions: the social representations, in terms of experiencing sexuality after the stoma, are based on meanings attributed to the body, associated with daily life and present in the social imaginary. it is influenced by other factors, such as physiological changes resulting from the surgery and the fact of having or not a partner. care taken during sexual practices provide greater security and comfort in moments of intimacy, resembling the closest to what ostomized people experienced before the stoma. the self-irrigation technique associated or not with the use of artificial occluder, has been attested by its users as a positive element that makes a difference in sexual practice after the stoma. the support to ostomized people should be comprehensive, not limited to technical care and disease, which are important, but not sufficient. the interdisciplinary health team should consider all aspects of the person, seeking a real meeting between subjects.
Retrospective analysis of stoma-related complications  [PDF]
?smet ?zayd?n,Ali Kemal Ta?k?n,Abdulkadir ?skender
Journal of Clinical and Experimental Investigations , 2013,
Abstract: Objective: One of the few factors, that affect life of peoplehave stoma negatively, are complications developing intissues where placed stomas or near stomas. We aimedto evaluate the stoma practices performed frequently inour clinic.Methods: Between January 2008 and December 2011,the records of 96 patients who had stoma retrospectively.Factors indication for stoma, emergency procedure, preoperativestoma, type of stoma and complications sitingrecorded.Results: Ninety-six stoma patients were examined. Ofthem 66 (68%) of them was male, 30 (32%) of them wasfemale. The mean age was 58.8±12.6 years. The mostcommon colostomy patients were diagnosed obstructionof colon(66%) and ileostomy patients were diagnosedanastomosis protective ((75%). The most common typeof stoma were as follows 54 loop colostomy, 16 end colostomy,10 tube gastrostomy and 7 loop ileostomy. Theoverall complication rate was 48%. Both elective andemergency stomas had similar complication rates. Themost common complication included peristomal skin irritation(63%), peristomal infection (25%) and prolapse(5%) The stoma with the highest complications rate wasloop colostomy (57%).Conclusion: In our opinion, mortality and morbidity ofstomas may be decreased with the meticulous surgicalprinciple, regular follow- up and patient education. J ClinExp Invest 2013; 4 (1): 63-66Key words: Stoma, colostomy, ileostomy, complication
Nursing care of patients with intestinal stoma: nurse’s perceptions
Roberta Araujo Monge,Maria do Carmo Querido Avelar
Online Brazilian Journal of Nursing , 2009,
Abstract: It is a descriptive study, with a qualitative approach, carried out in 2007 with 23 nurses, students of the Post Graduate Course in Nursing of a private University in Greater S o Paulo. It uses a two-part questionnaire: 1st socio-demograhic profile of the nurses and 2rd a guiding question: “nurses’ perceptions of nursing care for the patient with intestinal stoma”. The data from the 1st part were explained in a quatitative way, and in the 2rd part, the data were organized according to Minayo’s thematic analysis, based on the theoretical framework of Sister Callista Roy`s Conceptual Adaptation Model. The nurses’ adaptation models on nursing care for patients with intestinal stoma emerged in the categories of individual coping behavior; coping with family, social and work aspects, and coping with attitudes and previous experience. The data obtained was classified and analyzed, identifying and reporting the stimuli that constitute the process of coping, generated by the modes of adaptation, using cognitive mechanisms that enable the difficulties affecting the nurses’ adaptation responses to be identified. The nurses’ states of adaptation were determined, as well as the establishment of goals which favor the elaboration of proposals for nursing intervention.
The meaning of being a man with intestinal stoma due to colorectal cancer: an anthropological approach to masculinities
Dázio, Eliza Maria Rezende;Sonobe, Helena Megumi;Zago, Márcia Maria Font?o;
Revista Latino-Americana de Enfermagem , 2009, DOI: 10.1590/S0104-11692009000500011
Abstract: this study analyzes the meanings that men with intestinal stoma attribute to their colorectal cancer experience and its treatment. the medical anthropology framework, gender identity and the ethnographic methods were used. a total of 16 men from 40 to 79 years of age, residents in ribeir?o preto and neighboring cities, sp, brazil participated in the study. data collection was carried out through participant observation and semi-structured interviews. two groups of meanings were selected through inductive data analysis: acknowledging the severity of the disease and the distress of having cancer, and being submitted to surgery and suffering from a stoma. these meanings revealed the tension that develops between traditional patterns of masculinity and the new identities resulting from the experience. the understanding of these meanings from a cultural perspective favors nurse-patient communication and enables planning of care appropriate to these patients' needs.
Case Report - Intestinal prolapse through a persistent omphalomesenteric duct causing small-bowel obstruction
G Pauleau, D Commandeur, C Andro, X Chapellier
South African Journal of Surgery , 2012,
Abstract: Persistent omphalomesenteric duct as a cause of small-bowel obstruction is an exceptional finding. A neonate presented with occlusion due to intestinal prolapse through a persistent omphalomesenteric duct. Remnants of the duct were successfully resected, and the postoperative course was uneventful. We discuss the presentation of omphalomesenteric duct and its management.
Use of Surgisis for Treatment of Anterior and Posterior Vaginal Prolapse  [PDF]
Sara Armitage,Elvis I. Seman,Marc J. N. C. Keirse
Obstetrics and Gynecology International , 2012, DOI: 10.1155/2012/376251
Abstract: Aim. To evaluate the anatomical success and complication rate of Surgisis in the repair of anterior and posterior vaginal wall prolapse. Methods. A retrospective review of 65 consecutive Surgisis prolapse repairs, involving the anterior and/or posterior compartment, performed between 2003 and 2009, including their objective and subjective success rates using the pelvic organ prolapse quantification (POPQ) system. Results. The subjective success rate (no symptoms and no bulge beyond the hymen) was 92%, and the overall objective success rate (no subsequent prolapse in any compartment) was 66% (43 of 65). The overall reoperation rate for de novo and recurrent prolapse was 7.7% with 3 women undergoing repeat surgery at the same site (anterior compartment). No long-term complications occurred. Conclusions. Surgisis has a definite role in the surgical treatment of prolapse. It may decrease recurrences seen with native tissue repair and long-term complications of synthetic mesh. Its use in posterior compartment repair in particular is promising. 1. Introduction The satisfactory surgical treatment of vaginal prolapse continues to elude gynaecologists, as evidenced by reports of failure rates ranging from 30% to 70% and a reoperation rate of 30% [1–3]. Permanent prostheses and mesh kits have been introduced in an attempt to improve these figures, but their use has been tempered by complications and long-term sequelae related to the techniques and materials used [4, 5]. Jia et al. [5] reviewed rates of objective failure and reoperation for failures and mesh excision of absorbable, biological, and nonabsorbable mesh in 3,000 women. For the anterior compartment, the objective failure rates for no mesh, absorbable mesh, biological grafts, and permanent mesh were, respectively, 29%, 23%, 18%, and 9%. However, synthetic mesh was associated with a reoperation rate of 6.6%. Biological grafts had a reoperation rate of 3%, and surgery for mesh excision occurred in another 2.6%. For the posterior compartment, there were insufficient data to determine success rates. In comparison to native tissue repair, there was a trend toward lower failure rates with absorbable and nonabsorbable synthetic meshes but higher failure rates with biological grafts. However, there is much heterogeneity in biological grafts, and most studies evaluated by Jia et al. [5] used a porcine dermal graft. Surgisis (Cook Surgical, Bloomington, IN) is a biological graft extracted from porcine small intestinal submucosa. In comparison to porcine dermal grafts, Surgisis has a higher collagen content, is
Prolapse of the small intestine through the peritoneal opening – an unusual cause of post-shunt intestinal obstruction
A Agrawal, MK Chauhan
South African Journal of Child Health , 2010,
Abstract: Ventriculoperitoneal (VP) shunt is the most widely used procedure for the management of hydrocephalus. Various complications, including disconnection, breaking, kinking and tip occlusion of the tube, cerebrospinal fluid loculation, shunt infection, intestinal obstruction, migration of the shunt and perforation of the internal organs, have been described with this invasive procedure. We report a case in which bowel prolapsed through the peritoneal opening and caused intestinal obstruction in a female baby.
Effect of Mechanical Ventilation on Intestinal Permeability in Preterm Infants: A Retrospective Cohort Study
Martine F. Krüse-Ruijter, Frans B. Pl tz, Jos W.R. Twisk, Carin M. Bunkers, Willem P.F. FetterRuurd M. van Elburg
The Open Critical Care Medicine Journal , 2008, DOI: 10.2174/1874828700801010024]
Abstract: Mechanical ventilation (MV) and ventilator strategies can induce or aggravate lung injury and may contribute to the development of distant organ failure, including the gastrointestinal tract. A retrospective cohort study was performed among 61 preterm infants, with a gestational age of 25-36 weeks, admitted at a neonatal intensive care unit. Intestinal permeability was measured by the sugar absorption test (SAT). Mechanically ventilated preterm infants were compared to not mechanically ventilated preterm infants. To analyze the effect of parameters of MV on intestinal permeability, we calculated the oxygenation index (OI). Intestinal permeability was not different in ventilated and not ventilated preterm infants within 48hr after birth. Although OI was < 10 in most of the infants, OI was positively correlated with the SAT, suggesting that the degree of MV was correlated with intestinal permeability.
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