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MOLDABLE TECHNOLOGY SIMPLIFIES POUCHING OVER RODS
Problem:
Many loop ostomies with rods today are temporary. This helps protect distal anastamosis line. Our surgeons use different techniques to prevent loop stomas from retracting postoperatively thus needing modification of pouching techniques.
Cases:
#1: Plastic manufactured rod - may be stitched to skin or may not lay flat against abdominal contours. Using dough strip or stoma paste helps create a flat surface. These rods work best with a solid cut to fit barrier which helps to flatten out the rod. Our surgeons rarely use this product because of pouching difficulties.
#2: Red rubber catheter with “O” ring configuration - soft, pliable and not stitched to skin. However large area of catheter protrudes making pouch placement difficult and requiring larger pouch. Using moldable technology helps accommodate ring configuration by hugging stoma and sealing stoma gaps to prevent leakage.
#3: Soft end of Jackson Pratt drain with wooden end of the cotton tip applicator inserted into center - rigid, short profile makes easier wafer placement. However, abdominal swelling may cause pressure ulcers alongside the rod and stitched areas. Using moldable technology with stoma paste or cohesive seal over rod helps level and seal gaps for easier pouching.
Outcome:
Using a cut to fit wafer on a plastic manufactured rod works best in keeping a good seal.
Jackson Pratt drain rods work best with new moldable technology minimizing leakage from a poorly fitting appliance.
The adoption of “O” ring configuration with red rubber catheter was simplified using moldable technology, eliminating pressure and decreased pouching time.
Conclusion:
Whether plastic, rubber or drain is used under loop ostomy, we cannot change the surgeon’s practice. However we can prevent occurrence of complications with knowledge of basic principles of pouching combined with new moldable technology applied to these surgeon-fashioned “rods”.
Problem:
Many loop ostomies with rods today are temporary. This helps protect distal anastamosis line. Our surgeons use different techniques to prevent loop stomas from retracting postoperatively thus needing modification of pouching techniques.
Cases:
#1: Plastic manufactured rod - may be stitched to skin or may not lay flat against abdominal contours. Using dough strip or stoma paste helps create a flat surface. These rods work best with a solid cut to fit barrier which helps to flatten out the rod. Our surgeons rarely use this product because of pouching difficulties.
#2: Red rubber catheter with “O” ring configuration - soft, pliable and not stitched to skin. However large area of catheter protrudes making pouch placement difficult and requiring larger pouch. Using moldable technology helps accommodate ring configuration by hugging stoma and sealing stoma gaps to prevent leakage.
#3: Soft end of Jackson Pratt drain with wooden end of the cotton tip applicator inserted into center - rigid, short profile makes easier wafer placement. However, abdominal swelling may cause pressure ulcers alongside the rod and stitched areas. Using moldable technology with stoma paste or cohesive seal over rod helps level and seal gaps for easier pouching.
Outcome:
Using a cut to fit wafer on a plastic manufactured rod works best in keeping a good seal.
Jackson Pratt drain rods work best with new moldable technology minimizing leakage from a poorly fitting appliance.
The adoption of “O” ring configuration with red rubber catheter was simplified using moldable technology, eliminating pressure and decreased pouching time.
Conclusion:
Whether plastic, rubber or drain is used under loop ostomy, we cannot change the surgeon’s practice. However we can prevent occurrence of complications with knowledge of basic principles of pouching combined with new moldable technology applied to these surgeon-fashioned “rods”.