Proper ostomy wound care and management techniques are important for any individual that has undergone ostomy surgery. This ensures optimal healing and long-term well-being.
Ostomy surgery is a procedure to create an opening, known as a stoma, in the abdomen specifically for the elimination of bodily waste. An ostomy can be permanent or temporary and is necessary for many reasons including cancer, Crohn’s disease, inflammatory bowel disease, diverticulitis, and more. While the ostomy itself is not a wound, the surgery to create the opening requires sutures and wound care until healed over to prevent any complications and to promote healing.
Dr. Adam Angeles at the Angeles Wound Care Institute is a top, board certified plastic surgeon that specializes in ostomy wound care and management services. AWCI provides personalized support plans for individuals to manage their ostomy effectively, prevent further complications, and maintain quality of life.
Common Causes of Ostomy Wounds and Related Complications
- Mucosal separation: This often occurs in the first 30 days after the ostomy surgery due to the sutures between the stoma and the skin becoming separated. Patients can be more vulnerable to mucosal separation if they are experiencing medical conditions that compromise healing. Advanced wound therapies, along with topical pastes, can be applied to suture separations to promote healing.
- Skin Irritation: The skin around one’s stoma may become irritated, due to leakage, frequent application changes, or adhesive reactions. Excessive irritation can lead to skin damage and wounds, requiring intervention to prevent further complications.
- Infection: Infections can occur if the stoma or surrounding skin is not adequately kept clean. Signs of infection include redness, swelling, and discharge, and will most likely require specialized medical attention.
- Blockages: Ostomy blockages can occur due to dietary issues or narrowed stomas. Symptoms include pain, swelling, and reduced output. Seeking medical attention is essential if a blockage is suspected.
- Hernias: Stoma hernias can develop due to weakness in the abdominal muscles. Proper support and avoiding heavy lifting can help prevent hernias.
Proper ostomy management will minimize risks, however, ostomy wounds requiring specialized care are not uncommon. At the Angeles Wound Care Institute, we will work with your ostomy nurse or provider to address the immediate concern and create a plan to prevent complications in the future.
Manage Your Ostomy to Prevent Complications
Regular care, proper hygiene, and the use of quality products, will support your stoma’s health and prevent infection. Key management includes:
- Cleaning: The stoma and surrounding skin should be cleaned regularly, with warm water and gentle soap. It’s important to change your ostomy pouch according to the recommendation of your healthcare provider. This will prevent leakage.
- Application Fit: It’s important to ensure that your ostomy appliance is fit correctly. Poorly fitted appliances will cause discomfort, leakage, and potentially lead to skin damage. We can help patients find what is right for them, to ensure comfort and security.
- Monitoring: Monitoring your stoma for any changes in size, color, or appearance will be very important. Any unusual changes should be taken to a healthcare provider immediately.
- Hydration and Diet: Staying hydrated and following a balanced diet can help manage your output consistency and prevent dehydration.
Proper ostomy management will help ensure the protection of the skin, prevent future wounds and complications, and support a patients’ comfort and confidence. At AWCI, our ostomy wound care specialists are here to provide comprehensive care and support to help patients navigate their new lifestyle with ease and assurance.
