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Abdominal Stomas and Their Skin Disorders: An Atlas of by Calum C Lyon, Amanda J Smith PDF

By Calum C Lyon, Amanda J Smith

ISBN-10: 0203453050

ISBN-13: 9780203453056

ISBN-10: 1853178969

ISBN-13: 9781853178962

This cutting edge instruction manual goals to bridge the space among the colorectal doctor, the stoma nurse and the dermatologist. It addresses the questions of what pathology is concerned, what might be performed via nurses, while to consult a dermatologist, and what should be performed by way of a dermatologist.

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Additional resources for Abdominal Stomas and Their Skin Disorders: An Atlas of Diagnosis and Management

Sample text

Thin hydrocolloid wafers may be used over the ulceration before applying the stoma bag. 25). This is the same approach that is used for the circumferential ulceration seen in mucocutaneous separation (see above). Some patients with severe pyoderma gangrenosum are unable to take systemic treatments because of concurrent ill-health. 25 (a) Circumferential pyoderma gangrenosum involving an ileostomy for Crohn’s disease. In this situation, leaks around the stoma would be inevitable if the bags were applied alone and this would aggravate the ulceration.

J Commun Nursing 1999;13:1–7. • 39 hydrocolloid dressing worn under the bag can be highly effective in preventing leaks and allowing topical treatments to be used In general, stoma-care routines, including washing, appliances and accessory use, should be kept as simple as practical in order to minimize the potential for skin problems 9. Black P. Management of patients undergoing stoma surgery. Br J Nursing 1994;3:211–16. 10. Allen S. Ileostomy. Professional Nurse 1995;14:107–12. 11. Baldwin C. Welcome visitor.

The patient should be admitted to hospital. The initial treatment of parastomal variceal bleeding consists of local compression around the stoma. The simplest and safest procedure to control the bleeding is by disconnecting the portosystemic collaterals. The mucocutaneous junction between the stoma and the skin is detached and the mucosal edge of the stoma oversewn, underrunning the vessels in the abdominal wall. This procedure is satisfactory in controlling the bleeding in the short term. Injection sclerotherapy is Ileostomy flux means profuse ileostomy diarrhoea.

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Abdominal Stomas and Their Skin Disorders: An Atlas of Diagnosis and Management by Calum C Lyon, Amanda J Smith


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