Name of the Procedure:

Common Name(s): Ostomy Pouch, Closed
Technical/Medical Term: Ostomy Pouch, Closed; without barrier attached (1 piece)

Summary

An ostomy pouch is a medical device used to collect waste from a surgically created opening (stoma) in the abdomen. The closed ostomy pouch without a barrier is a one-piece system that is easy to use and manage.

Purpose

This procedure is used to manage waste for patients who have undergone surgery to create a stoma due to medical conditions affecting the digestive or urinary systems. The goal is to provide a convenient and hygienic method for waste collection.

Indications

• Patients with an ileostomy, colostomy, or urostomy.
• Conditions such as colorectal cancer, Crohn's disease, ulcerative colitis, or bladder cancer.
• Patients requiring an alternative waste collection method post-surgery.

Preparation

• Patients should follow any dietary adjustments as advised by their healthcare provider.
• Ensure the stoma site is clean and dry before applying the pouch.

Procedure Description

1. Clean the stoma and the surrounding skin with warm water and mild soap; pat dry.
2. Remove the backing from the adhesive area of the pouch.
3. Carefully center the opening of the pouch over the stoma and press down firmly to adhere.
4. Check for proper sealing around the stoma to prevent leakage.

Duration

Applying the pouch typically takes a few minutes.

Setting

This procedure can be performed at home or any healthcare setting where the patient is being cared for.

Personnel

• Can be self-administered by the patient or a caregiver.
• Assistance by nurses or healthcare providers may be needed initially or for patients with mobility issues.

Risks and Complications

• Skin irritation or infection around the stoma.
• Leakage if the pouch is not properly attached.
• Rarely, allergic reactions to the adhesive.

Benefits

• Allows patients to manage their waste discreetly and hygienically.
• Improves quality of life by providing freedom and confidence in daily activities.
• Benefits can be realized immediately upon proper application.

Recovery

• No specific recovery period as it is a routine management procedure.
• Regular monitoring of the stoma and surrounding skin is essential.
• Follow-up appointments with a healthcare provider may be necessary to ensure proper stoma care.

Alternatives

• Two-piece ostomy systems, which include a separate barrier and pouch.
• Reusable ostomy bags.
• Pros: Two-piece systems may offer better customization and longer wear time. Cons: May be more complex to apply and manage.

Patient Experience

• Patients may feel more independent and comfortable in managing their waste.
• Initial learning curve and adjustment period.
• Pain is generally not associated with the procedure, but skin care is essential to prevent discomfort.