Name of the Procedure:

• Common Names: Ostomy pouch, drainable ostomy bag
• Medical Term: HCPCS A5056

Summary

An ostomy pouch, specifically designed to be drainable with an extended wear barrier and a filter, is used by patients who have undergone a colostomy, ileostomy, or urostomy. This one-piece system is designed to securely collect waste from the stoma with minimal leakage and odor.

Purpose

• Medical Conditions: Used for patients with a colostomy, ileostomy, or urostomy due to conditions like colorectal cancer, Crohn's disease, or bladder cancer.
• Goals: To provide a secure and convenient way to collect waste from a stoma, reduce skin irritation, manage odor, and improve the quality of life.

Indications

• Specific Symptoms/Conditions: Presence of a stoma requiring waste collection.
• Patient Criteria: Patients who need reliable, long-term, and comfortable waste management solutions post-surgery.

Preparation

• Pre-procedure Instructions: No special preparation is needed.
• Diagnostic Tests/Assessments: Routine follow-up may include reviewing the stoma site and skin condition.

Procedure Description

1. Application: Clean the stoma site.
2. Barrier Preparation: Measure and cut the skin barrier to fit the stoma.
3. Attachment: Peel off the backing and apply the barrier around the stoma.
4. Pouching: Attach the pouch securely to the barrier.
5. Adjustment: Ensure the pouch is comfortable and lies flat against the skin.

• Tools/Equipment: Ostomy pouch system (pouch with an attached barrier and filter), scissors, cleaning supplies.
• Anesthesia/Sedation: Not applicable.

Duration

• Typical Duration: The application and adjustment process typically take about 15-30 minutes.

Setting

• Location: Usually performed at home; initially taught by healthcare professionals in hospitals or outpatient clinics.

Personnel

• Healthcare Professionals: Ostomy nurse, general nurse, primary care physician (initial training); after training, the patient performs the application themselves.

Risks and Complications

• Common Risks: Skin irritation, leakage.
• Rare Risks: Infection at the stoma site.
• Management: Regular skin cleaning and barrier adjustment, consulting healthcare providers if issues arise.

Benefits

• Expected Benefits: Secure waste collection, reduced skin irritation, improved odor management.
• Realization Time: Immediate upon proper application.

Recovery

• Post-procedure Care: Regular cleaning and pouch changing as required (usually every 3-7 days).
• Restrictions: None specific; continue regular activities.
• Follow-up Appointments: Scheduled as necessary to monitor stoma health.

Alternatives

• Other Treatments: Two-piece ostomy systems, non-drainable pouches.
• Pros and Cons: Two-piece systems allow separate barrier and pouch changes but may require more frequent adjustments.

Patient Experience

• During the Procedure: Slight discomfort during the initial fitting.
• After the Procedure: Generally positive experience with reduced leaks and odor; pain management might not be necessary but comfort measures include using skin-friendly products to minimize irritation.