Paediatric ostomy care at a glance

Colostomy created for anorectal malformation.

 

 

 

 

 

 

 

 

 

 

Piece of cloth kept round the stoma to hold stool.

 

Too much skin excoriation after having colostomy for Ano rectal malformation.

 

 

 

 

 

 

 

4 years old boy successfully treated with ostomy powder and colostomy bag due to very excoriated skin exposed to stool( above picture).

 

 11 years old chld wearing a colostomy bag after colonic perforation.

 

 

 

13 years old girl applying colostomy bag after Ano-Rectal malformation. 

Ostomy Bridge

“The Ostomy Bridge can provide a small amount of space between the body and articles of clothing to allow people to wear a functioning ostomy pouch while fully dressed in pants, a shirt, a belt, and other articles of clothing. This innovative product can resemble a belt with a raised attachment piece that can hold a pouch close to the body, allowing the user to put clothes on over it. This product can be ideal for anyone who has ever worried about wearing their pouch while going to work, running errands, or going out other places.”

Stomal marking is important before ostomy surgery.

Loop Ileostomy

 

 

A 26 has a loop ileostomy for hernia with damage some portion of small intestine. His suture line was separated due to infection after 7days of operation.peristomal skin was excoriated and colostomy bag used to leak daily because of oozing blood from excoriated peristomal skin. After visiting him at Teaching Hospital, I applied ostomy powder on the excoriated skin and adapt barrier ring underneath the flange.Then Patient used to change colostomy bag once a week but some times it leaks becase there is the bony prominence near stoma. So the stoma site is not at appropriate site.Frequent leakage of colostomy bag sometimes is related to improper siting of stoma. So it is necessary to consult ostomy nurse to site stoma which will prevent complications.



How to apply colostomy bag on uneven skin

 Depressed stoma after applying ostomy powder over the peristomal skin.

 Adapt barrier ring applied round the stoma to make surrounding skin even

Convex adhesive coupling flange applied over the adapt barrier ring and then pouch is attached.This is the way of providing colostomy care on depressed stoma with uneven skin.