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Ostomy Care01:24

Ostomy Care

Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask and...

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Related Experiment Video

Updated: Jun 10, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
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Loop stomas with a subcutaneously placed bridge device.

I Baloyiannis1, G Christodoulidis, D Symeonidis

  • 1Department of Surgery, University Hospital, 41110 Larissa, Greece.

Techniques in Coloproctology
|August 5, 2010
PubMed
Summary
This summary is machine-generated.

A new technique using a removable subcutaneous bridge device for loop stoma support is safe and effective. This method simplifies stoma care and avoids common complications, demonstrating feasibility in clinical practice.

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Area of Science:

  • Surgical innovation
  • Stoma management
  • Gastrointestinal surgery

Background:

  • Loop stomas are common surgical outcomes.
  • Effective stoma support is crucial for patient recovery.
  • Existing methods may have limitations.

Purpose of the Study:

  • To introduce and assess a novel technique for loop stoma support.
  • Evaluate the safety and feasibility of a removable subcutaneous bridge device.
  • Compare outcomes with traditional stoma support methods.

Main Methods:

  • A cohort of 55 patients with loop stomas (30 colostomies, 25 ileostomies) was studied.
  • A removable subcutaneous redivac drain served as the bridge device.
  • The device was fixed subcutaneously to support the stoma.

Main Results:

  • No cases of mechanical obstruction, stenosis, retraction, mucosal erosion, or subcutaneous infection were reported.
  • Stoma cleaning and daily care were significantly simplified.
  • The bridge device was removable without disrupting the stoma collection system.

Conclusions:

  • The described technique for loop stoma support is safe and feasible.
  • The method offers a low complication rate.
  • This approach provides a practical solution for stoma management.