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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

243
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:
243
Ostomy Care01:24

Ostomy Care

935
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:
935
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

421
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:
421
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

508
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...
508
Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

467
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
467
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

459
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...
459

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Related Experiment Video

Updated: Oct 4, 2025

Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
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The "Phillips" Ileostomy Correction Technique for Prolapsed Stoma.

Vittoria Bellato1,2, Pieter J Tanis1, Roel Hompes1

  • 1Department of Surgery, Amsterdam University Medical Centers, Meibergdreef, Amsterdam, Netherlands.

Diseases of the Colon and Rectum
|February 9, 2022
PubMed
Summary

Stoma prolapse, a common ostomy complication, can be surgically revised using a new technique. This method, called the Phillips ileostomy, offers a simple, bowel-preserving solution for prolapsed ileostomies.

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Area of Science:

  • Surgical innovation in ostomy care
  • Gastrointestinal surgery techniques

Background:

  • Stoma prolapse is a frequent complication following ostomy creation, leading to issues like leakage and obstruction.
  • Traditional surgical options like resection may not always be suitable for ileostomy prolapse.

Observation:

  • A novel surgical technique, termed the "Phillips ileostomy," involves eversion and stapler fixation of the prolapsed stoma.
  • The procedure creates a 2-3 cm nipple using a 3-row linear stapler and is secured to the skin.

Findings:

  • The Phillips ileostomy technique was successfully applied to 3 patients in a day surgery setting with no immediate complications.
  • One patient experienced prolapse recurrence at 6 months but was successfully retreated with the same technique, showing no recurrence at 1 year.

Implications:

  • This revisional technique offers a simple, bowel-preserving approach for managing ileostomy prolapse.
  • The procedure's feasibility in a day surgery setting suggests potential for efficient patient management and reduced healthcare costs.