| |
 Ostomy Aid Your Ostomy Questions and Concerns position of sto... | |
|
| | |
position of stoma
Posted: 20 Sep 07 2:56 PM |
| | |
My husband had colostomy surgery in May of 07. On Oct 25, 07 he will have a 2nd surgery to remove the rectal anal area(and small tumor that was radiated). Because the original location of the stoma is right on his belt line and has become a deep crease that does not seal off well the stoma is to be moved. ALso his stoma turned into an 'inny' and not an 'outy' if you get what I mean..so that is to be corrected also.
My question is where do most people have their stoma's?? We thought the surgeon would move the stoma down..below the belt line but he says no it will be moved up a couple of inches. That gets it out of the crease of the waistline but it means he cannot wear a belt as the bag can not fill correctly when a belt is over it. Also might add that since Crohn's surgery in '71 and the loss of the ileocecal valve, he has 5-6 bowel movements a day. This is not a once a day thing. We are wondering if this in normal for most people...or unique to him to have it above the waistline. Thanks for any info shared. Patty/Milt |
| |
| | |
Re: position of stoma
Posted: 20 Sep 07 7:22 PM |
| | |
The goal is to have the stoma below the belly button and protruding about 1 inch or 1/2 inch above the skin.
Is this a colorectal surgeon? It is important to have a good surgeon....Please don't rush. A second opinion would be great, especially if the surgeon is saying it will be above the belly button.
When your husband sits, the stoma should be between the belly button and above his pelvis. He should be marked pre-operatively by an ostomy nurse (Wound ostomy continence nurse/ET nurse). We nurses look for skin folds, old scars, or anything else that can get in the way. Please make sure you are with a very good MD.
If the tumor is cancerous....search out a cancer center if possible...where do you live?
To suit the problem with the skin folds, he can use a convex wafer. The back of the pouch/wafer can be three dimensional, not flat...to fit into the skin folds.
Please feel free to write me back...
Christine A. Dorman
www.ostomyaid.com |
| |
| | |
Re: position of stoma
Posted: 21 Sep 07 9:11 AM |
| | |
Thank you Christine for answering my question. He is working with a colorectal surgeon...at Northwest Hospital in Seattle. He likes him a lot and feels very good about him. He did 2-3 fistula minor surgeries and the colostomy surgery in the last year.
Because of past surgeries for Crohn's in '71 and '98 the ostomy nurse who marked him in May put it right on the belt line..even though my husband told her it was the belt line.!!! And he is using a convex appliance and a belt which is working well now. Not sure why the 'rosebud' pulled in instead of staying 'out'.
Dr Isler told him this week when they set the surgery date that if they moved it down ..it would hang so far down the leg it would be risky for 'popping' it when he sits..and uncomfortable down that low. So he wants to put it higher than the waist line.
Maybe to keep it out of the area that was radiated..front and back...for the anal tumor that was found in May. Now they will remove the rectal/anal area.
Thank you for any other thoughts you have on this Patty/Milt |
| |
| | |
Re: position of stoma
Posted: 23 Sep 07 7:46 AM |
| | |
How old is he? I used to work at Memorial Sloan Kettering Cancer Center in NYC with wonderful surgeons...who do this everyday that they work.
I hope it all goes well. Many times, the bowel has been removed and there is little to work with and that is why the stoma winds up in 'less than optimal' areas.
If they remove his rectum and anus, close up his backside, that will be an area to watch for infection.
Please feel free to write to me and take care of yourself because it is often the spouse, caretaker who runs down to the ground physically and emotionally. YOu are a good wife, seeking out info for your hubby :)
Best of everything.
Chris
Christine A. Dorman
www.ostomyaid.com |
| |
| | |
Re: position of stoma
Posted: 23 Sep 07 7:47 AM |
| | |
You can email me for more private talks.
ostomyaid@gmail.com
Chris
Christine A. Dorman
www.ostomyaid.com |
| |
| | Ostomy Aid Your Ostomy Questions and Concerns position of sto... | |
| | | |
| | | |
| | | |