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3 Cards in this Set
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measurements for ileal conduits:
location of stoma site from midline size of skin incision size of fascia incision length of bowel segment from IC jxn length to pull through fascia length that is ok w/o mesentary type of suture to use length protruding above skin |
5cm from midline
2-2.5 cm incision at skin 2 finger breath incision at fascia 10cm from IC valve 4-5 cm of bowel pulled through 8 cm can survive w/o mesentary 3-0 or 4-0 absorbable (vicryl) 2-3 cm (phallic) |
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colon vs. ileum:
which is better for CRF which has more e- imbalance refluxing vs. not |
ileum better for CRF
colon absorbs Na the same but more Cl & NaCO3 leading to hyperCl acidosis anastomoses in colon are non-refluxing b/c of tinea coli but there is no difference in outcomes |
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ileal conduits:
% stenosis (req revision?) % parastomal hernia complication rate for hernia revision how often to change how to manage parastomal fungal infection |
~10% stenosis with 5% req revision
1-4% hernia rate recurrence: 38%, complication 65% change every 4-7 days and let skin be exposed to air for 30 min fungal: nystatin powder, acidify urine, allow skin to dry completely when changing |
