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Jones and Kehm preferred tissue paper as a colostomy cover (held in place with a band or garment) rather than a colostomy bag. [6] They found that irrigation of the colostomy varied with each patient's bowel habit but that most patients developed a routine of every-other-day irrigation, whereas a few needed no irrigation. [6]
Transanal irrigation systems may use either a rectal balloon catheter or a cone-shaped colostomy tip. [9] The catheter tip is inserted into the anal canal. Systems with balloon catheters require inflation of the balloon once the tip is in position. [9] Cone shaped colostomy tip systems must be supported manually. [9]
An ostomy pouching system [1] is a prosthetic medical device that provides a means for the collection of waste from a surgically diverted biological system (colon, ileum, bladder) and the creation of a stoma. Pouching systems are most commonly associated with colostomies, ileostomies, and urostomies. [2]
A washout, also called an irrigation, [31] is performed by pushing saline or sterile water into the channel using a syringe connected to a catheter. [31] The water is pulled back out when the syringe is withdrawn and the process is repeated until the mucus is cleared. [ 31 ]
Anal encirclement effectively supplements the anal sphincter, narrowing the anal canal and its barrier function to stool, without altering voluntary control. Since complications are common, and can be serious (fecal impaction, infection, erosion of encirclement through anal canal), modern surgeons prefer to perform colostomy. [5]
Colostomy Patient with a colostomy complicated by a large parastomal hernia, which is when tissue protrudes adjacent to the stoma tract. CT scan of same patient, showing intestines within the hernia. Parastomal hernia is the most common late complication of stomata through the abdominal wall, occurring in 10 to 25% of the patients. [1]