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Skin around the stoma
Unlike wounds, where the aim of the treatment is usually the closure of the wound, stomas are surgical openings on the surface of your abdomen intended to remain open to drain the stoma effluent. Complications of the peristomal skin are common and require special treatment.
Nearly half of patients with permanent stomas are affected by peristomal skin disorders. Several reasons, such as chemical irritation, mechanical injury or infections, can contribute to the development of peristomal skin disorders. However, patients are often unaware of it: Up to 56 percent of those with severe skin disorders report that they do not suffer from any skin disorder according to a Danish study.(1)
To prevent, recognize and treat initial skin changes, patient education is an essential preventive measure. Diligent skin care, thorough cleansing between bag changes, and even the right adhesive are cornerstones in avoiding and overcoming dermatological complications. The choice of suitable skin care products and stoma appliances to fit the individual needs is crucial. It is important that the ostomy bag has an effective and skin-friendly adhesive. Adhesion to the peristomal skin should be firm enough to prevent leakage, whilst also being easy to remove so that the user can avoid pain and skin damage.
1) Herlufsen P, Olsen AG, Carlsen B, Nybaek H, Karlsmark T, Laursen TN, Jemec GB. "Study of peristomal skin disorders in patients with permanent stomas." Br J Nurs. 2006 Sep 14-27;15(16):854-62. doi: 10.12968/bjon.2006.15.16.21848. PMID: 17108855.