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Journal of Wound, Ostomy, and...The purpose of this study was to validate time frames for postoperative care following stoma surgery and to determine participants' current practice with convex pouching...
PURPOSE
The purpose of this study was to validate time frames for postoperative care following stoma surgery and to determine participants' current practice with convex pouching systems during the postoperative period.
DESIGN
A Cross-sectional survey.
SUBJECTS AND SETTING
The sample comprised 332 ostomy care specialists practicing in the United States. Most (n = 220; 66%) had more than 10 years' experience caring for patients with ostomies, 82% (n = 272) were certified WOC or ostomy care nurses (CWOCN and COCN), and 7% (n = 23) were board-certified colorectal surgeons.
METHODS
A 23-item online questionnaire was created for purposes of the study. Items in the questionnaire queried professional background and experience caring for patients with an ostomy. A single item was used to identify postoperative care periods following ostomy surgery. Additional items queried current practice patterns related to use of convex pouching systems and the timing of their use. Data were collected from January 18 to February 8, 2021.
RESULTS
Most respondents (n = 270; 90%) agreed with the following postoperative periods after ostomy surgery: immediate postoperative period (days 0-8); postoperative period (days 9-30); and transition phase (days 31-180). Most respondents (n = 274; 95%) indicated they would use a convex pouching system when clinically appropriate during the first 30 days following ostomy surgery and 79% (n = 228) indicated using a convex pouching system regardless of when the surgery was performed. Less than 1% (n = 2) indicated never using convexity within the first 30 days following stoma surgery, and only 3% (n = 8) indicated avoidance of convexity pouching systems in the immediate postoperative period.
CONCLUSIONS
Findings indicate that use of convexity during the postoperative period is prevalent to provide a secure seal and predictable wear time.
Topics: Cross-Sectional Studies; Humans; Ostomy; Postoperative Period; Surgical Stomas; Surveys and Questionnaires
PubMed: 35523240
DOI: 10.1097/WON.0000000000000877 -
The Journal of Thoracic and... Jan 2018
Topics: Carcinoma, Non-Small-Cell Lung; Humans; Lung Neoplasms; Models, Biological; Postoperative Period; United States
PubMed: 29245203
DOI: 10.1016/j.jtcvs.2017.09.064 -
Annals of the Royal College of Surgeons... Sep 2019
Topics: Aortic Aneurysm, Abdominal; Humans; Incidence; Magnesium Deficiency; Morbidity; Postoperative Period
PubMed: 31359760
DOI: 10.1308/rcsann.2017.0009 -
Minerva Anestesiologica Apr 2024
Topics: Humans; Quality of Life; Anesthetics; Postoperative Period; Anesthesia
PubMed: 38482638
DOI: 10.23736/S0375-9393.24.18048-0 -
Hellenic Journal of Cardiology : HJC =... 2019
Topics: Atorvastatin; Atrial Fibrillation; Cardiac Surgical Procedures; Humans; Hydroxymethylglutaryl-CoA Reductase Inhibitors; Postoperative Period
PubMed: 30414456
DOI: 10.1016/j.hjc.2018.10.006 -
Minerva Anestesiologica Dec 2018
Topics: Anesthesia; Anesthesiology; Cesarean Section; Female; Humans; Postoperative Period; Pregnancy; Shivering
PubMed: 30328332
DOI: 10.23736/S0375-9393.18.13138-5 -
Journal of the American College of... May 2017
Topics: Chylothorax; Heart Defects, Congenital; Humans; Postoperative Period
PubMed: 28494979
DOI: 10.1016/j.jacc.2017.03.559 -
Anesthesiology Mar 2010
Review
Topics: Adult; Anesthesia; Anesthesia Recovery Period; Child; Decision Making; Family; Home Care Services; Humans; Parents; Perioperative Care; Postoperative Period; Recovery Room
PubMed: 20179518
DOI: 10.1097/ALN.0b013e3181cb5ade -
The Journal of Thoracic and... Jul 2019
Topics: Animals; Humans; Postoperative Period; Pyridones; Rats; Reperfusion Injury
PubMed: 30961978
DOI: 10.1016/j.jtcvs.2019.02.102 -
Otolaryngologia Polska = the Polish... Feb 2023The authors would like to present the possibilities of reconstructive surgery using free microvascular flaps with bone elements in the treatment of cavities in the head...
The authors would like to present the possibilities of reconstructive surgery using free microvascular flaps with bone elements in the treatment of cavities in the head and neck area. The cavities in the presented article resulted both from resection of tumors in the head and neck area as well as congenital defects and radiation damage. The authors would like to discuss the difficulties that may arise during the postoperative period, including the maintenance of the graft's viability, the healing of the donor site and systemic problems. The article presents 33 reconstruction surgeries performed on 31 patients using different flaps, briefly describing their advantages and technical difficulties that may arise during the microvascular anastomoses. The authors emphasise the importance of a well-conducted qualification for the surgery as well as the need to discuss the course of the surgery and recovery and other possible treatment options with patients and their families. The complications that happened in the presented group and how they were treated are described. The authors discuss in details the 3 cases with different types of reconstructive procedures and draw attention to the importance of postoperative care consisting of the constant monitoring of the viability of the graft carried out by qualified personnel of the Otolaryngology Department and appropriately conducted anticoagulant therapy.
Topics: Humans; Free Tissue Flaps; Neck; Otolaryngology; Postoperative Period
PubMed: 36806468
DOI: 10.5604/01.3001.0016.2438