What Is Stoma Surgery?

The purpose of the stoma is mainly to output the contents of the intestine, reduce intestinal obstruction, protect the anastomosis or injury of the distal intestine, promote the healing of intestinal diseases, and intestinal decompression. There are also colostomy, urethral ostomy and so on.

Ostomy

Right!

Chinese name: Ostomy
Foreign name: stoma

Originated from: Greek
Purpose: Promote healing of intestinal diseases

The term stoma comes from

Gastrostomy

Gastrostomy set

Indications: Obstruction or stenosis due to esophageal trauma or malignant disease. Patients who are at high risk for some major abdominal surgery are elderly patients who are expected to have pulmonary complications or nutritional disorders after surgery.

Surgical effect

Gastrostomy can solve the nutritional supply of patients with impaired esophagus. According to the condition, short-term stoma and permanent gastrostomy are feasible. Short-term gastrostomy can also replace nasogastric tube. Can be supplemented by stoma. The skin around the long-term gastrostomy catheter is easily eroded by gastric fluid overflow, and local cleaning treatment should be strengthened.

Contraindications

Can't afford anesthesia.

Anesthesia method

Epidural, or general anesthesia.

Contraindication to anesthesia

Those who are seriously ill and elderly are at risk.

Nephrostomy

Nephrostomy Set

Indications 1. Isolated kidney has obstructive lesions and urinary occlusion. 2. Severe hydronephrosis and renal dysfunction cannot tolerate complex surgery. 3. Severe renal empyema, drainage of renal pus, is conducive to improving symptoms of poisoning and subsequent treatment. 4. After surgery for kidney and ureteral diseases, as a temporary diversion of urine flow, it is beneficial for wound healing. 5. When double ureteral obstruction or bladder obstructive disease (malignant tumor) cannot be cured. 6. When using percutaneous nephroscope to treat some kidney stones.

Surgical effect

The operation result is satisfactory, and the problem of urinary drainage due to obstruction can be eliminated, and further damage to the human body can be reduced. If the stagnant water is heavy and easy to puncture, percutaneous nephrostomy should be used as much as possible, the method is simple, and the patient is less affected. If the stagnant water is very light, surgical incision can be used. The advantage is that the placement of the tube is accurate, but it will hit the patient a lot.

Contraindications

Patients with coagulopathy and bleeding tendency should be cautious.

Anesthesia method

Epidural anesthesia, general anesthesia is feasible for those who do not cooperate.

Contraindication to anesthesia

Safe and effective.