Case studies


CASE 1: COLOSTOMY AND SMALL BOWEL FISTULA

Clinical challenge:

  • 74 year old female
  • Underwent transverse loop colostomy after colon perforation
  • Developed small bowel fistula at the lower midline incision
  • Colostomy functional of liquid stool
  • Husband primary caregiver for managing ostomy

Colostomy and small bowel fistula

Clinical action:

Colostomy and small bowel fistula

Results:

  • Caregiver was pleased with simplicity of moldable convex on fistula because it eliminated complexity of using paste and barriers into skin creases and depressions
  • The molded adhesive helped prevent leakage and skin erosion as well as providing comfort and security for the patient
 

CASE 2: COLOSTOMY IN CREASE

Clinical challenge:

  • First day post-op, large amount of liquid mucous
  • Colostomy located in a crease

Colostomy in crease

Clinical action:

Colostomy in crease

Colostomy in crease

Results:

  • Revisited 2 days later, patient still maintained a good seal and felt comfortable.

Colostomy in crease

 
 

Summary:

  • Peristomal skin integrity is vital for successful adhesion.
  • The skin barrier is the first line of defense in maintaining good healthy skin.
  • ConvaTec Moldable Technology™,a skin barriers provide an individualized fit minimizing risk of effluent and urine coming into contact with the peristomal skin.
  • This technology is simple for patients and is more convenient as it eliminates the need for cutting and additional accessories to get an ideal fit helping to prevent skin complications.

Notes [+]

  1. A ConvaTec Moldable Technology™ Flat Skin Barrier was used in this case study, however ConvaTec would generally recommend a ConvaTec Moldable Technology™ Convex Skin Barrier for stomas that are flush and do not protrude from the abdomen.

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