1. Milagros Castro Romera Hospital Universitario de Canarias

3.  Surgically created opening.  Derivation of the bowel tract to the outside of the abdomen.

4.  Colostomy  Ascending  Transverse  Descending  Sigmoid  Ileostomy

5. Immediate OedemaHemorrhageIschemia, necrosisInfection, sepsisStoma retractionDehiscenceEvisceration Late StenosisHerniaProlapseTumor recurrence Skin complications Periestomal dermatitis UlcerationsGranulomasParaestomal varicesIntestinal fistulas

6. Stoma complications. Complications of mucocutaneous junction. Peristomal skin complications

7. D is colouration E rosion T issue Overgrowth

10. Physiological inflammation of the intestinal mucosa as a result of the manipulation of the surgical procedure.

12.  Rare complication (2-3%)  During first hours after operation  Caused by a subcutaneous o submucosal vein injury.  Late bleeding due to a small wound or coagulation factors alteration

13.  Evaluate: time of appearance, quantity, origin and hemodynamic status.  Clear pouch (two-pieces system).  Hygiene  Local hemostasis or manual compression.  Mucosa: silver nitrate, adrenaline  Arterial surface: suture

14.  Problems of blood supply.  Gradual color change  First 24 h  Establish the affected area.  Conservative or surgical treatment

15.  Colour  Extent of necrosis  Funcionality

16.  Asepsis  Symptoms: pain, inflammation, suppuration, fever  From peristomal inflammation to abcess.

17. Vigilance Clear pouches Abcess Drain Regeneration Hydrocolloid powders

18.  Sinking of the stoma below skin level.  Causes:  Little mobilization  Increased patient weight  Septic complications Peristomal

20.  Infection and removal of intestinal loop.  Nursing Cares:  Isolate the stoma.  Secondary intention.  Suture.

21.  Exteriorization of an intestinal segment through the abdominal hole.  Isolate the area with wet sterile gauzes until the surgery.

23. Peristomal dermatitis Stoma EffluentNutrition General condition Hygiene Materials Caregyver

24.  Chemical irritant dermatitis  Mechanical dermatitis  Allergic contact dermatitis

25.  Characteristics  Cause  Extend and degree  Appropiate pouch  Hygiene  Protective creams, powders hydrocolloids  Change brand of device  PREVENTION

27. Small fleshy mass appearing around the stoma resulting from a persistent skin irritation caused by sutures not removed in time or rubbing the mucosa with the edge of the device.

28.  Artificial communication between two cavities or between a hollow viscera organ and skin.  Classification:  Internal / enteroenteric  External / eenterocutaneus  Diagnosis:  Surgery  Methylene blue  Barium enema / GDS  Fistulography  CT

29. Nutritional controlPharmacotherapySepsis controlControl drainageSkin caresPhysical and mental well-being

31.  Reduction of light reaching the stoma output difficult stool.  Partial  Total  Nursing cares:  Diet  Digital expansion  Irrigations

32.  Incisional hernia that allows protrusion of abdominal contents through the abdominal  Cares  Evoid efforts  Flexible pouching systems  Stop irrigation  Surgical treatment

33.  Bowel protrudes through the stomal opening in the skin to a greater extent than was anticipated.  Causes:  Oversized hole  Increased abdominal pressure  Excesive exertion  Infants  Obesity

34.  Control evolution  Cold saline compresses  Avoid fhysical efforts  Manual technique  Surgery