Skip to Main Content

Current Country: USA

Menu

Current Country: UK

eakin dot 2-piece for parastomal hernia repair

This case study looks at the use of eakin dot 2-piece for parastomal hernia repair.

By Felicity Rackham / Liz Meakin Clinical Nurse Consultants, Stomal Therapy, Epworth Eastern Hospital Australia
Skin damage around the stoma

Patient history:

  • Mrs A - 73 year old female underwent a large para-colostomy hernia repair
  • This lady was keen to use her previous 2-piece convex system after the repair surgery as it was familiar and comfortable

Problems:

  • Persistent discomfort on the lateral left side of the stoma, suggesting the convexity was placing pressure on the internal mesh
  • Leakage due to the uneven plane of her refashioned stoma

Nurse review:

  • Skin damage around the stoma
  • Mild bruising and fragile skin at 3 o’clock from the convex flange
  • Signs of medical adhesive removal skin injury (MARSI)
    along the flange edges due to frequent changes of appliance
Less pain and bruising on the lateral mesh side

Nurse recommends eakin dot® 2-piece:

  • Less pain and bruising on the lateral mesh side
  • Mrs A felt comfortable managing this system at home
Mrs A reported the skin as feeling much better

Outcome:

  • 2 weeks after using eakin dot® 2-piece with seal under base plate, Mrs A reported the skin as feeling much better
  • The skin continued to heal over the next few weeks