Stoma case study | After parastomal hernia repair | eakin®
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eakin dot® 2-piece post parastomal hernia repair

Case study submitted by: Felicity Rackham / Liz Meakin, Clinical Nurse Consultants, Stomal Therapy, Epworth Eastern Hospital, Australia

4 reasons to use:

  1. Choosing the correct appliance is an important
    aspect in a person’s overall recovery after ostomy surgery.1
  2. The goal of both nurse and patient is to achieve a
    predictable, reliable wear time.2
  3. Parastomal hernias are one of the most common
    complications reported by ostomates.3 Occurance ranges from 25 to 50 %.4
  4. Postoperative recovery is not always straightforward with some ostomates requiring change of product due to post operative pain and wound management.

Patient History:

  • Mrs A – 73 year old female underwent a large paracolostomy 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

Nurse recommends eakin dot 2-piece:

  • Less pain and bruising on the lateral mesh side
    Mrs A felt comfortable managing this system at home

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

Clinical evidence for choosing eakin Cohesive® seals:

  • Improves peristomal skin problems
  • Ease of use
  •   hydrocolloid for longer-life wear 
  • Meets the individual needs of ostomates

References

  1. Williams J, Gwillian B, Sutherland N, Matten J, Hemmingway J, Ilsey H et al (2010) Evaluating skin problems in people with stomas. BJN 19(17):
    s6-15
  2. Wound, Ostomy, Continence Nurses Society(WOCN). (2013) Colostomy and Ileostomy: Products and tips. Mt. Laurel, NJ: WOCN
  3. Burch J, 2018 Nursing strategies for the prevention and management of parastomal hernias. Gastrointestinal Nursing 16(2) 38-42
  4. Thompson MJ, Trainor B (2005) Incidence of parastomal hernia before and after a prevention programme 3(2):23-27