Search Results (2)

People who have gone through stoma surgery face different problems and difficulties every day, although most of these issues improve significantly with time. The quality of life of ostomy patients has been proven to be strictly related to self-care ability. So, it is essential for patients to properly maintain the ostomy site, including proper daily self-care and regeneration of the skin around the stoma, to avoid stoma-related complications. This review was undertaken using the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines. The main aim of the literature review was to analyse and present the characteristics of medical products used in ostomy care currently existing on the market. The intervention and management of stoma problems with appliances and accessories are also summarised. This literature review is limited to a critical analysis of the scientific and professional literature and informational materials developed by manufacturers of stoma accessories. Full article

Stoma surgery can be critical in helping to restore the well-being of patients suffering from gastrointestinal disease or injury but it inevitably comes with numerous psychological and physiological complications. Disposable pouch systems which enable the collection of bowel waste have revolutionized stoma care but providing robust, discreet devices that can efficiently meet the requirements of the patient can be challenging. Pouches must securely store a microbially active waste whilst preventing leakage, protecting the underlying skin from inflammation and minimizing odor. All of this needs to be achieved within the design constraints of a pouch that is easy to manage and yet still maintains a discreet body contour. Stoma collection has moved from the waste being collected in butyl rubber pouches to much more elaborate systems incorporating assemblies of polyvinylidene chloride, ethylene vinyl acetate, ethyl vinyl alcohol and polyvinyl alcohol with new, skin-friendly adhesive such as hydrocolloid and silicones impregnated with ceramides and aloe. Moreover, 3D printing has emerged as a means of providing personalized stoma pouches that can potentially address the age-old issue of leakage. Despite such advances, stoma pouches have evolved slowly over the past 70 or so years. A survey of the literature reveals an abundance of quality-of-life studies but a dearth of reports addressing the key technological challenges. Consequently, this narrative review considers current stoma pouch technology and highlights the issues that continue to afflict stoma patients. Research and patent literature is critically appraised in terms of current pouch technology and the potential opportunities for new composite materials are identified. Full article