Neonatal Enterostomy Care

Pediatric enterostomy is a standard surgical method in pediatric surgery. It is to open a neonatal enterostomy on the patient's abdominal wall through surgery. It is also a standard surgical method in pediatric surgery. Its purpose is to relieve intestinal obstruction, restore intestinal patency and blood supply as soon as possible, and promote the recovery of intestinal diseases. Because children's "stoma" is temporary primarily, the child can go home to recuperate after the operation is stable. After 3-6 months, he will return to the hospital for stoma closure and return to normal defecation. This also shows that the hospital is only a stage in the child's recovery process, and how should parents take care of the baby at home?

Types of Neonatal Ostomy:

Neonatal stoma sites are divided into ileostomy and colostomy. The type of enterostomy varies according to the lesion's location and the operation's nature. The stoma type is divided into single-lumen stoma, double-lumen stoma, loop stoma, and separation stoma, which will also cause extra nursing care—degree of influence.

Since the stratum corneum of newborn skin is about 30% thinner than that of adults, improper care is more likely to cause dermatitis, damage, and even infection around the stoma. Care should also be taken for newborn care. Diluted water excrement is more likely to irritate the skin. It contains many digestive enzymes, which are also highly corrosive to the skin and can easily cause ulcers on the skin surface. The incidence of colostomy complications in children is very high. When adhesives are used, the skin of newborns, especially premature babies, is more likely to damage the skin barrier function due to friction so that the neonatal epidermis loses too much water and is vulnerable to microbial invasion., It is recommended to make an ostomy bag at least once daily. It is necessary to fully consider the breathability, stretchability, comfort, and softness of the product viscose, minimize the use of skin products with chemical solid ingredients and drugs, reduce the frequency of ostomy bag replacement; reduce Mechanical skin damage; for skin damage that has occurred, consult a doctor in time.

How to prevent ostomy complications in newborns?

Parents need to know more about choosing the appropriate ostomy bag and accessories to prevent stoma skin complications. The stoma accessory products are selected according to the characteristics of the stoma and skin. For skin irritation and damage, it is recommended to use stoma accessory products reasonably.

Standard products include skin protective paste, skin protective ring, skin protective power, skin protective spary, and more. Remove gently from a low angle to avoid mechanical damage when removing the chassis. Skin protective paste and skin protective ring are used to fill the gap between the chassis and the stoma, which can appropriately extend the sticking time of the ostomy bag or chassis. They are used for irregular stoma or uneven skin around the stoma. The  skin protective pasteshould be avoided on the damaged skin. It is easy to agglomerate and hardens quickly during use, and is difficult to remove. It is not recommended for children to use it for a long time. Skin protective power and skin protective spary can keep the skin dry before sticking the stoma bag and isolating the exudate and are widely used for the protection of the skin around the stoma; when using it for newborns, pay attention to the selection of alcohol-free products; when applying powder, pay attention to cover the child's face and gently wipe off the excess powder, do not blow away the powder to prevent the newborn from aspiration. In addition, due to the case of allergies caused by the use of skin protective paste in newborns, once an allergic reaction caused by any product is found, it should be stopped immediately and treated in time. During the two uses of the pouch, the skin should be gently washed with water, and the use of items that may disrupt the skin barrier function and alter the skin's pH, such as soaps, baby wipes, etc., is not recommended.

How to choose children's ostomy products during different periods?

1. Early postoperative period

A one-piece open transparent non-filtered carbon sheet for a pediatric ostomy bag can be selected, which is conducive to observing postoperative intestinal stoma exhaust, defecation, and abnormal conditions of the intestinal stoma and surrounding skin.

2. Recovery period

After the wound next to the colostomy is healed, the colostomy is directly pasted with a one-piece or two-piece open, transparent pediatric ostomy bag to collect excreta.

Children with larger diameter colostomy should not choose a pediatric ostomy bag, as the base plate will be too small, and an adult fake bag with a slightly larger base plate and moderate viscosity can be used according to the situation; Large, sticky, easy to cause discomfort or skin damage.

Knock on the blackboard here: Regarding the sticking time of the ostomy bag, it must not be based on the adult replacement time. According to the baby's characteristics, it is recommended that parents and mothers learn to observe the adhesive on the chassis, and the area where the glue turns white in the center hole is close to When it is 1cm, it must be replaced in time. If leakage has occurred, it needs to be replaced immediately!

How are children's ostomy products stored?

1. It can be stored in a small medicine box or box for easy access. Do not fold the stoma chassis.

2. Store in a cool, dry, and clean place at room temperature, do not store in a refrigerator or a high temperature, humid environment, and avoid sun exposure.

3. It is not advisable to buy large quantities and store them for a long time.

I hope the above introduction will give you more information on choosing children's ostomy products. Long-term Medical hopes that all babies worldwide can grow up healthily and happily!

For more information on Innomed® ostomy bags, refer to the previous articles. If you have customized needs, you are welcome to contact us; we will serve you wholeheartedly.

At Longterm Medical, we transform this data by innovating and developing products that make life easier for those who need loving care.

refer to:

1. Jin Ting, Xu Hongzhen, Tang Fang, Lou Jia. Research progress of neonatal enterostomy nursing [J]. Chinese Journal of Emergency and Critical Care, 2022,3(01):36-40.

2. Tang Yunyue, Yue Shujin, Guo Tong, Liu Yufen, Wang Xiaoping, Chen Zhiqi. Analysis and research on health education recommendations for the best clinical practice guidelines for enterostomy abroad [J]. Nursing Research, 2020, 34(10): 1733-1738.

3. Yang Tongling, Hu Xiaojing. Correlation study on complications and nursing neonatal enterostomy wounds in a single center [J]. Journal of Nursing Training, 2019, 34(08): 734-737. DOI: 10.16821/j.cnki .hsjx .2019.08.018.

4. Wu Shuqing, Zhong Bin, Liu Hui, Shu Fang, Liu Chuanrong, Huang Xiuming, and Wu Jinhua. Comparison of the efficacy of Bishop-Koop ostomy and double ostomy in neonatal necrotizing enterocolitis[J].Clinical Pediatrics Journal of Surgery, 2018, 17(11): 835-839.

Editor: kiki Jia

Date: July 7, 2022