Surgical Wounds

Janis Harrison's picture

By Janis E. Harrison, RN, BSN, CWOCN, CFCN

Monday came with expectations of fixing the problem. It wasn't to be. Daryl was weak and hated the NG tube in his nose and throat. I arrived early at his bedside and waited for the doctor to let us know what the plan of action would be for the blockage problem. I left to use the public restroom and missed the doctor's visit. No one quite new what the plan was when I questioned the staff. So I created my own plan. I made Daryl get out of bed and started walking him in the halls throughout the entire hospital. I did not want him to get any weaker and I wanted to see if the mobility would increase the gastrointestinal motility. He was not happy with me at first but with education and the explanation of why, he was more than willing to try.

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Laurie Swezey's picture

By Laurie Swezey RN, BSN, CWOCN, CWS, FACCWS

Skin grafting of surgical wounds is performed for wounds that are difficult to close using traditional closure methods, such as staples or sutures. They may also be used for wounds that are expected to result in severe scarring, which may have psychological or physical repercussions for the patient. Skin grafting serves three main purposes: it covers the wound, minimizes scarring and speeds healing.

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Joy Hooper's picture

By Joy Hooper RN, BSN, CWOCN

The "J-Pouch" is an example of an internal intestinal pouch constructed of small intestine. The surgery is performed as an alternative to a permanent ileostomy when the large intestine (colon) needs to be removed. The J-Pouch procedure can be performed in a I, II, or III stage surgical procedure. Although there are many complications associated with this procedure such as anal leakage after surgery, bowel obstruction, and pouchitis, there are many people that feel the J-Pouch procedure literally gave them their life back. Below is a comment from a J-Pouch patient:

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Joy Hooper's picture

By Joy Hooper RN, BSN, CWOCN

A person with a colostomy has several options as to how they choose to manage their ostomy. The choice of which pouch is only the beginning when choosing the route they want to use to manage their stoma output. In this video, I will provide an overview of colostomy irrigation. For more resources on colostomy irrigation, see the UOAA website at www.ostomy.org . Other online groups and forums include “STOMACITY” or “COLONTOWN” on Facebook and www.meetanostomate.com.

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Joy Hooper's picture

By Joy Hooper RN, BSN, CWOCN

The appearance of a new stoma on a patient’s abdomen can be shocking for the patient, family members, caregivers, and even some healthcare professionals. Stomas presented in textbooks, educational literature, and diagrams often appear round and “budded.” Patients will sometimes see images of other stomas and compare it to the appearance of their stoma. If their stoma is flush with the skin on the abdomen or retracted they may feel the surgeon did a poor job. Actually, the patient's body can have just as much to do with the appearance of the stoma as the surgeons surgical technique does.

Joy Hooper's picture

By Joy Hooper RN, BSN, CWOCN

Welcome to the third vlog in the series "GI Didn't Know That." In this video I will explain two more ostomy procedures: a "Loop Ostomy" and a "Double Barrel Ostomy." Both of these surgeries can be done as a temporary or permanent procedure.

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Joy Hooper's picture

By Joy Hooper RN, BSN, CWOCN

There are various types of urinary diversions. One of the most common urinary diversions is the ileal conduit. The ileal conduit actually borrows a segment of bowel to create the stoma, causing the patient to undergo surgery on the GI tract as well as the urinary system. An ileal conduit is an incontinent urinary diversion and will require the use of an external pouch.

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Karen Zulkowski's picture

By Karen Zulkowski DNS, RN, CWS

The past few months I have written about legal cases and palliative care. My plan was to combine them for March. However, my husband had a partial knee replacement at the end of February and I wanted to write about that. My apologies for no March column.