PubMed · 8659987
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S Roy, O Hughes, B M Stephenson. 1996. Split loop colostomy: a modification.. https://pubmed.ncbi.nlm.nih.gov/8659987/
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The patient with a spinal cord injury presents significant challenges to the nurse seeking to promote an optimal state of physical wellness and maximum independence with self-care. This article describes the nature of spinal cord injuries and their long-term effects on the gastrointestinal system. The preoperative and postoperative needs that the WOC nurse must consider when designing a care plan for the patient with a spinal cord injury and a colostomy are discussed, as well as the indications and efficacy of elective colostomy surgery as a management alternative for the neuropathic bowel.
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Paracolostomy hernias are common and require treatment when symptomatic. Traditional methods of repair have high recurrence rates. We describe a new technique using polytetrafluoroethylene mesh, which offers preservation of stoma site, lack of recurrences, ease, and safety.