Open AccessUse of a Convex Pouching System in the Postoperative Period
Author(s) -
Janice C. Colwell,
Janet Stoia Davis,
Krisztina Emodi,
Jane Fellows,
Mary Mahoney,
Bethany McDade,
Sima P. Porten,
Elizabeth R Raskin,
Terran Sims,
Holly S. Norman,
M J Kelly,
Mikel Gray
Publication year - 2022
Publication title -
journal of wound, ostomy, and continence nursing/journal of wocn
Language(s) - English
Resource type - Journals
eISSN - 1528-3976
pISSN - 1071-5754
DOI - 10.1097/won.0000000000000874
Subject(s) - medicine , seal (emblem) , surgery , art , visual arts
Convex pouching systems have been available for ostomy patients for decades; however, controversy remains over the use of convexity in the postoperative period. A group of 10 nurses and physicians with expertise caring for patients with an ostomy completed a scoping review identifying research-based evidence and gaps in our knowledge of the safety and effectiveness related to the use of a convex pouching system following ostomy surgery. Results of this scoping review demonstrated the need for a structured consensus to define best practices when selecting a pouching system that provides a secure and reliable seal around the stoma, avoids undermining and leakage of effluent from the pouching system, and contributes to optimal health-related quality of life for patients following ostomy surgery. The expert panel reached consensus on 8 statements for the use of convex products immediately after surgery and throughout the first 6 months after stoma creation, as well as describing goals in choosing the best pouching system for the patient with an ostomy.