Multicentre study of a continent colostomy plug

Abstract

A multicentre clinical study was carried out to assess the performance of a new disposable device, the Conseal 1-Piece, for colostomy control and continence. Forty-three patients were studied; none had any complication at the stoma. The time elapsed since surgery and the condition of the stoma and surrounding skin were recorded. The new product was compared with the patients' usual colostomy bag, studying the following parameters: ease of application, reliability, leakage, confidence, ease of removal, adhesion and comfort. Thirty-seven patients completed the study. No complications arose, and complete faecal continence was obtained with 71.1 per cent of applications. The plug was kept in position for a mean of 11.5 h and a normal stoma bag was used for the remainder of the day. Of the 37 patients who completed the trial, 26 preferred the Conseal 1-Piece to a colostomy bag. In this preliminary study the device was easy to apply, involved no major complications and provided a high degree of continence. This product deserves further study because of its simplicity of use. However, research to improve the level of continence should continue.

Time after ostomy surgery and type of treatment are associated with quality of life changes in colorectal cancer patients with colostomy

“…Anxiety, fears and uncertainties about the future may be present in these patients and psychological monitoring is needed to minimize suffering and facilitate acceptance of the ostomy [6,13,16]. Ostomy implies body changes, and in some situations, bag exposure, leakage or rupture may occur, causing embarrassment [23,42]. In addition, CRC patients can lose weight before surgery and regain it up to the sixth month postoperatively which may contribute to weight concern [12,43].…”

Innovative appliance for colostomy patients: an interventional prospective pilot study

“…A pouchless colostomy continence device (Vitala ® ) had been developed and marketed (ConvaTec, Skillman NJ, USA). This device that provided temporary continence but had met with limited success among the targeted patients, is no longer available [12–15].…”

Health education: a booklet for colostomized people in use of the plug

“…Studies describe the benefits of the use of the plug by itself, without colostomy irrigation (12)(13)(14) . As for its disadvantages, another more recent study mentions the cost, use limitations, need for monitoring and training, leakage risk based on pressure, and intestinal peristalsis (15) .…”