Peristomal Skin Disorders in Patients With Intestinal and Urinary Ostomies

Abstract

These results suggest that the peristomal skin is irritated by repeated peeling, resulting in physical damage to the horny layer of the skin. The presence of papules and erosion was not associated with the adhesive force of skin barriers. This finding suggests that these changes are associated with an inflammatory process, possibly caused by chemical substances within the skin barrier.

Risk factors associated with peristomal skin complications: Integrative literature review

“…The base plate of an ostomy bag must be skin-friendly and have good adherence ability to prevent effluent from coming into contact with skin. [17,49] 3.6 Mechanical trauma: Frequent removal of skin barrier…”

“…[41] The frequent removal of adhesive skin barriers increases the risk of physical damage to the stratum corneum. [49] Changes in skin condition from frequent removal of skin barriers can be partially attributed to the adhesive power of the skin barriers. [41] According to Omura, Yamabe, and Anazawa, [49] as the adhesive power of the skin barrier increases, the incidence of peristomal skin changes increases.…”

An electronic approach to minimising moisture-associated skin damage in ostomy patients

“…2 could benefit. Presently, it is recognised that these reactions occur at a high rate on platinum, ruthenium and iridium-based catalysts [35][36][37][38], though their inclusion within the proposed context is clearly far from cost-effective as the conductive mesh would need to be disposable in keeping with the conventional ostomy management [7,8,47]. Such issues of cost are consonant with those relative to more economically viable energy systems and the availability of inexpensive catalytic materials that can facilitate the oxygen evolution reaction (OER) is currently a critical bottleneck [35,36].…”

“…What is clear however is that there is an abundance of evidence to support the conclusion that PSCs and their prevention remains problematic [1][2][3][4][5]. There have been considerable advances in the material design employed in the manufacture of the stoma appliances [7][8][9], but, in contrast, there has been relatively little innovation in terms of the technological options for actively preventing PSCs. The latter can be attributed, at least in part, to the rather unglamorous nature of research within this field such that there has been a long-recognised failure to attract both the interest of researchers and substantive funding from the main governmental research funders.…”

“…The collection of effluent from the stoma is almost invariably achieved through the use of a pouch system, which is attached to the abdomen through an adhesive skin wafer (flange or faceplate) placed over the stoma [7,9]. A hole is cut in the wafer to allow the stoma to protrude with the surrounding wafer acting as a physical barrier preventing the stoma output from contacting the underlying skin [7][8][9]. Correct sizing of the wafer aperture is critical to minimise exposure of the unprotected skin [9][10][11][12][13][14][15][16] but, even with precise positioning, moisture from the stoma will eventually, inevitably, saturate the protective hydrocolloid barrier -particularly at the mucocutaneous junction and will lead to erosion of the adhesive [7].…”