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. 2022 May-Jun;49(3):240-246.
doi: 10.1097/WON.0000000000000874.

Use of a Convex Pouching System in the Postoperative Period: A National Consensus

Janice C Colwell  1   2   3   4   5   6   7   8   9   10   11   12 , Janet Stoia Davis  1   2   3   4   5   6   7   8   9   10   11   12 , Krisztina Emodi  1   2   3   4   5   6   7   8   9   10   11   12 , Jane Fellows  1   2   3   4   5   6   7   8   9   10   11   12 , Mary Mahoney  1   2   3   4   5   6   7   8   9   10   11   12 , Bethany McDade  1   2   3   4   5   6   7   8   9   10   11   12 , Sima Porten  1   2   3   4   5   6   7   8   9   10   11   12 , Elizabeth Raskin  1   2   3   4   5   6   7   8   9   10   11   12 , Terran Sims  1   2   3   4   5   6   7   8   9   10   11   12 , Holly Norman  1   2   3   4   5   6   7   8   9   10   11   12 , Matthew T Kelly  1   2   3   4   5   6   7   8   9   10   11   12 , Mikel Gray  1   2   3   4   5   6   7   8   9   10   11   12
Affiliations

Use of a Convex Pouching System in the Postoperative Period: A National Consensus

Janice C Colwell et al. J Wound Ostomy Continence Nurs. 2022 May-Jun.

Abstract

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.

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Figures

Figure 1.
Figure 1.
Flat ostomy barrier.
Figure 2.
Figure 2.
Convex ostomy barriers.
Figure 3.
Figure 3.
Concave barrier.
Figure 4.
Figure 4.
PRISMA diagram.
Figure 5.
Figure 5.
Postoperative convexity consensus pathway.
See this image and copyright information in PMC

References

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