PubMed · 8665194
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R A Cochrane, D J Hay, A F Jones. 1996. A better bridge for loop stomas.. https://doi.org/10.1002/bjs.1800830322
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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.