RESUMO
AIM: The aim is to assess on which aspects of everyday-life the post surgery stoma-care ambulatory should physically and psychologically assist the patients. MATERIAL OF STUDY: Seventy patients (33 male, 37 female, mean age 68 years) accepted to fill-in the Stoma-QoL questionnaire from January to December 2011. The questionnaire consists of 20 questions addressing different possible discomforts of everyday life. RESULTS: Our results demonstrate that patients with temporary ileostomy have a mean score of quality of life index of 63. Patients with ileostomy demonstrated a higher quality of life score compared to patients with colostomy. DISCUSSION: Our results confirmed that patients with ileostomy have a better perception of quality of life compared to patients with colostomy. Moreover, our data clearly show that patients are more concerned on stoma management compared to the hypothetical prejudice of society. CONCLUSIONS: The stoma care ambulatory have a crucial role, offering to the patient and his/her family an adequate psychological support, and teaching the management of the stoma and the pouch.
Assuntos
Assistência ao Convalescente , Assistência Ambulatorial , Colostomia/psicologia , Ileostomia/psicologia , Qualidade de Vida , Estomas Cirúrgicos , Assistência ao Convalescente/psicologia , Idoso , Assistência Ambulatorial/psicologia , Ansiedade/etiologia , Colostomia/reabilitação , Dermatite/etiologia , Dermatite/psicologia , Feminino , Humanos , Ileostomia/reabilitação , Masculino , Complicações Pós-Operatórias/etiologia , Complicações Pós-Operatórias/psicologia , Apoio Social , Estomas Cirúrgicos/efeitos adversos , Inquéritos e QuestionáriosRESUMO
The case reported here is a paradigm of a complex vascular malformation with a therapeutic approach which involved both vascular radiology and surgery. The case came to our attention in 1999 and consisted in a tumefaction of the left gluteal region in a 14-year-old female. The lesion had previously been evaluated by ultrasonography and magnetic resonance imaging. The lesion was described as a dysplastic malformation with a high vascular factor. After angiography, we decided to embolize the mass. A second embolization also yielded no result, and therefore we decided to remove the dysplasia surgically. The dysplasia, however, was resolved only in 2001 after a third embolization. Because of the multiple types of symptoms, a multidisciplinary approach is required to obtain both a correct classification and treatment of the vascular malformations.