RESUMO
The postoperative care of stoma patients is truly life long. With the excellent stoma equipment available, no patient should be a "stoma cripple." New advances in continent reservoirs will improve patient acceptance and lessen the fear associated with stomas. Finally, close follow-up by both the enterostomal therapy nurse and the surgeon is essential for the complete care of the stoma patient.
Assuntos
Assistência Ambulatorial , Enterostomia/efeitos adversos , Cuidados Pós-Operatórios , Derivação Urinária/efeitos adversos , Enterostomia/métodos , Humanos , Educação de Pacientes como Assunto , Cuidados Pré-Operatórios , Autocuidado , Derivação Urinária/métodosRESUMO
The modern era of ileal pouch anal anastomosis began just over 20 years ago. Several areas remain controversial, including patient selection, surgical technique, use of a temporary diverting ileostomy, aging sphincters, complications, and postoperative management. This article reviews current controversies concerning ileal pouch anal anastomoses and our approach to managing patients who undergo this complicated procedure.