Skin quality
Inflammation
Excoriated
Complications of stoma
High out put Haemorrhage Necrosis Retraction Obstruction Parastomal hernia Peristomal skin inflammation Prolapse
End colostomy
L/1/flush/hard
APR
Hartmanns
End ileostomy
R/1/spout/liquid
Panproctocolectomy- UC, FAP
Emergency subtotal colectomy
Loop ileostomy
R/2/spout/liquid
Defunction
Obstruction– malignancy
Anus– crohns
Newly formed anastomosis
Loop colostomy
L/2/flush/hard
Defunction
End colostomy and mucus fistula
L/2/flush/hard
Hartmanns
Urostomy
Either side/1/spout/urine
Cystectomy–malignancy
Ideal stoma site
Healthy skin
Away from umbilicus and belt line
Avoid- scars, Boney, skin creases