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|Title:||Stoma management in a tropical country: colostomy irrigation versus natural evacuation.|
|Authors:||Leong, A.F. |
|Citation:||Leong, A.F., Yunos, A.B. (1999-11). Stoma management in a tropical country: colostomy irrigation versus natural evacuation.. Ostomy/wound management 45 (11) : 52-56. ScholarBank@NUS Repository.|
|Abstract:||People with ostomies in Singapore were initially resistant to colostomy irrigation. This study, a prospective crossover study of 26 patients who underwent abdominoperineal resection, compared colostomy irrigation with the natural evacuation method. During the colostomy-irrigation phase of the study, all 26 patients reported an improvement in continence and fewer problems with sleep, sex, and skin complications compared to the natural-evacuation phase. The study also found a reduction in monthly expenses with colostomy irrigation compared to natural evacuation. Patient satisfaction scores were also superior during the colostomy-irrigation phase. This difference in satisfaction scores was less marked in those who were more than 1-year postsurgery than in those who were less than 1-year postsurgery. The difference in satisfaction between colostomy irrigation and natural evacuation scores was statistically significant in the group that was less than 1-year postsurgery, but not in the group that was more than 1-year postsurgery. The study concluded that colostomy irrigation after abdominoperineal resection is superior to natural evacuation in terms of cost and patient satisfaction and should be introduced soon after surgery.|
|Source Title:||Ostomy/wound management|
|Appears in Collections:||Staff Publications|
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