Stoma is an artificial opening in the abdominal wall to collect feces or urine. Making stoma is often in conjunction with the opening of the abdominal wall surgery (laparotomy) with a midline incision in the abdomen (midline incision). The presence of a stoma is very important because it is the replacement for the drain hole anus as a temporary or even permanent lifetime.

Stoma is often a problem, the dirt will come out of the hole in the stoma pouch stoma (colostomy bag). stoma bags do not leak because it is less dense rarely causes skin irritation around the stoma and wound contamination even laparotomy. Stoma in order to function properly and laparotomy wounds can heal faster operation it is necessary to treat post-surgery.

Stoma require serious treatment, it is not difficult but needs a little patience and perseverance as well as tips for the stoma and the wound can heal properly. Here are the steps stoma care after laparotomy for treatment of patients with a colostomy operation.
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  • Before performing the stoma care, prepare equipment and materials needed such as bent basin (Neer baken), hanscoon sterile, sterile tweezers, sterile scissors, gauze, sterile PZ (0.9% NaCl), betadin, and plaster. Invite a nurse or if the assistance could not ask for help families of patients with advance directives given.
  • Once the equipment is ready. Hanscoon disposable sterile. Then open the stoma bag terlebh tweezers first.
  • With a clean wet gauze stitches stoma leading to the first lumen colostomy stoma. Evacuation of all the dirt (feces) to clean.
  • After that open laparotomy gauze covering the wound. When the plaster is too strong can be moistened with alcohol to be easily opened and painless.
  • Clean the wound and surrounding it with sterile gauze soaked with the PZ start of the operation wound in the direction of the edge.
  • With wet gauze to apply pressure to the wound if there is pus in the wound can get out. Emphasis is made as though from outside the surgical wound was dry, but often there is pus in it.
  • If thats enough and there is no pus comes out. Clean with damp gauze. Then dried using sterile gauze.
  • In the wound that can be infectious and antiseptic wet (Hemolok).
  • Wound dehisance / resound and production is still a lot of pus can be used wet gauze to absorb the pus to dry.
  • Close the wound with sterile gauze and two to three layers were fixed with plaster. You should wear a white plaster (hypafik) due to stronger adhesive power and does not cause skin allergy.
  • Clean the wound around the stoma and dry with gauze. Furthermore the new stoma bag can be mounted.
  • Wound care should be taken once a day. When the wound was still wet at all should be done 2-3 times a day according to the condition of the surgical wound.
  • Laparotomy wound sutures can be removed at day 10 post op.