The 6th Coloplast WOCF Enterostomy Nursing Sub-Forum focuses on new developments in the field of enterostomy

BEIJING, April 8, 2022 /PRNewswire/ -- Recently, the 6th WOCF Recreational Care Care Summit Forum on Enterostomy Nursing and Colorectal Surgery sub-forums was successfully held, and well-known clinical experts and nursing experts in the field of enterostomy gathered together Together, we will discuss new developments in the field of enterostomy from multiple dimensions such as disease diagnosis and treatment, medical care, postoperative intervention, and security system
.
Standardizing the diagnosis and treatment of colorectal cancer to prevent postoperative complications The latest global cancer burden data released by the World Health Organization's International Agency for Research on Cancer shows that colorectal cancer has ranked third in the world's cancer incidence, second only to lung and breast cancer.
; Its case fatality rate is as high as 9.
2%, ranking second in cancer fatality rate
.
In recent years, with the development of social economy and medical science, the surgical treatment of colorectal cancer has made remarkable progress, from the traditional goal of radical tumor cure and saving the patient's life to the goal of eliminating tumor and preserving organ function, improving patient Quality of life is the concept
.
With the innovation of surgical procedures, more and more patients with low rectal cancer can radically cure low rectal cancer while preserving anal function
.
However, serious postoperative complications, such as anastomotic leakage, are still a huge difficulty for patients in the postoperative rehabilitation process
.
Zhang Wei, chief physician of anorectal surgery at the First Affiliated Hospital of Naval Military Medical University, said that the early anastomotic stoma after rectal cancer surgery is likely to cause all or all of the anastomotic stoma due to intraoperative anastomotic defects, ischemia, tissue edema, hypertonicity, infection and abscess.
Partial dehiscence, leading to symptoms such as anastomotic bleeding, frequent bowel movements, and abdominal infection
.
Anastomotic leakage not only increases the suffering of patients, but also increases the medical burden on the social public health system
.
In order to further standardize the diagnosis and treatment of rectal cancer in my country and reduce the troubles caused by postoperative complications to patients, the Stoma Professional Committee of the Chinese Medical Doctor Association Anorectal Physician Branch joined hands with the Colorectal Group of the Chinese Medical Association Surgery Branch and a number of colorectal surgery academic groups.
Jointly formulate "Expert Consensus on Preventive Enterostomy for Middle and Low Rectal Cancer (2022 Edition)" with "Chinese Journal of Gastrointestinal Surgery"
.
The purpose of this consensus is to guide clinical practice with evidence-based medicine.
It will promote the standardized development of the field of surgical treatment of middle and low rectal cancer, improve the level of rectal cancer diagnosis and treatment in medical institutions, and ultimately benefit the majority of patients
.
Pay attention to the prevention of stoma skin complications and reduce the physical and psychological double burden of patients.
Skin problems around the stoma are a common stoma complication with a high clinical incidence
.
The appearance of skin complications around the stoma not only damages the patient's skin, but also increases the economic difficulty of the daily care of the stoma and the psychological burden of the patient
.
How to prevent and deal with skin complications around the stoma in a targeted manner is a clinical problem that needs to be solved urgently in the field of stoma care
.
Li Houmin, chief physician of the Department of Dermatology, Peking University People's Hospital, said: The early prevention of skin problems around the stoma can reduce the physical and psychological burden of the stoma patient, thereby improving the quality of life of the stoma patient
.
A new peri-stomal skin complication assessment tool, the Skin Risk Factor Model, allows healthcare professionals to better understand the relevant factors and mechanisms of peri-stomal skin damage, such as patient skin moisture, pH, fecal irritation etc.
, to systematically assess the risk of peri-stoma skin complications, help stoma patients prevent and treat peri-stoma skin problems, and improve their quality of life
.
Due to differences in age, gender and other factors, the body shape of stoma patients is also different
.
Yin Yan, head nurse of the Colorectal and Anal Surgery Department of Zhongnan Hospital of Wuhan University, analyzed how to do a good job of assessing the body shape of stoma patients and reduce the risk of skin complications around the stoma by interpreting the RIO tool
.
At the same time, Yin Yan especially pointed out that the patient's self-care awareness and ability are also very important.
Strengthening the nursing education of stoma patients and their families can effectively prevent the occurrence of skin complications
.
The three parties of doctors, nurses and patients build a security system to improve the accessibility of stoma care services.
Yao Hongwei, chief physician of gastrointestinal surgery at Beijing Friendship Hospital Affiliated to Capital Medical University, pointed out that standardizing stoma surgery requires the close cooperation of doctors, nurses and patients.
Conducive to later stoma care and reduce the incidence of complications
.
Tian Li, head of the clinical practice base for stoma incontinence specialist training in Beijing Friendship Hospital affiliated to Capital Medical University, said that good preoperative medical and nursing cooperation can provide a better basis for the selection of intraoperative stoma locations
.
As for postoperative intervention, Zhang Hua, head nurse of gastrointestinal surgery of the First Affiliated Hospital of Chongqing Medical University, pointed out that nursing guidance should be strengthened after ostomy, and the importance of continuous nursing and follow-up should be recognized, and "early detection and early intervention" should be used as the guide.
In principle, it can reduce the risk of skin problems around the stoma and other complications
.
Talking about the accessibility and convenience of ostomy services, Leng Jiahua, director of the Medical Insurance Service Department of Peking University Cancer Hospital, proposed that the cost of medical insurance can be reasonably controlled by exploring the combination of the amount of medical insurance and the consumption of consumables
.
This move can not only ensure the needs and quality of life of people with stoma, but also play a better role in controlling medical insurance costs
.
High-quality stoma products escort postoperative skin care When stoma skin problems occur, how to choose innovative, practical and effective stoma care products is particularly important for improving the quality of life of stoma patients
.
Nursing experts at the meeting fully affirmed the positive effects of Recreation Bao Shengshu? Mio, Shengshu? and Brava? series products in the prevention and treatment of skin problems around the stoma
.
Huang Manrong, Chief Nurse of the First Affiliated Hospital of Sun Yat-sen University, and Lu Lianfang, Chief Nurse and Head Nurse of Hepatobiliary and Pancreatic Surgery, Shinan Branch of Qingdao University Affiliated Hospital, said that for stoma patients with complex body shapes, the Shengshu Mio chassis has a patent The technical elastic adhesive can closely fit the body shape around the stoma, and can be stretched with the patient's physical activity; for new postoperative patients, the Shengshu? chassis has a double-layer adhesive with balanced five characteristics, which is skin-friendly Good, good support
.
Both products can reduce leakage and help prevent and reduce skin problems around the stoma
.
Xie Lingnv, head nurse of the Department of Surgery, Cancer Hospital Affiliated to the University of Chinese Academy of Sciences, believes that as one of the standard nursing procedures for stoma care, structured skin care is adhered to, and skin care powders, skin protective films, and leak-proof patches are used preventively.
Care products to better build a protective barrier for the skin around the stoma
.
Antoine Papoz, Senior Vice President of Coloplast Asia, said that the WOCF Coloplast Care Summit has been held for six consecutive years, aiming to promote in-depth dialogue among experts in the three major nursing fields of stoma, wound and incontinence, share new knowledge and practical results, and discuss challenges and solution paths to advance the field of professional nursing
.
Source: Coloplast China