Surgical oncology of the pelvis: Ostomy planning and management

Advanced pelvic surgery may result in the formation of a colostomy, ileosto my, urostomy, or multiples of these stomas. Stomas may be created because o f a planned therapeutic attack to eradicate cancer or manage complications arising from treatments or they may be constructed to palliate severe sympt oms or life-threatening problems. In some instances, fistulae between vario us organs and the skin may occur. Special skills are required to meet the n eeds of patients with ostomies or fistulae. The often complex care presents critical challenges to nurses, particularly in today's cost-conscious heal th care environment where prompt hospital discharges, brief clinic appointm ents, and valuable but limited home care visits are the norm. The skills of the enterostomal therapy nurse are valuable in all phases of care of these patients, from preoperative to outpatient care. (C) 2000 Wiley-Liss, Inc.