Peristomal plate cut mold: possibilities for applying new products

Claudini Lacerda Marques De Freitas Sichieri,Diba Maria Sebba Tosta Souza,Manoel Araújo Teixeira,Ana Beatriz Alkmim Teixeira-Loyola

doi:10.30886/estima.v17.678_in

Claudini Lacerda Marques De Freitas Sichieri, Diba Maria Sebba Tosta Souza + Show 2 more

Open Access

https://doi.org/10.30886/estima.v17.678_in

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Abstract

Introduction: peristomal dermatitis can be caused by leakage between adhesive plate and skin. Objective: to describe the peristomal plate cut mold (PPCM) for simultaneous evaluation of new products for the treatment of dermatitis. Methods: experience report about creation of a cut model, with sufficient size and width to expose part of the skin with dermatitis, to apply another product. The trapezoidal cut, according to positions 3, 6, 9 or 12 hours, corresponding to one of the quadrants, it was performed on the plate of carboxymethylcellulose, pectin, and gelatine coupled to the stoma bag. The entire part of the plate adhered to the skin was adapted to the control product. In the photographic analysis, CorelDRAW 19.0 was used. The lesions were measured in pixels. Result: the cut did not interfere with the adhesion of two parts device board, it made possible the simultaneous application and testing of a new product and the comparison of the healing with the plate. Conclusion: the PPCM is a new strategy for studies of the application of other products for peristomal dermatitis simultaneously in the same patient and demonstrates positive results in its use.

Highlights

Among the main causes related to the confection of stomas to the adult and elderly population in Brazil are neoplasias, mainly colorectal cancer, whose estimates for 2018 presented it as the third most incident for men, with 17.380 new cases, and the second for women, with 18.9801.In addition to colorectal and bladder cancers, most often, the stomas are linked to chronic intestinal and urinary diseases, in ammatory diseases such as Crohn’s disease, ulcerative colitis and diverticulitis, and the treatment of congenital diseases and abdominal trauma[2].e confection of a stoma is considered a common procedure and is performed by several surgical specialties
E most common factor of this disease is the inadequate adherence of the collector equipment to the abdominal wall, causing leakage of e uent on the peristomal skin. e reasons that contribute to its development are associated, for the most part, with the poor location of the stoma or even with the mistaken choice of the collector system[6]
In spite of the technology applied in the manufacture of such devices, as it is adherent products to the skin, leakages can occur between the adhesive plate and the skin, as well as between the plate and the bag what, for prolonged periods, due to the e uent characteristic, can damage the peristomal skin[8]

Summary

Introduction

E confection of a stoma is considered a common procedure and is performed by several surgical specialties. Commonly processed, it presents mostly underestimated complications[3]. E most common factor of this disease is the inadequate adherence of the collector equipment to the abdominal wall, causing leakage of e uent on the peristomal skin. In spite of the technology applied in the manufacture of such devices, as it is adherent products to the skin, leakages can occur between the adhesive plate and the skin, as well as between the plate and the bag (in the case of a two parts device) what, for prolonged periods, due to the e uent characteristic, can damage the peristomal skin[8]

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Conclusion