Use of a Convex Pouching System in the Postoperative Period
Janice C. Colwell, Janet Stoia Davis, Krisztina Emodi, Jane Fellows, Mary Mahoney, Bethany McDade, Sima P. Porten, Elizabeth R. Raskin, Terran Sims, Holly S. Norman, Matthew T. Kelly, Mikel Gray
Abstract
Convex pouching systems have been available for ostomy patients for decades; however, controversy remains over the use of convexity in the postoperative period. A group of 10 nurses and physicians with expertise caring for patients with an ostomy completed a scoping review identifying research-based evidence and gaps in our knowledge of the safety and effectiveness related to the use of a convex pouching system following ostomy surgery. Results of this scoping review demonstrated the need for a structured consensus to define best practices when selecting a pouching system that provides a secure and reliable seal around the stoma, avoids undermining and leakage of effluent from the pouching system, and contributes to optimal health-related quality of life for patients following ostomy surgery. The expert panel reached consensus on 8 statements for the use of convex products immediately after surgery and throughout the first 6 months after stoma creation, as well as describing goals in choosing the best pouching system for the patient with an ostomy.