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Ostomy Surgery Baltimore MD

An ostomy is a surgically created opening in your abdomen that allows waste or urine to leave your body. There are many different types of ostomy surgeries including colostomy, ileostomy and urostomy. There are also several different options for ostomy pouch systems, also known as ostomy bags. Here you will find a brief description of each type of ostomy. You will also learn more on stoma care, peristomal skin care and peristomal skin infections. A colorectal surgeon usually performs ostomy surgery. There are various reasons why people may need an ostomy, the most common being colon cancer. Listed below you will find local doctors around Baltimore that can give you more information.

Local Companies

William C Chiu
(410) 328-6566
22 S Greene St
Baltimore, MD

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Rodney Grolman, MD
8 Charles Plz Apt 2704
Baltimore, MD

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Jogendra Singh, MD
410-243-0591
912 W 36th St
Baltimore, MD

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Mark D Kligman
(410) 328-6897
22 S Greene St
Baltimore, MD

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Robert Clark Moesinger, MD
410-328-6187
22 S Greene St # 165
Baltimore, MD

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Harold Edward Ramsey, MD
410-523-5222
301 McMechen St
Baltimore, MD

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Thomas M Scalea
(410) 328-6566
22 S Greene St
Baltimore, MD

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Kelly L Alexander
(410) 332-9653
301 Saint Paul Pl
Baltimore, MD

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Firas Fuad Mussa, MD
201 E University Pkwy
Baltimore, MD

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Dr.ROBERT ORD
(410) 706-6195
650 West Baltimore Street #1401
Baltimore, MD

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Ostomy

Complications

There is a risk for complications during ostomy procedures. Complications include adverse reactions to anesthesia, excessive bleeding, infection, and injury to surrounding organs. There is also a risk for complications that develop after ostomy surgery.

Ostomy Management

Ostomy surgery is a life-altering event; however, most ostomates are able to resume

daily activities. After colostomy or ileostomy, patients no longer have control over bowel movements, and after urostomy, patients no longer control urination. Discharge from the stoma enters a pouch system .

Stoma Care After an ostomy procedure, the stoma is shiny, wet, and red. It is usually round or oval, and gradually shrinks in size during the first few months. It is important that the pouch system fits correctly, so the stoma must be measured frequently, especially during the recovery period.

The stoma does not have nerve endings; therefore, it does not transmit sensations (e.g., pain). It is rich in blood vessels and may bleed slightly if rubbed or irritated. If bleeding is prolonged, or if the discharge from the stoma contains blood, a physician should be notified.

Water cannot enter the stoma, so it is not necessary to cover it while bathing or showering.

Urostomy patients should test the pH level of their urine frequently and can usually maintain the proper level with diet adjustments. Urine that has a strong ammonia odor lacks acidity and may cause irritation and the formation of white, crystallized deposits around the stoma. These deposits can be removed using a solution of vinegar and water.

Peristomal Skin Care The skin surrounding the stoma (peristomal skin) must be protected from irritating discharge. Discharge that is rich in digestive enzymes, such as from an ileostomy or an ascending colostomy, is particularly irritating to peristomal skin. Carefully cleaning and drying the skin with soap that is residue free, every time the pouch system is changed, is the best way to prevent skin irritation. Moisturizing soaps leave a residue that can interfere with the adhesion of the skin barrier of the pouch system.

Peristomal skin infections (e.g., yeast infection) can result from an increase in the normal fungi on the skin and the accumulation of moisture. Persistent irritation such as redness, rash, breakdown of the skin, and swelling should be reported to a physician.

It is also important to avoid the buildup of adhesives on the peristomal skin. The adhesives used to attach the pouching system are removed using gentle solutions that do not irritate the skin.

Pouch Systems While in the hospital, an enterostomal therapist or ET nurse instructs ostomy patients how to change the pouch and care for the stoma and peristomal skin. Many patients experiment with different types

of pouch systems to determine which one best suits their needs and their daily routine. The location and type of the stoma affect the choice of pouc...

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Resources

UNIVERSITY OF MARYLAND MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 210002 Title: UNIVERSITY OF MARYL...

ProviderNumber: 210002

Title: UNIVERSITY OF MARYLAND MEDICAL CENTER

Address1: 22 S GREENE ST

City: BALTIMORE

State Code: MD

Zip Code: 21201

County: BALTIMORE CITY

Phone Number: 4103280313

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Private

Emergency Services: Yes

Registries: Registries: Cardiac Surgery - YES; Stroke Care - YES; Nursing Care - YES

Death from serious treatable complications after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Collapsed lung due to medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Breathing failure after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious blood clots after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

A wound that splits open after surgery Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Accidental cuts and tears from medical treatment Compared to National Average: Not Available - Number of Patients: NA; Rate: NA)

Serious Complications Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Death after surgery to repair a weakness in the abdominal aorta: Not Available (Number of Patients: NA; Rate: NA)

Deaths after admission for broken hip Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Deaths from Certain Conditions Compared to National Average: Not Available (Number of Patients: NA; Rate: NA)

Patient Review Communication:
Nurses communicated well - Sometimes/Never: 6; Usually: 19; Always: 75
Doctors communicated well - Sometimes/Never: 4; Usually: 17; Always: 79
Receive help as soon as they want - Sometimes/Never: 13; Usually: 27; Always: 60
Pain was well controlled - Sometimes/Never: 7; Usually: 25; Always: 68
Explained about medicines before giving it to them - Sometimes/Never: 17; Usually: 19; Always: 64
Clean room and bathroom - Sometimes/Never: 15; Usually: 23; Always: 62
Area around their room were quiet at night - Sometimes/Never: 16; Usually: 31; Always: 53
Provided recovery at home instructions - Yes: 87; No: 13
Hospital rating (O to 10; 10 highest) - 6 or lower: 8; 7 or 8: 24; 9 or 10: 68
YES, would recommend the hospital: 73
Number of completed Surveys: 300 or more

Patients who gave their hospital a rating of 9 or 10 on a scale: 68

Percentage of Patients who would recommend the hospital: Definitely Recommend: 73; Probably Recommend: 23; Not Recommend: 4

Surgery patients given the right antibiotic to prevent infection: NA

Patients treated at the right time within 24 hrs before or after: NA

Outpatients having surgery who got an antibiotic at the right time: NA

Outpatients having surgery who got the right kind of antibiotic: NA

SAINT JOSEPH MEDICAL CENTER

from: Medicare.govHospitalCompare_General

ProviderNumber: 210007 Title: SAINT JOSEPH MEDICA...

ProviderNumber: 210007

Title: SAINT JOSEPH MEDICAL CENTER

Address1: 7601 OSLER DRIVE

City: TOWSON

State Code: MD

Zip Code: 21204

County: BALTIMORE

Phone Number: 4103371200

Hospital Type: Acute Care Hospitals

Hospital Ownership: Voluntary non-profit - Church