![]() ![]() For patients who are having urinary diversions, such as an ileal conduit, the stoma should be sited in the right lower quadrant. Stomas tend not to be placed in the upper abdominal quadrants (above the level of the umbilicus, below the lower level of the ribs), but in certain circumstances it may be required. On occasion, stomas may be placed in atypical locations (such as the opposite side) due to old scars, hernias or other factors that may make their usual location impossible to use. Usually, ileostomies (stomas made from the last portion of the small intestine) are placed in the right lower quadrant, while people who require colostomies (stomas made from part of the large intestine) have their stomas placed in the left lower quadrant of the abdomen. Site selection is initially determined by the type of stoma that you are going to have stomas tend to be placed in the lower half of the abdomen, generally below the level of the umbilicus, but above the level of the pubic hair. Stoma site selection should be done by an Enterostomal Therapy Nurse (ET) and/or by the surgeon responsible for your surgery. Several factors are taken into consideration when the site is chosen these will be discussed below. Selecting the site prior to surgery, rather than exactly at the time of surgery, will help to ensure that is in a position that will facilitate self-care and secure pouching. Your friend is referring to stoma site marking, a process that occurs prior to surgery in which a specific location for the stoma is selected on your abdomen. A friend said I should get the spot selected for the stoma before surgery. My surgeon says I will need to have a stoma. Best of luck to the rest of you.I have Crohn’s disease and need to have surgery. ![]() That was about 10 years ago.and I'm still coping. It's not so easy to " just move " it, and it often results in hernia, or difficulty healing. He recommended that I just cope with it, until it gets un manageable. I've questions surgeons about moving the stoma, but in my case, there is no undamaged skin/ area left. But the convex, moldable flange ( convatec) has been working relatively well. No longer did I havve the flat firm belly of a 15 year old. I also gained some weight through the years, and the texture and firmness of my abdomen changed.which affected the type of flange I wore. I was fine, until my first and second pregnancies, when my abdomen stretched out some, and then didn't go back. Back in the " olden days", we didn't have ostomy nurses to consult with patient and doctor. I don't think they like to " pull" or rearrange the placement, to find the " perfect" place for optimal management. I believe that sometimes colostomy stoma's are higher, near the waist line, because that's where the larger intesting naturally falls. But when I was finished with the back brace ( about a year later) I w as very pleased with the placement. I also was wearing a back brace, which had to be altered, to let the pouch through. I was only 15, at the time, but I was blown up with about 50 lbs of fluid retention from all the steroids I was on. The flange is almost in line with my mishapen belly button. placed it about two inches right of the scar, and about two inches below my waiste. I have my ileostomy for ovver 50 years, and I don't know if it was by chance, or great planning, that the dr. ![]()
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