OSTOMY CARE

What to Expect at Your Pre-Surgery

OSTOMY CARE

What to Expect at Your Pre-Surgery

Last updated 01/06/20

Like most people who are preparing for stoma surgery, you may be wondering what to expect.

Stoma surgery is major surgery, and even though most people see an improvement to their general health after the operation, it’s normal to wonder how your life will change immediately following surgery and beyond.

Your professional healthcare team is your best resource for answering all your questions and getting you back to the life you love. Below, we introduce them, helping you better understand their roles in your recovery, as well as providing some questions to consider asking when you meet with them.

Your surgeon leads the team

When you see your surgeon before your operation, they will discuss which type of stoma is best for you. This will depend on the type of surgery you need. They will also discuss whether the stoma is going to be temporary or permanent. At that visit, your surgeon may also give you the name of a stoma therapy nurse.

Your stoma therapy nurse is your best resource

A specialised stoma therapy nurse is a partner, guide and teacher in your stoma journey. As you adjust to life with a stoma, your nurse will be your go-to person.

If you are able to meet with a nurse before your surgery, they will help you prepare for surgery and adjust to life with a stoma. At this pre-surgery visit, your nurse will find out as much as possible about your individual lifestyle and needs. From this discussion, your nurse and surgeon will recommend the best position for your stoma. Then at the time of your surgery, the nurse will mark this position on your abdomen (belly) so that the surgeon can see where to form the stoma.

If you would like to meet with someone who has had a stoma, your nurse may be able to make arrangements.

If a specialised stoma therapy nurse is not available before your surgery, you can contact your local stoma support groups. They can put you in touch with someone either in your community or an alternate healthcare professional who can provide you with the guidance you need.

Choose an appropriate stoma placement

The first step in preventive care starts with the selection of the best place for your stoma. A poorly placed stoma can cause the pouching system to fail, in addition to causing skin and leakage problems.

If time permits, it is important to discuss the placement of your stoma with your surgeon. Depending on your medical condition or injury, this may happen either at your surgeon’s office or at the hospital. Here are some important guidelines that should be followed:

  • The stoma site should be viewable and easily reached so that you can manage pouching changes as easily and independently as possible.
  • Ideally, the stoma should not be placed near or around skin folds, scars or bony prominences, so that the pouching system can adhere flat to the skin.
  • Placement should be evaluated in sitting, standing and bending positions.

Other questions you may want to ask

Facing surgery can be difficult and stressful, and you might not remember all the questions you have during your pre-surgery appointments. Writing down a list of questions and bringing that list with you to these appointments can help you feel assured that all your concerns are being addressed.

If possible, it’s also smart to bring a trusted friend or family member with you to your appointments, to take notes and offer support.

Here are some common questions for people facing stoma surgery:

  • Describe my stoma to me (height, position, size, appearance). What should I expect?
  • Will my stoma be permanent or temporary?
  • How does the stoma work?
  • Will my stoma be visible under my clothes?
  • What does a pouch look like (size, types, colours, style)?
  • How do I change the pouch?
  • Will the pouch leak?
  • Where do I get supplies?
  • Will I have to change my diet?
  • When can I go back to work?
  • Will I be able to go out with family and friends?
  • How will my stoma affect my sex life?
  • What do I do if I am in pain?
  • Who will show me how to use my equipment?
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