Use of a Convex Pouching System in the Postoperative Period: A National Consensus

• Published in: Journal of wound, ostomy, and continence nursing Vol. 49; no. 3; pp. 240 - 246
• Main Authors: Colwell, Janice C., Stoia Davis, Janet, Emodi, Krisztina, Fellows, Jane, Mahoney, Mary, McDade, Bethany, Porten, Sima, Raskin, Elizabeth, Sims, Terran, Norman, Holly, Kelly, Matthew T., Gray, Mikel
• Format: Journal Article
• Language: English
• Published: United States Wolters Kluwer Health, Inc 01-05-2022
• Subjects: Consensus; Humans; Ostomy; Ostomy Care; Postoperative Period; Quality of Life; Surgical Stomas - adverse effects
• ISSN: 1071-5754; 1528-3976
• DOI: 10.1097/WON.0000000000000874

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.