eakin dot 2-piece for parastomal hernia repair

This case study looks at the use of eakin dot 2-piece for parastomal hernia repair.

By Felicity Rackham / Liz Meakin Clinical Nurse Consultants, Stomal Therapy, Epworth Eastern Hospital Australia

Patient history:

• Mrs A - 73 year old female underwent a large para-colostomy hernia repair
• This lady was keen to use her previous 2-piece convex system after the repair surgery as it was familiar and comfortable

Problems:

• Persistent discomfort on the lateral left side of the stoma, suggesting the convexity was placing pressure on the internal mesh
• Leakage due to the uneven plane of her refashioned stoma

Nurse review:

• Skin damage around the stoma
• Mild bruising and fragile skin at 3 o’clock from the convex flange
• Signs of medical adhesive removal skin injury (MARSI)
  along the flange edges due to frequent changes of appliance

Nurse recommends eakin dot^® 2-piece:

• Less pain and bruising on the lateral mesh side
• Mrs A felt comfortable managing this system at home

Outcome:

• 2 weeks after using eakin dot^® 2-piece with seal under base plate, Mrs A reported the skin as feeling much better
• The skin continued to heal over the next few weeks