Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy

Li Lan; Guo Xiaoxia

doi:doi:10.11648/j.ijbecs.20200601.13

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Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy

Li Lan, Guo Xiaoxia

Published in International Journal of Biomedical Engineering and Clinical Science (Volume 6, Issue 1)

Received: 22 March 2020 Accepted: 7 April 2020 Published: 23 April 2020

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Abstract

Objective: We attempt to explore the effect of improved urostomy pouch on collecting the seepage from the entry of the nephrostomy tube after percutaneous nephrolithotomy. Methods: We selected 106 patients who underwent percutaneous nephrolithotomy and had indwelling nephrostomy tube with abnormal increase in seepage from the nephrostomy tube entry. Random number table was used to averagely divide them into observation group (53) and control group (53). For the observation group, we used improved urostomy pouches to collect seepage from the nephrostomy tube entry while for the control group, we dealt with the seepage through changing dressings following surgical routine. After that, we compared occurrence of dermatitis around the stoma, discomfort of stoma, stoma care cost, medical staff’s satisfaction with collection of seepage, frequency of changing dressings for stoma and material expenditure, etc. between the two groups. Results: occurrence of dermatitis around the stoma, discomfort of stoma and stoma care cost in observation group were lower than those in control group with a significant difference (P=0.000). Besides, medical staff’s satisfaction with collection of seepage in observation group was higher than that in control group with a significant difference (P=0.000). Frequency of caring for the stoma expenditure of dressings in the observation group were lower than those in the control group also with a significant difference (P=0.000). Conclusions: Improved urostomy pouches in collection of seepage from the stoma after PCNL can not only ensure the leakproofness of the urinary system and the function of nephrostomy tube but also reduce the occurrence of stoma infection to improve comfort of patients and accuracy of measurement of seepage, and reduce workload of medical staff. What’s more, the improved urostomy pouches help reduce the cost of changing dressings for patients and cost of materials of the department, and thus is worth application in collection of seepage from other drainage tubes.

Published in	International Journal of Biomedical Engineering and Clinical Science (Volume 6, Issue 1)
DOI	10.11648/j.ijbecs.20200601.13
Page(s)	12-16
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2020. Published by Science Publishing Group

Keywords

Improved Urostomy Pouch, Percutaneous Nephrolithotomy, Collection of Seepage, Application

References

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[2]	Esam A E Desoky, Ahmed M Eliwa, Amr M Fawzi, Ahmed M Sakr, & Fatma Zaiton. (2018). Radiologic relation of the colon to the trajectory of percutaneous nephrolithotomy access in prone versus flank free modified supine position: a prospective study of intra and inter-individual influencing factors. Urology, 115 (4), e507-e507.
[3]	Khadgi, S., Shrestha, B., Ibrahim, H., Shrestha, S., Elsheemy, M. S., & Al-Kandari, A. M. (2017). Mini-percutaneous nephrolithotomy for stones in anomalous-kidneys: a prospective study. Urolithiasis, 45 (4): 407-414.
[4]	Takashi Kawahara, Hiroki Ito, Hideyuki Terao, Minoru Yoshida, & Junichi Matsuzaki. (2011). Ureteroscopy assisted retrograde nephrostomy: a new technique for percutaneous nephrolithotomy (pcnl). Bju International, 110 (4), 588-590.
[5]	Darabi, M. R., & Rahmani, M. M. (2011). Evaluation of percutaneous nephrolithotomy (pcnl) of upper calices with subcostal access. Journal of Gorgan University of Medical Sciences, 12 (4), Pe75-Pe79.
[6]	Pather, P., & Hines, S. (2016). Best practice nursing care for icu patients with incontinence-associated dermatitis and skin complications resulting from faecal incontinence and diarrhoea. International Journal of Evidence-Based Healthcare, 14 (1), 15-23.
[7]	Gray, M., Bliss, D. Z., Doughty, D. B., Ermer-Seltun, J. A., & Palmer, M. H. (2007). Incontinence-associated dermatitis: a consensus. Journal of Wocn, 34 (1), 45-54; quiz 55-6.
[8]	Schwieger-Briel, A., Chakkittakandiyil, A., Lara-Corrales, I., Aujla, N., Lane, A. T., & Lucky, A. W., et al. (2015). Instrument for scoring clinical outcome of research for epidermolysis bullosa: a consensus-generated clinical research tool. Pediatric Dermatology, 32 (1), 41-52.
[9]	Bliss, D. Z., Savik, K., Thorson, M. A. L., Ehman, S. J., Lebak, K., & Beilman, G. (2011). Incontinence-associated dermatitis in critically ill adults: time to development, severity, and risk factors. Journal of Wound Ostomy & Continence Nursing, 38 (4), 433-45.
[10]	Borchert, K., Bliss, D. Z., Savik, K., & Radosevich, D. M. (2010). The incontinence-associated dermatitis and its severity instrument: development and validation. Journal of Wound Ostomy & Continence Nursing, 37 (5): 527-35.
[11]	Cameron, & Janice. (2004). Exudate and care of the peri-wound skin. Nursing Standard, 19 (7), 62-68.
[12]	Jemec, G. B., Martins, L., Claessens, I., Ayello, E. A., Hansen, A. S., & Poulsen, L. H., et al. (2011). Assessing peristomal skin changes in ostomy patients: validation of the ostomy skin tool. British Journal of Dermatology, 164 (2), 330-335.
[13]	Hu Zhen, Qiu Lixia, Mao Nan. The applied research urinary tract made pockets for percutaneous renal postopera-tive fistula mouth drainage collection. International Journal of Nursing, 33 (7), 1882-1884.
[14]	Borges, C. F., Fregonesi, A., Silva, D. C., & Sasse, André Deeke. (2010). Systematic review and meta-analysis of nephrostomy placement versus tubeless percutaneous nephrolithotomy. Journal of Endourology, 24 (11), 1739-1746.
[15]	N. F. Davis, M. R. Quinlan, C. Poyet, N. Lawrentschuk, & G. S. Jack. (2018). Miniaturised percutaneous nephrolithotomy versus flexible ureteropyeloscopy: a systematic review and meta-analysis comparing clinical efficacy and safety profile. World Journal of Urology, 36 (3), 1-12.

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APA Style

Li Lan, Guo Xiaoxia. (2020). Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy. International Journal of Biomedical Engineering and Clinical Science, 6(1), 12-16. https://doi.org/10.11648/j.ijbecs.20200601.13

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ACS Style

Li Lan; Guo Xiaoxia. Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy. Int. J. Biomed. Eng. Clin. Sci. 2020, 6(1), 12-16. doi: 10.11648/j.ijbecs.20200601.13

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AMA Style

Li Lan, Guo Xiaoxia. Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy. Int J Biomed Eng Clin Sci. 2020;6(1):12-16. doi: 10.11648/j.ijbecs.20200601.13

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@article{10.11648/j.ijbecs.20200601.13,
  author = {Li Lan and Guo Xiaoxia},
  title = {Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy},
  journal = {International Journal of Biomedical Engineering and Clinical Science},
  volume = {6},
  number = {1},
  pages = {12-16},
  doi = {10.11648/j.ijbecs.20200601.13},
  url = {https://doi.org/10.11648/j.ijbecs.20200601.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20200601.13},
  abstract = {Objective: We attempt to explore the effect of improved urostomy pouch on collecting the seepage from the entry of the nephrostomy tube after percutaneous nephrolithotomy. Methods: We selected 106 patients who underwent percutaneous nephrolithotomy and had indwelling nephrostomy tube with abnormal increase in seepage from the nephrostomy tube entry. Random number table was used to averagely divide them into observation group (53) and control group (53). For the observation group, we used improved urostomy pouches to collect seepage from the nephrostomy tube entry while for the control group, we dealt with the seepage through changing dressings following surgical routine. After that, we compared occurrence of dermatitis around the stoma, discomfort of stoma, stoma care cost, medical staff’s satisfaction with collection of seepage, frequency of changing dressings for stoma and material expenditure, etc. between the two groups. Results: occurrence of dermatitis around the stoma, discomfort of stoma and stoma care cost in observation group were lower than those in control group with a significant difference (P=0.000). Besides, medical staff’s satisfaction with collection of seepage in observation group was higher than that in control group with a significant difference (P=0.000). Frequency of caring for the stoma expenditure of dressings in the observation group were lower than those in the control group also with a significant difference (P=0.000). Conclusions: Improved urostomy pouches in collection of seepage from the stoma after PCNL can not only ensure the leakproofness of the urinary system and the function of nephrostomy tube but also reduce the occurrence of stoma infection to improve comfort of patients and accuracy of measurement of seepage, and reduce workload of medical staff. What’s more, the improved urostomy pouches help reduce the cost of changing dressings for patients and cost of materials of the department, and thus is worth application in collection of seepage from other drainage tubes.},
 year = {2020}
}

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TY  - JOUR
T1  - Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy
AU  - Li Lan
AU  - Guo Xiaoxia
Y1  - 2020/04/23
PY  - 2020
N1  - https://doi.org/10.11648/j.ijbecs.20200601.13
DO  - 10.11648/j.ijbecs.20200601.13
T2  - International Journal of Biomedical Engineering and Clinical Science
JF  - International Journal of Biomedical Engineering and Clinical Science
JO  - International Journal of Biomedical Engineering and Clinical Science
SP  - 12
EP  - 16
PB  - Science Publishing Group
SN  - 2472-1301
UR  - https://doi.org/10.11648/j.ijbecs.20200601.13
AB  - Objective: We attempt to explore the effect of improved urostomy pouch on collecting the seepage from the entry of the nephrostomy tube after percutaneous nephrolithotomy. Methods: We selected 106 patients who underwent percutaneous nephrolithotomy and had indwelling nephrostomy tube with abnormal increase in seepage from the nephrostomy tube entry. Random number table was used to averagely divide them into observation group (53) and control group (53). For the observation group, we used improved urostomy pouches to collect seepage from the nephrostomy tube entry while for the control group, we dealt with the seepage through changing dressings following surgical routine. After that, we compared occurrence of dermatitis around the stoma, discomfort of stoma, stoma care cost, medical staff’s satisfaction with collection of seepage, frequency of changing dressings for stoma and material expenditure, etc. between the two groups. Results: occurrence of dermatitis around the stoma, discomfort of stoma and stoma care cost in observation group were lower than those in control group with a significant difference (P=0.000). Besides, medical staff’s satisfaction with collection of seepage in observation group was higher than that in control group with a significant difference (P=0.000). Frequency of caring for the stoma expenditure of dressings in the observation group were lower than those in the control group also with a significant difference (P=0.000). Conclusions: Improved urostomy pouches in collection of seepage from the stoma after PCNL can not only ensure the leakproofness of the urinary system and the function of nephrostomy tube but also reduce the occurrence of stoma infection to improve comfort of patients and accuracy of measurement of seepage, and reduce workload of medical staff. What’s more, the improved urostomy pouches help reduce the cost of changing dressings for patients and cost of materials of the department, and thus is worth application in collection of seepage from other drainage tubes.
VL  - 6
IS  - 1
ER  -

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Author Information

Li Lan

Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China
Guo Xiaoxia

Department of Urology, The First Affiliated Hospital of Jinan University, Guangzhou, China

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APA Style

Li Lan, Guo Xiaoxia. (2020). Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy. International Journal of Biomedical Engineering and Clinical Science, 6(1), 12-16. https://doi.org/10.11648/j.ijbecs.20200601.13

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ACS Style

Li Lan; Guo Xiaoxia. Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy. Int. J. Biomed. Eng. Clin. Sci. 2020, 6(1), 12-16. doi: 10.11648/j.ijbecs.20200601.13

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AMA Style

Li Lan, Guo Xiaoxia. Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy. Int J Biomed Eng Clin Sci. 2020;6(1):12-16. doi: 10.11648/j.ijbecs.20200601.13

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@article{10.11648/j.ijbecs.20200601.13,
  author = {Li Lan and Guo Xiaoxia},
  title = {Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy},
  journal = {International Journal of Biomedical Engineering and Clinical Science},
  volume = {6},
  number = {1},
  pages = {12-16},
  doi = {10.11648/j.ijbecs.20200601.13},
  url = {https://doi.org/10.11648/j.ijbecs.20200601.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijbecs.20200601.13},
  abstract = {Objective: We attempt to explore the effect of improved urostomy pouch on collecting the seepage from the entry of the nephrostomy tube after percutaneous nephrolithotomy. Methods: We selected 106 patients who underwent percutaneous nephrolithotomy and had indwelling nephrostomy tube with abnormal increase in seepage from the nephrostomy tube entry. Random number table was used to averagely divide them into observation group (53) and control group (53). For the observation group, we used improved urostomy pouches to collect seepage from the nephrostomy tube entry while for the control group, we dealt with the seepage through changing dressings following surgical routine. After that, we compared occurrence of dermatitis around the stoma, discomfort of stoma, stoma care cost, medical staff’s satisfaction with collection of seepage, frequency of changing dressings for stoma and material expenditure, etc. between the two groups. Results: occurrence of dermatitis around the stoma, discomfort of stoma and stoma care cost in observation group were lower than those in control group with a significant difference (P=0.000). Besides, medical staff’s satisfaction with collection of seepage in observation group was higher than that in control group with a significant difference (P=0.000). Frequency of caring for the stoma expenditure of dressings in the observation group were lower than those in the control group also with a significant difference (P=0.000). Conclusions: Improved urostomy pouches in collection of seepage from the stoma after PCNL can not only ensure the leakproofness of the urinary system and the function of nephrostomy tube but also reduce the occurrence of stoma infection to improve comfort of patients and accuracy of measurement of seepage, and reduce workload of medical staff. What’s more, the improved urostomy pouches help reduce the cost of changing dressings for patients and cost of materials of the department, and thus is worth application in collection of seepage from other drainage tubes.},
 year = {2020}
}

Copy | Download

TY  - JOUR
T1  - Application of Improved Urostomy Pouch in Collection of Seepage from Nephrostomy Tube Entry After Percutaneous Nephrolithotomy
AU  - Li Lan
AU  - Guo Xiaoxia
Y1  - 2020/04/23
PY  - 2020
N1  - https://doi.org/10.11648/j.ijbecs.20200601.13
DO  - 10.11648/j.ijbecs.20200601.13
T2  - International Journal of Biomedical Engineering and Clinical Science
JF  - International Journal of Biomedical Engineering and Clinical Science
JO  - International Journal of Biomedical Engineering and Clinical Science
SP  - 12
EP  - 16
PB  - Science Publishing Group
SN  - 2472-1301
UR  - https://doi.org/10.11648/j.ijbecs.20200601.13
AB  - Objective: We attempt to explore the effect of improved urostomy pouch on collecting the seepage from the entry of the nephrostomy tube after percutaneous nephrolithotomy. Methods: We selected 106 patients who underwent percutaneous nephrolithotomy and had indwelling nephrostomy tube with abnormal increase in seepage from the nephrostomy tube entry. Random number table was used to averagely divide them into observation group (53) and control group (53). For the observation group, we used improved urostomy pouches to collect seepage from the nephrostomy tube entry while for the control group, we dealt with the seepage through changing dressings following surgical routine. After that, we compared occurrence of dermatitis around the stoma, discomfort of stoma, stoma care cost, medical staff’s satisfaction with collection of seepage, frequency of changing dressings for stoma and material expenditure, etc. between the two groups. Results: occurrence of dermatitis around the stoma, discomfort of stoma and stoma care cost in observation group were lower than those in control group with a significant difference (P=0.000). Besides, medical staff’s satisfaction with collection of seepage in observation group was higher than that in control group with a significant difference (P=0.000). Frequency of caring for the stoma expenditure of dressings in the observation group were lower than those in the control group also with a significant difference (P=0.000). Conclusions: Improved urostomy pouches in collection of seepage from the stoma after PCNL can not only ensure the leakproofness of the urinary system and the function of nephrostomy tube but also reduce the occurrence of stoma infection to improve comfort of patients and accuracy of measurement of seepage, and reduce workload of medical staff. What’s more, the improved urostomy pouches help reduce the cost of changing dressings for patients and cost of materials of the department, and thus is worth application in collection of seepage from other drainage tubes.
VL  - 6
IS  - 1
ER  -

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