Achievement of stomal continence in one-third of colostomies by use of a new disposable plug

A multicenter trial was established to assess the use of a new disposable colostomy plug in achieving stomal continence during four weeks in patients with established colostomies. Forty-six of the 100 patients evaluated completed the trial, of whom 41 stated that they would wish to use the system re...

Full description

Saved in:
Bibliographic Details
Published inSurgery, gynecology & obstetrics Vol. 170; no. 5; p. 390
Main Authors Clague, M B, Heald, R J
Format Journal Article
LanguageEnglish
Published United States 01.05.1990
Subjects
Adult
Aged
Aged, 80 and over
Colostomy - instrumentation
Disposable Equipment
Equipment Design
Evaluation Studies as Topic
Fecal Incontinence - prevention & control
Female
Humans
Male
Middle Aged
Multicenter Studies as Topic
Patient Acceptance of Health Care
Quality of Life
Surveys and Questionnaires
Time Factors
Online AccessGet more information

Cover

More Information
Summary:A multicenter trial was established to assess the use of a new disposable colostomy plug in achieving stomal continence during four weeks in patients with established colostomies. Forty-six of the 100 patients evaluated completed the trial, of whom 41 stated that they would wish to use the system regularly. Twenty-nine of the 41 continue to use the plug daily since the trial finished. The remainder withdrew mainly during the early stages of the trial because of leakage (ten patients), discomfort (11) or difficulties (12), all largely related to extrusion of the plug from the colostomy. There were no discernible features to predict in whom the plug was beneficial. Patients who irrigated the colostomy retained the plug longer (16.5 hours), on average, than those with natural evacuation (8.5 hours). However, even in the latter, the time increased with use of the system (week 1, 7.5 hours; week 4, 9.8 hours). Longer periods of retention of the plug appeared to be associated with improved stomal continence. Results from this trial confirm the potential of the Conseal Colostomy System incorporating a disposable colostomy plug to restore continence and improve life-style in more than one-third of patients with colostomies.
ISSN:0039-6087