Ostomy Glossary: Colostomy, Ileostomy, Urostomy Information (H)

History Ostomy Bags

Ostomy Glossary

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Hartmann’s Procedure

Surgical procedure named after Dr. Henri Albert Hartmann who first performed it in 1921. It is resection of the distal colon (rectosigmoid colon) with creation of a colostomy due to a complicated diverticulitis or acute left colonic complications. When performed as an emergency is considered life-saving. It consists in the surgical removal of a section of distal colon. The proximal (or top) end is brought out through the abdomen forming a colostomy and forcing the use of a colostomy bag to dispose of waste. The distal colonic end is oversewn and left inside. The procedure is normally temporary. There is a second surgery, a reversal, where the colon is swan back together restoring normal stool flow (continuity). At that point there is no more colostomy and no further need to use a colostomy bag. The Hartmann reversal carries major morbidity and mortality risks. With the advent of laparoscopy, these negative prospects have been reduced but remains a complex procedure. It is important to note that at times a reversal is not possible. Hartmann’s procedure is geared to weak patients where an immediate anastomosis is not warranted. For this same reason, a patient might not be apt for the second stage.

High Output Stoma

It refers to a stoma that produces effluent beyond 750ml. From that point on there are increased chances for leakages.

Hydrocolloid wafer

Also known as Hydrocolloid barrier, it surrounds the stoma and goes over the peristomal skin area. It is meant to keep the skin safe from continued adhesive use. A hydrocolloid wafer is made of water absorbents: gelatin, pectin, and fillers: sodium carboxymethylcellulose and polyisobutylene.

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