It occurs when there is prolonged fluid presence (urine, feces, and perspirationon). It normally develops on the peristomal skin below the wafer. Maceration debilitates and if not treated can potentially rupture the exposed skin leading to open wounds and infections. The situation can become more complex when there is Periwound Maceration which is maceration around open wounds.
- Mucocutaneous Junction
It is where the intestine and the skin meet to form the stoma. It is known as Mucocutaneous because there is a transition from mucous tissue (the intestine) to regular skin (epidermis).
- Mucocutaneous Separation
It is a detachment of the stoma from the skin. It could be the consequence of poor nutrition, anemia, diabetes, or radiation therapy all of which can lead to inadequate healing. In order to avoid infection or necrosis, it should be repaired and treated as any open wound.