When does a prolapse colostomy require intervention?

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Specializes in ER, L&D, ICU, LTC, HH.

When does a prolapse colostomy require intervention? I had a fresh post op pt in home health today with about a 5 inch prolapse and nickel size dark area.

Thanks!

~Willow

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Specializes in home health, dialysis, others.

We really can't give medical advice on this board. My only question is - what did the stoma look like when the pt came home?

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Specializes in Pediatric Critical Care, Cardiac, EMS.

Like mamamerlee said - we can't give medical advice.

That said, as the patient's nurse, if you think it looks concerning, it probably needs to be evaluated.

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Specializes in ER, L&D, ICU, LTC, HH.

The stoma had about 5 inches of swollen intestines hanging out and a nickel size area that looked necrotic on the edge. I notified the MD and he did not want anything done. I did some research on the web and they are sort of unclear information. It says if extreme surgery is required. I am not a doctor and would never assume to diagnosis so I went with my gut and told the patient that if it was me i would go for a second option. I am praying I did not over step my bounds.

~Willow

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