Stomas: What they are and how to tell them apart
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- čas přidán 29. 12. 2013
- You're standing in your surgical finals looking at a patient with a stoma bag on the abdominal wall. The examiner is asking you what it is and why it is there. What are you going to say?!
Keaton Jones takes you through stomas step by step In this video podcast. Stoma is defined, types of stoma discussed (especially ileostomy and colostomy, loop and end stomas) and complications listed. Keaton also takes you through how to examine a patient with a stoma (these patients tend to crop up in exams!)
This video podcast will be useful for medical students as learning and interns and junior residents (foundation and core trainees) as revision for exams.
Keaton Jones is currently an academic clinical fellow in surgery at the University of Oxford, UK
Excellent, thorough and clear! Keep making videos please! (med student)
Outstanding teaching video. Very much appreciated, thank you!
Extremely helpful and clear explanation, much appreciated
Excellent video as usual, highly informative
This video was very informative. Thank you very much.
Glad you liked it. Good luck in the OSCE! Hope the other podcasts help in the rest of finals. You can get them all at our Facebook page facebook.com/surgeryschool or type school of surgery into iTunes podcast search.
Please explain all the surgical procedures. You are amazing man
This is so so so amazing 😍😍😍😍 you explained anything I needed to know briefly and effectively 😍 thank you so much 😊
Hi - thanks for the review! Glad you liked it so much. Please feel free to share with any friends and colleagues who might find it helpful too.
Thank you for your teaching.Really useful. My Final OSCE exams are in next month. I feel like I am ready to examine a patient with stoma if it comes up in my exam :)
Is it possible to use the joined ends of the ureters as a stoma rather than implanting them first into a segment of ileum. I imagine that there are signicicant reasons for using ileum but I am interested to know what they may be. Thank you as always for your excellent work.
I had mine done 2half years ago and l feel fantastic now they are bloody marvelous what they can do brilliant
brilliant video very helpful. I had colostomy surgery done in mid March and before surgery and even afterwards It was not explained that I may get hernia which I have now already also over 2 months after surgery I took dioherra and it came out my bottom as if I never had surgery so I panicked I phoned my stoma nurse and she said that this can happen and will happen sometimes monthly so I am always waiting and wondering when will this happen again which makes me feel annoyed because the reason I had surgery was because of a spinal injury 22yrs ago which left me paralysed and incontinent always having accidents so if their is anyone else that has experienced this problem could you please let me know thank you Michael.
thank you for this video, really helped me the day before my osces :)
You are very welcome Lynnette. Hope the OSCEs went well. There's loads more you might be interested in at schoolofsurgery.podomatic.com or facebook.com/surgeryschool. Cheers
Jon
Nice explanation sir
Be continue
Brilliant explanation. Keep making videos like these
Thanks - hope you like our other videos too and you should check out our audio podcasts by going to iTunes and searching in podcasts fro School of Surgery
Thanks! There's lots more on this channel and also at itunes.apple.com/gb/podcast/school-of-surgery/id642197143?mt=2
Really helpful video
this is so goooood!
Thanks this has helped me get clarity 🙂
Great! Thanks for the feedback. Glad we could help
Just amazing Mashaa'Allah..
Much appreciated
very nice sir, we are really thankful to u
You are very welcome - thanks for the feedback
very very good explanation
Thank you.
wonderful teaching
+Asha Ali HI Asha. Thank you very much. Very pleased you liked it. You can see and hear a lot more wonderful teaching at itunes.apple.com/gb/podcast/school-of-surgery/id642197143?mt=2. If you like it, please share with your friends.
thank you
simple and very precise.......5/5 stars....
Thanks Mariam! Glad you liked it. Loads more at itunes.apple.com/gb/podcast/school-of-surgery/id642197143?mt=2 . Tell your friends and colleagues...
I'll definitely suggest my friends to go thru this video
شكرا يا خال
Thank. Very basic and informative
Thanks - glad you found it helpful. Please share with your friends and colleagues
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very helpful
thank u
from libya
Very pleased you liked it and our video is helpful to you in Libya. There are lots of other free audio podcasts at itunes.apple.com/gb/podcast/school-of-surgery/id642197143?mt=2 that you might like too.
VERY NYC CONTENT, GOOD FOR EXAMS N OTHERWISE
Thanks for the feedback! Please share with your friends and colleagues and we hope you like our other videos too
very nicely explained.... are there any videos on embryology ?
No, not yet, sorry
Thank you. There's lots more at itunes.apple.com/gb/podcast/school-of-surgery/id642197143?mt=2 but none yet on embryology, sorry..
school of surgery no problem
what is the indication for an END stoma and a loop one?
Hi. End tomas usually formed in an emergency situation where it would not be safe to anastomose the bowel, such as in a Hartmann's procedure (see czcams.com/video/nYtklhsekO8/video.html), or when there is nothing left to join the proximal end of bowel onto after resection (such as after removal of the anus at abdominoperineal excision of rectum and panproctocolectomy). Loop stomas tend to be formed when the object is to defunction the bowel distal to the loop stoma. The most common example of this is in a low anterior resection, when the high chance of anastomotic leak is offset by diverting the faecal stream through a defunctioing stoma (it doesn't matter so much if a hole develops in the anastomosis if there is no stool going through it). Defunctioning ileostomy is the most common way of doing this, although some still use a deunctioing colostomy. A loop stoma may also be formed to protect anorectal trauma, stenosing or obstructing tumours as part of palliation or a bridge to surgery or sometimes for incontinence. Defunctioing stomas are mostly easy and quick to reverse and can now be done safely as a day case procedure ( see www.ncbi.nlm.nih.gov/pubmed/25808587)
Hope that helps
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okay but when does the photo synthesis come in??? bruh
Sir i have a question why my grandfather have two stomas and other have one in surgery
You have provided too much medical history the doctor is now confused
I have 2 stomas as well. One is the large intestine the other is the small intestine.
you should have more subscriber,s this was clear thank you very much
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esophageal diversion (esophagostomy)
I had a urinary diversion constructed in 1968 when it was referred to as an ileostomy but at some stage it became known as a urostomy...?!
Or even an ileal conduit. Basically, its a piece of ileun, separated from the rest of the ileum, with the ureters sewn into it, before being brought out through the abdominal wall. The spout helps it to empty efficiently into a bag stuck on the abdominal wall, as you know. Before this they used to implant the ureters into the sigmoid colon
Thanks for watching
@@schoolofsurgery4140 Thank you. Forgive me for asking another question but obviously it is a subject close to my heart (well RIF of course but you know what I mean!) Why did they previously use sigmoid then change it to ileum?
I have had mine revised several times and currently have bilateral hydronephrosis left>right Interestingly (to me at any rate) one ureter has been anastomosed to the side of the conduit and the other to the end for some reason (1995). My consultant says she is mystified and is exploring the old notes for clues as to why the surgeon constructed it in this fashion. Whether it has any relevance to the hydronephrosis is uncertain at present
Thanks from Uganda ✌🌸
Greetings to Uganda and we're glad you liked it
You are welcome :)
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real picture
Thanx from iraq✌🌸
Thanks for watching, from the UK! Please share with your friends and check us out on iTunes podcasts too
Thanks from Afghanistan!
You're welcome, from the UK!
The skin around the ileostomy is irritant
The skin around the colostomy is normal
Due to HCL