The Wound, Ostomy and Continence Nurses Society

Mucocutaneous Separation

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Description:

What causes it?
- Patients with compromised healing
- Excessive tension at the stoma suture line
- When pt is malnourished, diabetic, or receiving steroid therapy
- Early post-operative complication

Symptoms
- Leakage
- Difficulty to pouch

What does it look like?
- Partial vs. circumferential
- Shallow wounds around stoma, sutures not intact

Treatment
- Fill defect with stoma powder or absorptive dressing.
- May need to cover with thin film dressing or skin closure strips
- May need to change more frequently if leaking

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