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Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1782
Palmieri B., Bellini N., Ricci E.
Dipartimento Misto di Chirurgia Generale e Specialità Mediche Università degli Studi di Modena e Reggio Emilia, Modena
Aim. Colostomy and urostomy bags in the last 30 years have dramatically improved the quality of life in operated patients; no suitable disposable containers have been produced because of the peculiar anatomy and physiological motility of the pelvic floor. We have developed an original appliance (ANAL BAG - Sacca Saviano) able to insulate the anus-perianal area and to collect the stools into a suitable bag, thus preventing perineal soiling, infections, and contamination. Rationale, details, a basic clinical trial to ANAL BAG use are presented.
Methods. Our investigation lasted from 1994 to 2004 and enclosed 120 patients of both sexes, either operated of anorectal surgery (45 cases) or bedridden in intensive care (10 cases), coronary (10 cases) and high dose chemotherapy (10 cases) units or old bedridden (35 cases) or bedsores (10 cases) people affected by fecal incontinence. We analysed the perianal skin motility during stool output in supine decubitus of the first 20 cases and we identified an area of the skin surface where it was possible to reach strong adherence. We further defined how to specifically protect the perisphincter skin and the best anallergic suitable material required for long standing epidermis-plastic bag interaction.
Results. The patients treated with ANAL BAG complied very well to the short term procedure; nurses learned quite easily the application of the bag and the perianal skin care during the changes.Fecal soiling was dramatically reduced , as well as the perianal cleaning specially during diarrhea .
Conclusions. “ANAL BAG” can prevent soiling and bedsores, a key also for hospital infection prevention, postoperative management and home care.