title: [Management of colostomies with plug: clinical aspects and patient evaluation].
abstract: OBJECTIVE
  To assess the effectiveness of the one-piece disposable plug device Conseal (Coloplast A/S, Espergaerd, Denmark) in colostomy patients, considering clinical and social aspects.
  
  
  METHODS
  Twenty patients with definitive (perineal-abdominal amputation 17 cases) or transitory (Hartmann in 3 cases) colostomy were studied prospectively. No patient used self-irrigations. All of them completed the study. After obtaining the patient's consent, we analyzed for comfort, leaks, security, easy handling and skin conditions by means of personal interview and clinical examination.
  
  
  RESULTS
  Sixteen patients (80%) had previously used conventional colostomy bags, 4 (20%) started to use the plug device during the postoperative period (average 8.7 days). Fifteen patients (75%) preferred to use the plug, whereas 5 (25%) considered the plug was insecure.
  
  
  CONCLUSIONS
  Our study suggests that the one-piece disposable plug device improves the quality of life in patients with colostomy, although adequate selection of patients and previous training are mandatory.
authors.affiliation: Servicio de Cirugía General, Hospital Universitario S.V.S. Sant Joan, Alicante.
authors.forename: G
authors.initials: G
authors.lastname: Picón Pérez
authors.forename: R
authors.initials: R
authors.lastname: Calpena Rico
authors.forename: F
authors.initials: F
authors.lastname: Candela Polo
authors.forename: A
authors.initials: A
authors.lastname: Compañ Rosique
authors.forename: S
authors.initials: S
authors.lastname: García García
authors.forename: E
authors.initials: E
authors.lastname: Meroño Carbajosa
authors.forename: M
authors.initials: M
authors.lastname: Morales Calderón
authors.forename: V
authors.initials: V
authors.lastname: Pérez Auladell
authors.forename: J
authors.initials: J
authors.lastname: Vander Hofstadt
authors.forename: J
authors.initials: J
authors.lastname: Medrano Heredia
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003125:Colostomy / Q000295:instrumentation*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies
vernacular_title: Manejo de las colostomías mediante obturador: aspectos clínicos y evaluación de los pacientes.