title: High-output stomas: challenges  with a large laparostomy wound.
abstract: This article explores the management of patients with high-output stomas fashioned under acute surgical conditions where management may be difficult owing to the presence of a large laparostomy wound. Available products that meet the technical demands required to manage these patients, achieve optimal wound healing, manage high-output stoma and encourage patient independence are considered. A number of strategies to meet the physical and nutritional requirements of these patients are discussed along with the importance of the multidisciplinary team working together to provide holistic care.
authors.affiliation: St Marks, Harrow.
authors.forename: Rebecca
authors.initials: R
authors.lastname: Slater
mesh_terms: D006801:Humans; D007416:Intestinal Perforation / Q000451:nursing* / Q000601:surgery; D010535:Laparoscopy / Q000451:nursing; D008297:Male; D008875:Middle Aged; D010030:Ostomy / Q000379:methods / Q000451:nursing*; D013527:Perioperative Nursing / Q000379:methods*; D017592:Skin Care / Q000379:methods / Q000451:nursing*; D014945:Wound Healing