Care of click prosthesis and information on pain
Note: The stoma should be cleaned 2x daily to prevent infections. Stoma care starts from the first day after surgery. In the first 3-7 days, the stoma may still bleed, hence the stoma should be rinsed gently with the shower head. If the stoma continues to bleed; rinse with cold water and then apply some split gauze, press firmly and rest (place stump high). If problems persist, contact the doctor.
Cleaning the stoma
- 1. Remove the gauze
- 2. Rinse the stoma with a mouthwash (e.g. Braun Oral B, Oxyjet) or your handheld shower. The Oxyjet has a large water reservoir and different water jet settings. This device costs around €70 - €100 and can be ordered over the internet.
- 3. Brush/flush away stubborn yellow discharge with a gauze pad and soap and water
- 4. Also make sure the implant is clean and free of deposits
- 5. Massage the skin and muscles during flushing and ensure that no adhesion develops between the soft tissues (skin and muscles) and the implant
- 6. After rinsing, dry the stoma with a clean towel and cover it with a 10 x 10 cm gauze if necessary (unfold, twist around the pin and knot)
If the stoma is inflamed (pain, redness and pus formation):
- 2x daily, after cleaning the stoma, post-treatment with chlorhexidine 0.5% in alcohol 70% (e.g. Sterilon available at the chemist)
- Fucidin hydrophilic cream (tube 30 g; 20 mg/g) applied 2x daily to and inside the stoma (available from the chemist)
- If, despite everything, the stoma remains unsettled (pain, redness and pus formation) request a prescription through your doctor for a 10-day course of antibiotics
If fibroid growth develops at the edge of the stoma:
Apply Terra-Cortril + Polymyxin B eye ointment (hydrocortisone/oxytetracycline/polymyxin B) twice a day after cleaning the stoma (prescription from your doctor). Stop using the ointment as soon as the game meat is gone.
If the stoma is dry and sticks to the pin:
- If necessary, apply 1 to 2 ml of Instillagel (11 ml syringes: lidocaine hydrochloride 0.23g – chlorhexidine gluconate 0.0057g, via GP/rehabilitation doctor’s prescription) every hour of the day into the stoma using a Medela silicone attachment (available from the rehabilitation doctor) placed on the syringe of the Instillagel. After use, rinse the silicone attachment below with warm water and reuse. NB use the gel frequently in case of complaints.
- Or lubricate the stoma and pin with Vaseline.
Examples stoma irrigator
