Use of a Convex Pouching System in the Postoperative Period: A National Consensus.
Janice C Colwell, Janet Stoia Davis, Krisztina Emodi and 9 others
PMID 35523239WHAT IT FOUND
No studies tested whether convex pouching is safe or effective in the postoperative period.
Ten experts agreed it can be used to secure a seal, reduce leakage, and protect peristomal skin, based on consensus rather than evidence.
Key findings
01The scoping review found no studies evaluating the efficacy or safety of a convex pouching system during the postoperative period.
02The panel agreed that a convex pouching system can be used safely regardless of when the ostomy was created and should be considered in the immediate postoperative period to secure a predictable seal.
03Ostomy nurse specialist follow-up within 2 weeks after hospital discharge, and full assessment in each postoperative period, were recommended.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
No original studies evaluated efficacy or safety of convexity in the postoperative period, so the statements are expert consensus rather than tested care. The consensus panel was 10 health care providers in the United States, so the recommendations may not fit other settings or patients. The panel created its own postoperative time periods because standard care periods were lacking. The paper does not report detailed agreement levels for each statement or how many Delphi rounds were used. The work was financially supported by Coloplast A/S, and no further conflict-of-interest details are provided.
Declared interests
This work is financially supported by Coloplast A/S. No other conflict-of-interest details are provided in the supplied text.
The easy way to misread this
Do not read the consensus that convexity is safe as proof that it works or prevents complications. The scoping review found no studies evaluating efficacy or safety in the postoperative period, so these are expert recommendations, not tested interventions.