Stoma: before the operation

Examinations

In the run-up to the operation, you will undergo a number of tests. Not all of these tests are carried out on every patient. The doctor will decide which tests are necessary for you.

Preoperative consultations

With the anaesthetist

During the preoperative consultation with the anaesthetist, you will receive information about the anaesthesia, pain management and the risks associated with the operation.

To properly assess your state of health, the anaesthetist will ask you questions, for example about your medical history and any medication you are taking. If necessary, the anaesthetist may also arrange for further tests.

In consultation with the surgeon, the anaesthetist may prescribe medication for you to take on the morning of the procedure.

With the ERP nurse

ERP stands for Enhanced Recovery Programme. The aim of this care programme is to ensure that you recover more quickly and effectively from the operation, with a lower risk of complications or an unnecessarily long hospital stay. The nurse will discuss this specific care programme with you before the operation, so that you know what to expect.

During this consultation, the ERP nurse will review and update your medical dossier. You will be given information about what you need to arrange before the operation, the duration and course of your hospital stay, and how to prepare for discharge.

With the stoma nurse

The stoma nurse will introduce you to stoma care. You will receive information about the type of stoma and how to care for it, the necessary supplies (and how to obtain them), and your diet.

The stoma nurse will also determine the position of your stoma. Whilst you are sitting, lying down and standing, you will work together to decide on the most suitable location. This spot will be indicated on your abdomen with a marker pen, photographed in all three positions and recorded in your electronic dossier. If you wish, the nurse can fit a collection system so that you can get a feel for what it’s like.

It is important that the stoma is positioned in the most suitable place for you. The collection system must not cause you any discomfort when sitting down, bending forward or wearing a belt or strap. The stoma must also be clearly visible to you to make it easy to care for it.

For surgical or technical reasons, the position of the stoma may be adjusted slightly during the operation.

Fasting

It is important that you fast before the operation.

If you have eaten or drunk anything too close to the time of the procedure, the operation may have to be postponed.

You may drink clear liquids, such as water, tea, or fruit juice without pulp, up to one hour beforehand.
Avoid other drinks and food from six hours beforehand.