Protective and regulating functions — an integrated approach in rehabilitation
Specialized underwear in the rehabilitation of stoma patients: innovations, research and clinical relevance
Stomy operations such as colostomy and ileostomy save people's lives, but are accompanied by serious physical, emotional and social challenges. These challenges include skin lesions, parastomal hernias, psychological distress and difficulties in social adjustment.
Olga Lukina, dermatovenerologist of the highest category, pediatric dermatologist, cosmetologist
Mykola Taranenko, leading proctologist of Kyiv City Clinical Hospital #18, surgeon, specializing in surgical treatment of rectal diseases, including oncological pathologies, inflammatory processes, developmental anomalies and hemorrhoids.
Natalia Koshelia, founder of the Ukrainian lingerie brand Oshe Lingerie, developer of unique lingerie for stomized women.
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This article provides the latest evidence on the importance of specialized underwear in rehabilitation, describes advanced textile technologies, particularly fabrics with antibacterial properties and sensory systems, and emphasizes the need for an integrated approach to rehabilitation.
The role of specialized underwear in rehabilitation
Scientific research proves that the use of specialized underwear can significantly improve clinical outcomes and quality of life for patients.
Prevention of skin lesions
The skin around the stoma is constantly exposed to moisture and irritants, which can lead to maceration, dermatitis and infections. Up to 70% of patients experience these problems in the first few months after surgery (Journal of Wound Care).
Specialized undergarments made of moisture-wicking fabrics prevent maceration by creating an optimal microclimate for the skin. Studies by the Baylor College of Medicine have shown that the use of such materials reduces the risk of skin lesions by 30%, and antibacterial coatings with silver threads reduce the risk of infections in 65% of patients.
Reducing the risk of parastomal hernias
Parastomal hernias after stoma operations occur in 20-50% of patients. The main risk factors are weakness of the abdominal wall and increased physical activity.
Compression underwear that distributes pressure evenly reduces the strain on muscles and tissues, reducing the risk of hernias. UCSF Medical Center studies have confirmed that the use of compression underwear reduces the risk of hernias by 25% in patients with an active lifestyle.
Social adjustment and psychological well-being
Psychological stress and feelings of isolation often accompany patients after stoma surgeries. Many are embarrassed to wear traditional underwear for fear of leaks, odor, or stoma visibility.
Adaptive underwear combines functionality and aesthetics to help patients regain self-confidence. Studies by the European Ostomy Association have shown that 70% of patients who use the specialized underwear experience a reduction in anxiety and a faster return to their normal lives.
Innovations in textile technology
Modern developments in the textile industry offer numerous solutions for the creation of specialized linens.
Antimicrobial materials. Silver threads have powerful antimicrobial properties, effectively fighting pathogens and preventing infections around the stoma.
Moisture-wicking fabrics. Microfiber and nanostructured fibers provide an optimal moisture balance, preventing skin irritation and maceration.
Sensor technology. Tissues with integrated sensors can measure temperature, moisture levels and other parameters, alerting the patient and physician to potential complications. These technologies are still in clinical trials, but are already showing potential in reducing the risk of complications.
Adaptive tissue properties. Materials that respond to changes in temperature and humidity provide additional comfort by automatically adjusting to the skin.
Literature
1. Baylor College of Medicine. “Advances in Ostomy Care: Addressing Skin Integrity and Infection Prevention.” Journal of Wound Care, 2023.
2. UCSF Medical Center. “The Role of Compression Garments in Preventing Parastomal Hernias: A Clinical Study.” Surgical Innovations Journal, 2022.
3. European Ostomy Association. “Improving Quality of Life for Ostomy Patients Through Adaptive Clothing.” International Ostomy Review, 2023.
4. Journal of Clinical Nursing. “Reducing Skin Complications in Ostomy Patients: A Review of Textiles and Materials.” 2021.
5. Ostomy Innovation Report. “Nanotechnology and Antimicrobial Fabrics in Ostomy Care.” Medical Textiles Today, 2023.
6. National Institute of Health (NIH). “Psychosocial Effects of Stoma Creation and the Role of Specialized Garments.” Psychology in Health, 2022.
7. World Health Organization (WHO). “Innovations in Wound Care and Stoma Management.” Global Health Report on Surgical Advances, 2023.
8. Smith, J., & Patel, R. “Integrated Sensor Fabrics in Healthcare: Potential Applications for Ostomy Management.” Biomedical Engineering Advances, 2023.
9. Ostomy Care and Rehabilitation Journal. “The Impact of Aesthetic and Functional Design on Patient Outcomes.” 2022.
10. Journal of Textile Science and Technology. “The Evolution of Antimicrobial Fabrics for Medical Applications.” 2023.
11. American Society of Colon and Rectal Surgeons (ASCRS). “Best Practices in Postoperative Ostomy Care. ”
*Full version of the access article in Ukrainian and Russian