1. By Robert Azevedo-Gilbert
My Stoma and I
By Robert Azevedo-Gilbert

2. A Little History Lesson
The first known stoma operation was performed in 4th Century BC. We have been able to trace a record of Praxagonis performing the operation whilst on the battle field at the time!

3. Artist Impression
“Who knows one day this might catch on”!

4. Colostomy
1710 Litre performed a colostomy for a patient who suffered from a birth defect where the anus fails to develop. This was the main reason for colostomy formation initially. It was placed on the side of the body rather than the front of the abdomen. The appliance to drain these early colostomies was a tin box held in position by truss–like straps. These were later modified and were made from rubber anaesthetic tubing.

5. Ileostomy
1913 Brown much more recent development, which largely came about following the realisation that surgery could be more effective treatment for severe ulcerative colitis.
1952 Brooke showed that skin grafts were not helpful but turning the end of the ileum inside out and stitching the skin to it resolved most of the problems. Technique still used today.

6. Urostomy
1852 Simon created the oldest form of urinary diversion for bladder patients, ureterosigmoidoidostomy, this was the most popular method.
1950s Bricker introduced ilea conduit, urostomy, to overcome the complications the urologists were having with the above system.

7. Key Developments in stoma surgery during the 19th Century
1815 Freer First elective stoma surgery
1887 Allingham Loop colostomy
1895 Paul/Miculicz Temporary Stoma

8. Key Developments in stoma surgery in the 20th Century
1913 Brown Temporary ileostomy
1923 Hartman end colostomy
1943 Miller proctocolectomy & ileostomy
1950 Bricker ileal conduit
1952 Brooke eversion ileostomy
1969 Knock internal pouch
1978 Parks preserved anal sphincter
1980 Mitrofanoff internal reservoir for urine

9. Key developments in stoma appliances prior to the 20th Century
1707 Heister tins, silver pipes, clothes
1795 Daguesceau leather drawstring bag
19thCentury pads, absorbent dressings, binders

10. Key developments in stoma appliances in the 20th Century
1910 Heavy surgical belts with plastic cups
1930’s Thick heavy rubber bag
1944 Koenig-Rutzen rubber bag
1960’s Thin odour proof disposable bags.
Karaya gum.
Hydocolloid skin barriers.
Stoma Care Nurses appointed.
1980’s Plug system
Toilet flushable colostomy bags

11. I was born at a very early age!

12. 7:30am Thursday 22nd April 1948

13. The Appliance
During this time there was not a great deal to chose from especially for young children

14. First form of Irrigation
Because of the lack of bags for children I started to irrigate.

15. Salts to the rescue!
Salts came to the rescue in the 50’s by manufacturing the black rubber bags and one of the first see through bags for adults.

16. First Appliances
First of the two piece appliance introduced by Translet

17. Coloplast introduces plugs
Plugs used by stoma patients after irrigation

18. And Finally