Re: tough LSO case
John Fain
Description
Collection
Title:
Re: tough LSO case
Creator:
John Fain
Date:
9/2/2001
Text:
Brad,
Make a Boston Type LSO.
Take a plaster impression and mark the areas and just cut windows in the
areas that need to be accessed. Does that make sense? The flesh will sort
of push out of the windows. The wound and the colostomy will be very
accessible.
John Fain CPO
----- Original Message -----
From: Brett Barnts < <Email Address Redacted> >
To: < <Email Address Redacted> >
Sent: Sunday, September 02, 2001 9:28 AM
Subject: [OANDP-L] tough LSO case
I have a 210 lb. (post-radical weight loss, lots of extra skin and flubber)
lady with L3/4 instability and great pain. Doctor wants LSO (chairback or
equivalent, and I have great latitude with this doc).
Problem is, she has a colostomy (standard size opening, maybe almost 4
dia.) AND on the right side of the abdomen, mirroring the location of the
colostomy, a similarly-sized (~4) open wound, with dressing which gets
changed twice daily.
Essentially all of my anterior abdominal compression areas are unavailable.
I'm not tremendously familiar with how much pressure a colostomy 'lid' (and
unless I make an opening, a bag, too) can take. The wound we can probably
mildly compress.
Any ideas?
Many thanks.
Brett Barnts, CPO
Olympia, WA
Make a Boston Type LSO.
Take a plaster impression and mark the areas and just cut windows in the
areas that need to be accessed. Does that make sense? The flesh will sort
of push out of the windows. The wound and the colostomy will be very
accessible.
John Fain CPO
----- Original Message -----
From: Brett Barnts < <Email Address Redacted> >
To: < <Email Address Redacted> >
Sent: Sunday, September 02, 2001 9:28 AM
Subject: [OANDP-L] tough LSO case
I have a 210 lb. (post-radical weight loss, lots of extra skin and flubber)
lady with L3/4 instability and great pain. Doctor wants LSO (chairback or
equivalent, and I have great latitude with this doc).
Problem is, she has a colostomy (standard size opening, maybe almost 4
dia.) AND on the right side of the abdomen, mirroring the location of the
colostomy, a similarly-sized (~4) open wound, with dressing which gets
changed twice daily.
Essentially all of my anterior abdominal compression areas are unavailable.
I'm not tremendously familiar with how much pressure a colostomy 'lid' (and
unless I make an opening, a bag, too) can take. The wound we can probably
mildly compress.
Any ideas?
Many thanks.
Brett Barnts, CPO
Olympia, WA
Citation
John Fain, “Re: tough LSO case,” Digital Resource Foundation for Orthotics and Prosthetics, accessed November 4, 2024, https://library.drfop.org/items/show/217427.
