A PROPERLY made, well-maintained dressing is a necessity following the construction of a tube gastrostomy. This is particularly true in small infants in whom this adjunctive procedure has been most valuable.1-3 With an improper dressing, the complications of tube displacement, leakage around the tube, and excoriation of the abdominal wall may occur.4,5 An inflamed, infected gastrostomy wound fails to close promptly when the tube is removed. With the use of an improved method of gastrostomy dressing and care, these complications have almost been eliminated.
A Stamm gastrostomy is performed using a mushroom catheter of appropriate size.2 It is secured in the stomach by means of two inverting purse string sutures. The tube is brought out through a stab wound or through the incision in the abdominal wall, and the stomach is secured to the peritoneum and fascia of the anterior abdominal wall with silk sutures. The
Beck AR, Allen JE. An Improved Gastrostomy Dressing. Arch Surg. 1967;94(6):904-906. doi:10.1001/archsurg.1967.01330120158031