CUIDADO DE ENFERMAGEM AO PACIENTE COM DERMATITE PERIESTOMIA: UM RELATO DE EXPERIÊNCIA.

• DOI: > vane

• Palavras-chave: Dermatite; Estomia; Cuidados de Enfermagem; e Estomaterapia.

• Keywords: Dermatitis; Ostomy; Nursing Care; and Ostomy Therapy.

• Abstract: Introduction: A hospital in the North Zone of São Paulo initiated surgical treatment for endometriosis, defined as the attachment of endometrial-like tissue to different abdominal organs. Depending on the extent of the surgery, a stoma is performed, which is defined as an opening between a hollow organ and the skin. Studies indicate that up to 80% of patients develop peristomal complications, such as peristomal dermatitis—skin lesions around the stoma that impact the patient's quality of life. This highlights the need for research into techniques for treating peristomal dermatitis. Objective: To report an experience in nursing care for a patient with peristomal dermatitis. Method: Qualitative, descriptive research of the experience report type. The case data was collected through a medical record review. A search was conducted in the Latin American and Caribbean Health Sciences Literature (Lilacs), Scientific Electronic Library Online (SciELO), PubMed, and Google Scholar databases for articles published between 2015 and 2025. Results and Discussion: The endometriosis service utilized a multidisciplinary care protocol for ostomy patients, including leaflets and staff training. The patient, ASB, 45 years old, hypertensive, obese, and dyslipidemic, diagnosed with endometriosis 13 years ago, remained hospitalized for 54 days, undergoing multiple procedures and receiving polypharmacy. Complications included peristomal dermatitis following stoma retraction, leading to frequent changes of the collection bags. After a case discussion, a convex flange was indicated, and the dressing was performed as follows: cleaning, application of silver hydrofiber to the wound, application of barrier spray to the surrounding area, and a hydrocolloid plate to secure the hydrofiber and serve as a base for the collection bag flange; ostomy paste was applied to the junctions, followed by the flange. The patient showed improvement within 13 days. Conclusion: The enterostomal therapist is essential in the prevention, diagnosis, and treatment of dermatitis. Adjuvant materials are fundamental to treatment. A variety of flanges are vital for rapid response and early treatment of peristomal complications. Inadequate collection equipment results in higher costs. The exchange of information and deliberation among professionals enable new ways of designing, conceptualizing, and performing the dressing. When structured effectively, these practices facilitate prompt rehabilitation.