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Abdominoplasty following colostomy.

¹Division of Plastic and Reconstructive Surgery, University of the Witwatersrand, Johannesburg, South Africa.

Annals of Plastic Surgery

|November 1, 1992

Summary

Abdominoplasty surgery successfully reduced abdominal girth and colostomy leakage in a patient with ulcerative colitis. The procedure also unexpectedly resolved urinary incontinence by stabilizing abdominal muscles.

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Area of Science:

Plastic Surgery
Gastroenterology
Urology

Background:

A 57-year-old woman with ulcerative colitis developed increased abdominal girth 5 years post-colostomy.
This abdominal distension was associated with colostomy effluent leakage, particularly with postural changes and increased intra-abdominal pressure.

Observation:

A simple abdominoplasty flap was surgically created to reduce excess abdominal tissue.
The surgical technique carefully avoided impinging on the existing colostomy site.

Findings:

The abdominoplasty dramatically reduced abdominal girth and effectively controlled colostomy leakage.
A significant secondary benefit was the complete reversal of the patient's preoperative urinary incontinence.

Implications:

Abdominoplasty can be a viable option for managing colostomy-related complications and improving quality of life.
Abdominal muscle plication and stabilization during abdominoplasty may positively impact urinary continence, suggesting a potential therapeutic role in managing urinary incontinence.

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