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Colonial Wig Pancreaticojejunostomy
Published on: March 12, 2019
Use of W-plasty in stenotic stoma: a new solution for an old problem
1Department of Colorectal Surgery, Good Hope Hospital NHS Trust, Sutton Coldfield, UK.
Indication:
Amongst late complications of stomas, stenosis can be difficult to treat. Repeated dilatations rarely achieve long-term resolution and re-fashioning is not always successful. Application of an existing plastic surgical technique to treat stomal stenosis is described.
Method:
After marking the skin, a W-plasty is made with a number of consecutive small triangular flaps through the skin. The corresponding mucosal margin is then made to interdigitate with this configuration and fixed using a Gillies corner stich with 5/0 Vycril rapide on a compound curved needle.
Results:
Five patients underwent W-plasty reconstruction for a stenotic stoma. Median follow up was 12.5 months (range 11-15). No patient had stenosis of the stoma on review and the patient satisfaction rate was high.
Conclusion:
The W-plasty technique is a new treatment for stenotic stoma.
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