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Stoma siting using CT guidance in a multiply scarred abdomen
1Department of Colorectal Surgery, Northern General Hospital, Herries Road, Sheffield, S5 7AU, UK.
Techniques in Coloproctology
|August 7, 2007
Summary
Creating a colostomy in scarred abdomens is challenging. Computed tomography guides a simple trephine technique for easier loop colostomy creation, avoiding laparotomy.
Area of Science:
- Surgical technique
- Abdominal surgery
- Medical imaging
Background:
- Creating a stoma in patients with multiply scarred abdomens presents significant surgical challenges.
- Intra-abdominal adhesions and limited suitable skin sites complicate traditional stoma creation.
Observation:
- A novel technique utilizing computed tomography (CT) was employed.
- The CT scan identified optimal sites for stoma creation, circumventing adhesions.
Findings:
- A simple trephine technique, guided by CT, facilitated the easy creation of a defunctioning loop colostomy.
- This method successfully avoided the need for a more invasive laparotomy.
Implications:
- This CT-guided trephine approach offers a simpler, less invasive alternative for loop colostomy in complex abdominal cases.
- It potentially reduces operative time and patient morbidity associated with laparotomy in scarred abdomens.
