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A novel subcutaneous T-shaped bridge device for loop colostomies
José Joaquim Ribeiro da Rocha1, Marley Ribeiro Feitosa1, Thiago Rodrigues da Cunha Stoianov1
1Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Brazil.
Purpose:
To describe a novel securing device for loop colostomies, developed in our institution and report our 10-year experience.
Methods:
The T-shaped support device was used in all patients who required loop colostomy and who were at an increased risk of stoma withdrawal. The device was removed on the fifth postoperative day in all patients. An analysis from a prospective database regarding early postoperative complication, from 209 patients, was conducted between 2003 and 2013.
Results:
Bleeding, peristomal skin problems, surgical site infection, stomal ischemia/necrosis, stenosis, obstruction, retraction and early withdrawal of the stoma were not noted in all cases. Thirteen patients (6%) reported mild discomfort on the site of the skin suture. Removal of the instrument was fast and easy, with the advantage of keeping the colostomy bag.
Conclusion:
The T-shaped bridge device successfully prevented stoma withdrawal in all subjects. The device was safe and well accepted, with minor complications.
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