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Correction of a Leaking Stoma: Using Silicone Block Insertion
1Department of Plastic and Reconstructive Surgery, Ilsan Paik Hospital, Inje University College of Medicine, Goyang-si, Republic of Korea.
Background:
Changes in abdominal contour, including peristomal indentations, can cause leakage of stoma effluent and other complications.
Purpose:
To describe the case of a 39-year-old patient with a urostomy who experienced very frequent urine leakage as a result of a peristomal indentation.
Case Study:
The patient presented with a history of cystectomy and urostomy surgery for chronic interstitial cystitis and dysfunction of the bladder due to a neurogenic problem, and very frequent appliance changes due to urine leakage. Modest improvement occurred following fasciocutaneous V-Y advancement flap surgery. After 7 months, a silicone block was inserted in the peristomal indentation. After 1 year of follow-up, the outcome remained satisfactory and no additional procedures were needed.
Conclusion:
In this case, silicone block insertion was an effective and minimally invasive alternative to manage stomal leakage refractory to other procedures.
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