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The Turnbull loop stoma.

D A Bloom, G Lieskovsky, G Rainwater

    The Journal of Urology
    |April 1, 1983
    PubMed
    Summary
    This summary is machine-generated.

    The Turnbull loop stoma significantly reduces complications like stenosis and bleeding in urinary diversion. This technique minimizes stomal issues, offering a better patient experience compared to traditional methods.

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    Area of Science:

    • Urology
    • Surgical Technique
    • Medical Devices

    Background:

    • The stoma is a critical but vulnerable aspect of external urinary diversion.
    • Complications include leakage, bleeding, incrustation, dermatitis, and stenosis, with stenosis being the most common reason for reoperation in ileal conduits.

    Purpose of the Study:

    • To evaluate the efficacy of the Turnbull loop stoma in minimizing stomal complications associated with urinary diversion.
    • To assess the long-term outcomes and complication rates of the Turnbull loop stoma technique.

    Main Methods:

    • Performed 100 urinary diversions utilizing the Turnbull loop stoma technique.
    • Monitored patients for stomal complications, including stenosis, bleeding, incrustation, dermatitis, and parastomal hernia, over a 1- to 7-year postoperative period.

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  • Implemented minor modifications to the technique to address specific complications.

    • Main Results:

    • Achieved minimal stomal complications across 100 procedures.
    • Observed no instances of stomal stenosis in the 1- to 7-year postoperative follow-up.
    • Identified parastomal hernia as the most significant complication, with a reduced incidence following technique modifications.

    Conclusions:

    • The Turnbull loop stoma is an effective method for reducing stomal complications in urinary diversion.
    • This technique offers a favorable alternative to traditional stoma constructions, particularly in preventing stomal stenosis.
    • Further refinements have improved the safety profile, making loop stomas the preferred method for stomal construction.