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Concealed umbilical stoma: description of a modified technique
J Ben-Chaim1, R Rodriguez, S G Docimo
1Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland 21287-2101, USA.
The Journal of Urology
|September 1, 1995
Summary
A novel technique creates a hidden umbilical stoma using a superiorly based skin flap. This method results in a concealed stoma that is easily catheterized and cosmetically appealing.
Area of Science:
- Surgical innovation
- Urology
- Pediatric surgery
Background:
- Umbilical stomas can present cosmetic and functional challenges.
- Concealed stoma techniques aim to improve patient outcomes and aesthetics.
Purpose of the Study:
- To describe a new surgical technique for creating a concealed umbilical stoma.
- To evaluate the feasibility and outcomes of this novel approach.
Main Methods:
- A superiorly based skin flap from the umbilicus base is incorporated into the stoma.
- The stoma conduit was constructed using appendix, stomach, or tapered ileum.
- Six patients underwent urinary diversion using this technique.
Main Results:
- All six patients achieved an easily catheterizable hidden umbilical stoma.
- Patients remained dry with clean intermittent catheterization.
- No cases of stomatitis or peristomal hernia were reported.
Conclusions:
- This technique offers a method for creating a concealed umbilical stoma.
- It preserves the natural appearance of the umbilicus, providing superior cosmetic results.
- The resulting stoma is both aesthetically pleasing and functionally easy to catheterize.