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Troublesome colostomies and urinary stomas treated with suction-assisted lipectomy
F Samdal1, P F Amland, A Bakka
1Department of Plastic Surgery, Norwegian National Hospital, Oslo.
Objective:
To investigate the effectiveness of liposuction as treatment in troublesome colostomies and urinary stomas in selected patients.
Design:
Open clinical study.
Setting:
University hospital, Norway.
Subjects:
8 consecutive patients with colostomies (n = 2) or urinary stomas (n = 6) who required treatment with liposuction above or around the stoma, mainly for leakage.
Interventions:
Syringe-assisted liposuction under local anaesthesia.
Main Outcome Measures:
Change in stoma function, particularly reduction in the incidence of leakage, and by the patients' satisfaction graded according to a four point scale.
Results:
All patients noted considerable improvements in stoma function, or abdominal contour, or both.
Conclusion:
Troublesome colostomies and urinary stomas can in selected patients be successfully treated with liposuction above or around the stoma.