Minimizing stomal stenosis in appendicovesicostomy using the modified umbilical stoma
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A E Khoury1, J G Van Savage, G A McLorie
1Department of Surgery, Hospital for Sick Children, University of Toronto, Ontario, Canada.
Purpose:
We describe creation of a modified umbilical stoma as part of continent urinary diversion using appendicovesicostomy.
Materials And Methods:
Umbilical stomas were created using the eversion-inversion principle in 25 patients undergoing appendicovesicostomy.
Results:
Mean followup was 3 years. Cosmesis of the umbilical stoma was good in all cases. Stomal stenosis required surgical revision in 8% of cases.
Conclusions:
We recommend our modified umbilical stomal technique for appendicovesicostomy because it allows good cosmesis without compromising stomal function.
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An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies: