Abstract
To describe a novel securing device for loop colostomies, developed in our institution and report our 10-year experience. The T-shaped support device was used in all patients who required loop colostomy and who were at an increased risk of stoma withdrawal. The device was removed on the fifth postoperative day in all patients. An analysis from a prospective database regarding early postoperative complication, from 209 patients, was conducted between 2003 and 2013. Bleeding, peristomal skin problems, surgical site infection, stomal ischemia/necrosis, stenosis, obstruction, retraction and early withdrawal of the stoma were not noted in all cases. Thirteen patients (6%) reported mild discomfort on the site of the skin suture. Removal of the instrument was fast and easy, with the advantage of keeping the colostomy bag. The T-shaped bridge device successfully prevented stoma withdrawal in all subjects. The device was safe and well accepted, with minor complications.
Highlights
The creation of a stoma is an important and sometimes life-saving procedure
Colostomies are classified according to duration and which part of the colon opens on to the abdominal wall
One of the common complications of Loop colostomy (LC) is retraction, commonly caused by a poorly constructed stoma or obesity[2]. To minimize this complication a variety of instruments have been used to secure loop stomas in place, especially if excessive tension is suspected. The purpose of this manuscript is to describe our experience with a low-cost subcutaneous bridge device developed in our institution
Summary
The creation of a stoma is an important and sometimes life-saving procedure. Any part of the colon can be used to build a stoma, depending on the indication. The loop stomas are usually temporary and have an afferent (functioning) opening and an efferent (non-functioning) one. One of the common complications of LC is retraction, commonly caused by a poorly constructed stoma or obesity[2]. To minimize this complication a variety of instruments have been used to secure loop stomas in place, especially if excessive tension is suspected. The purpose of this manuscript is to describe our experience with a low-cost subcutaneous bridge device developed in our institution
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