Abstract
Aim: Quality of Life (QOL) of patients after cancer surgery has become more important as success rate of surgical treatment has been improved. Anal sphincter preservation has been concerned in treatment for colon cancer, in particular rectum cancer. However, in order for patients to become cancer free, colostomy is the essential treatment. In usual stoma, skin contacts directly with colon membrane, and this sometimes induces (i) skin troubles around the stoma (e.g., ulcer, abscess, fistula), and (ii) constriction, collapse, perforation, hernia or obstruction of the colon. The skin troubles are the complications that are unavoidable only through the improvement and control of the equipment because the skin directly touches to the stool. Therefore, preventive measures should be employed at colostomy. For this purpose, a new colostomy technique was applied from the point of plastic and reconstruction surgery. Methods: In order to reduce the duration and area of direct contact with stool, local flap and split‐thickness skin grafting are applied. Colon is pull out to the abdominal wall by using the usual surgical procedure. The stoma is kept at a certain height from the abdominal wall by using the flap and the graft. Results: To date, the longest follow‐up period is 8 years and 7 months. Frequency of skin problems due to direct contact with stool was reduced, infection and constriction on and around the stoma have been prevented, and defecation became able to be better managed.
Published Version
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