Disc excision versus cruciate incision in stoma creation: a prospective controlled pilot study | ||||
| The Egyptian Journal of Surgery | ||||
| Volume 40, Issue 4, October 2021, Page 1432-1436 PDF (82.05 K) | ||||
| DOI: 10.4103/ejs.ejs_258_21 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
| Mohamed K.F. Hamed; Sherif Mourad | ||||
| Abstract | ||||
| Background The pattern of fascial incision during colostomy formation as a risk factor for parastomal hernia (PSH) development has been debated recently in cases of end colostomies. The aim of this pilot study was to assess the feasibility of adopting the fascial disc excision technique in case of temporary loop colostomies. Patients and methods A total of 20 patients with temporary loop colostomies (10 new patients with fascial disc excision technique compared with similar cases with cruciate incision technique in our database), whether primary (i.e. a single loop with opened anterior wall) or secondary (i.e. via a hand-sewn posterior wall anastomosis between the two colonic ends), were observed for PSH development till stoma reversal, and then, the feasibility of abdominal wall reconstruction was recorded. Results The rate of PSH development was high in both groups and was directly proportional to the time needed for stoma ‘take down.’ However, no significant difficulties were encountered during abdominal wall reconstruction after stoma reversal. Conclusion The fascial disc excision technique for loop colostomy creation is feasible with some ‘theoretical’ advantage from the physical point of view. | ||||
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