Stoma Cylinder; a Novel and Simple Technique for Management of Stoma Complications | ||||
| Ain Shams Journal of Surgery | ||||
| Volume 16, Issue 3, July 2023, Page 235-242 PDF (1011.65 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asjs.2023.309407 | ||||
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| Authors | ||||
Ahmad Yahia Abdel Dayem; Amir K. Abosayed  
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| Department of General and Surgery, Faculty of Medicine, Cairo University, Egypt | ||||
| Abstract | ||||
| Background: Intestinal stoma creation is indicated for several gastrointestinal diseases. The incidence of stoma complications ranges from 10% to 70%. The current study aimed to assess the potential benefits of the application of our new appliance during the conservative management of stoma retraction with or without peristomal skin complications PSCs). Patients and methods: This is a randomized controlled study that was conducted on patients with stoma retraction with or without PSCs, indicating conservative management. Patients were randomly allocated to group 1, where the novel appliance was used, or group 2, where patients underwent conventional treatment. Results: 41 patients were the final study population; 22 were in group 1 and 19 were in group 2. One patient in group 1 (4.5%) and six patients in group 2 (31.6%) indicated surgical reoperation (p = 0.022). Group 1 had a significantly lower hospital stay length (p<0.001) and time to complete epithelization (p<0.001). Using our cylinder appliance was significantly effective in decreasing the time to healing (p<0.001). Infection and diabetes mellitus significantly affected the time of healing (p = 0.017 and 0.002, respectively). Conclusion: We adopted a new, simple, feasible, and safe appliance. Using a stoma cylinder was associated with overall better patient outcomes and less cost. It offered high rates of success for stoma retraction and the PSCs without complications. | ||||
| Keywords | ||||
| Stoma retraction; peristomal skin complications (PSCs); stoma cylinder | ||||
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