Stoma Cylinder; a Novel and Simple Technique for Management of Stoma Complications

Document Type : Original Article

Authors

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.

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