Lipomodelling for the management of symptomatic peristomal contour abnormalities: a pilot and feasibility study

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland
R BonomiL Kalra

Abstract

Lipomodelling has been successfully used in reconstructive breast surgery but not yet in patients with permanent stomas. A feasibility study of six patients with permanent stomas was undertaken. Patients underwent lipomodelling of the peristomal area. The number of leakages and quality of life were measured before and for 6 months after the procedure. All patients reported an improvement in their stoma-related quality of life and a reduction in the number of leakages experienced (mean: 2.25 leakages/24 h before lipomodelling and 0.5 leakages/24 h after lipomodelling). Lipomodelling appears to be an effective method to reduce stoma leakages caused by peristomal skin contour abnormalities.

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