Superiority of the VQZ over the tubularized skin flap and the umbilicus for continent abdominal stoma in children

The Journal of Urology
Ezekiel H LandauOfer Z Shenfeld

Abstract

Stricture prevention, avoiding exposed mucosa and cosmesis are important considerations when constructing continent abdominal stomas. We analyzed our results of continent abdominal stomas using the umbilicus and 2 types of lower abdominal stomas, that is the V-quadrilateral-Z technique and the tubular skin flap. Patient charts were reviewed retrospectively. All patients with a continent abdominal stoma were included in our study. Patients were divided into 3 groups according to type of stoma, including umbilicus, tubular skin flap and V-quadrilateral-Z. The groups were compared regarding demographics, etiology, success, complications and the need for revision. A total of 40 incontinent patients were included in our study. All underwent Mitrofanoff urinary diversion (37) and/or Malone antegrade continence enema construction (13) between 1993 and 2007. The umbilicus was used for 31 conduits, the V-quadrilateral-Z was used for 8 and the tubular skin flap was used for 11. Patient age and gender, and the etiology of incontinence were similar in the 3 groups. All patients achieved good cosmesis with a hidden bowel mucosa. In the V-quadrilateral-Z group no patient had stomal stenosis. Five patients (45%) in the tubular skin flap group...Continue Reading

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Citations

Dec 1, 2009·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·A StainierB Tombal
Dec 3, 2014·The Urologic Clinics of North America·Andrew J CohenMohan S Gundeti
Feb 18, 2014·Journal of Pediatric Surgery·Maurizio PacilliIan Willetts
Aug 17, 2011·Journal of Pediatric Surgery·Lisette T HoekstraMarc A Benninga
Jul 20, 2010·Journal of Pediatric Urology·Toshihiko ItesakoKenji Shimada
Mar 24, 2010·Seminars in Pediatric Surgery·Shawn J Rangel, Ivo de Blaauw
Mar 2, 2010·Journal of Pediatric Urology·Marie-Klaire Farrugia, Padraig S Malone
Oct 8, 2013·Journal of Pediatric Surgery·Brian A VanderBrinkRichard C Rink
Feb 1, 2017·Neurourology and Urodynamics·Véronique PhéGilles Karsenty
Aug 21, 2009·The Journal of Urology·Ezekiel H LandauRan Katz
Jul 11, 2020·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Julián ChavarriagaJaime Perez
Sep 15, 2021·Current Opinion in Urology·Elodie BeelsFrank Van der Aa

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