Temporary Diverting Ileostomy via the Umbilicus: a Small Case Series

International Surgery
Chrispen MushayaJames Keck

Abstract

The umbilicus, a natural orifice, which is used as an access port during laparoscopic surgery, can be used as a stoma site with potential superior cosmetic results as one less incision is then required. Our objective was to assess the efficacy and safety of the umbilical stoma in a selected group of patients. This is a prospective case series in hospital patients admitted as emergency or elective. Patients who underwent laparoscopic colorectal surgery with a planned ileostomy at Box Hill Hospital were approached and invited to participate in the study, with the stoma being fashioned on the umbilicus. Outcomes of interest included demographics, the details regarding the original indication for operation, operative and hospital related outcomes, postoperative bowel related complications, and other surgical and medical complications. Outcomes of a total of 10 (5 males) patients who underwent umbilical covering ileostomy during the study period were analyzed. Two patients with ulcerative colitis had the second stage of their operation converting their end stomas to loop stoma. These were counted twice, totaling 12 stomas in 10 patients. Three patients had their umbistomas after receiving neoadjuvant treatment for rectal cancer. The...Continue Reading

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Citations

Sep 18, 2018·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Joseph SujkaJason D Fraser
Jul 30, 2018·Journal of the Anus, Rectum and Colon·Masahiro HadaTakuo Hara
Jul 28, 2017·World Journal of Surgery·Masaaki MiyoMasaki Mori

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