A New Appendicostomy Technique to Prevent Stomal Stenosis

AbstractIleostomy or colostomy formation is an important component of many surgical procedures performed for a wide range of disorders of the gastrointestinal tract. Despite the frequency with which intestinal stomas are created, stoma-related complications remain common and are associated with significant morbidity as well as cost. Some of the most prevalent complications of stoma formation which will be detailed in this article include peristomal skin complications, retraction, stomal necrosis, stomal stenosis, prolapse, bleeding, dehydration from high ostomy output, and parastomal hernia. The authors will review these common complications, detail means to avoid or prevent them, and outline recommendations for management.

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The Use of an Antegrade Continence Enema Stopper in Catheterizable Channels Virtually Eliminates the Incidence of Stomal Stenosis: Preliminary Experience

The Journal of Urology ◽

10.1016/j.juro.2008.09.038 ◽

2009 ◽

Vol 181 (1) ◽

pp. 299-301 ◽

Cited By ~ 10

Author(s):

Ramnath Subramaniam ◽

Craig Taylor

Keyword(s):

Antegrade Continence Enema ◽

Stomal Stenosis

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Pediatric bladder augmentation – Panacea or Pandora’s box?

Canadian Urological Association Journal ◽

10.5489/cuaj.6024 ◽

2020 ◽

Vol 14 (6) ◽

Author(s):

James P.J. Ross ◽

Melise Keays ◽

Christopher Neville ◽

Michael Leonard ◽

Luis Guerra

Keyword(s):

Stone Formation ◽

Bladder Capacity ◽

Primary Objective ◽

Bladder Augmentation ◽

Pediatric Hospital ◽

Short And Long Term ◽

Tract Infections ◽

Stomal Stenosis ◽

Over Time

Introduction: Bladder augmentation is a surgery that can increase bladder capacity and compliance. The objective of this study was to provide a longitudinal review of pediatric bladder augmentation at a tertiary Canadian center. Methods: A retrospective review was performed on patients who underwent bladder augmentation at a tertiary pediatric hospital between 1986 and 2014. The primary objective was short- and long-term complications of augmentation. Secondary objectives were to review number of augmentation procedures performed over time and the utility of routine postoperative cystograms. Results: A total of 56 procedures were performed on 54 patients (28 males, 26 females) of mean age 10 years (standard deviation [SD] 5) and mean followup eight years (SD 5). The most common bowel segment used was ileum (87.5%). Twenty-eight patients (50%) received catheterizable channels. Overall complication rate was 15%, and the most common complications were urinary tract infections (68.5%), worsening hydronephrosis (14.8%), bladder stone formation (14%), and hematuria (13%). In total, 19 of 54 (35.2%) patients returned to the operating room. The incidence of bladder perforation was 3.6%. Complications with the catheterizable channel occurred in 13 of 28 (46.4%), of which 10 were related to stomal stenosis. Forty patients had postoperative cystograms and extravasation was seen in three (7.5%). There was no malignancy during the followup. Only four augmentations were performed from 2008–2014. Conclusions: Bladder augmentation likely represents a safe surgical treatment option. Extravasation on postoperative cystogram was uncommon and thus it may not be indicated routinely. The number of augmentation procedures performed has declined in recent years.

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Stomal stenosis during gradual closure of a traumatic abdominal wall hernia

International Journal of Surgery Case Reports ◽

10.1016/j.ijscr.2019.06.020 ◽

2019 ◽

Vol 60 ◽

pp. 284-286

Author(s):

Mitsuhiro Suzuki ◽

Hisao Matsushima ◽

Katsuki Uehara ◽

Tatsuhiko Saiki ◽

Atsuki Hayamizu ◽

...

Keyword(s):

Abdominal Wall ◽

Abdominal Wall Hernia ◽

Traumatic Abdominal Wall Hernia ◽

Stomal Stenosis

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Stenosis of Tracheostomy After Total Laryngectomy

Otolaryngology ◽

10.1016/s0194-5998(05)80187-1 ◽

1995 ◽

Vol 112 (5) ◽

pp. P83-P83

Author(s):

Mohammad Talaat

Keyword(s):

Total Laryngectomy ◽

Educational Objectives ◽

Stomal Stenosis

Educational objectives: To tailor an adequate tracheostome after total laryngectomy, to guard against stomal stenosis, and to manage an already existing stenosis of the tracheostome.

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