Improved technique for creation of ileal conduit stoma.
Creation of a circumferentially protruding urinary intestinal stoma is an important aspect to prevent stomal regression, stenosis and parastomal herniation. Furthermore, an improperly fashioned stoma may make fitting of an ostomy appliance difficult, resulting in urinary leakage with secondary dermatitis and incrustation. The major difficulty in fashioning the stoma is everting the mucosa over the intestinal mesentery. We describe our method of stoma formation that creates a circumferentially symmetrical protruding stoma free of tension that has been used successfully even in obese patients. This technique has made the use of a Turnbull stoma unnecessary in our recent experience.
Burgers
J K
JK
James Buchanan Urological Institute, Johns Hopkins Medical Institutions, Baltimore, Maryland.
Quinlan
D M
DM
Brendler
C B
CB
D006801:Humans; D007082:Ileum / Q000601:surgery; D007413:Intestinal Mucosa / Q000601:surgery; D010030:Ostomy / Q000379:methods*; D013536:Suture Techniques; D014547:Urinary Diversion / Q000379:methods*