Minimizing stomal stenosis in appendicovesicostomy using the modified umbilical stoma.
OBJECTIVE
We describe creation of a modified umbilical stoma as part of continent urinary diversion using appendicovesicostomy.


METHODS
Umbilical stomas were created using the eversion-inversion principle in 25 patients undergoing appendicovesicostomy.


RESULTS
Mean followup was 3 years. Cosmesis of the umbilical stoma was good in all cases. Stomal stenosis required surgical revision in 8% of cases.


CONCLUSIONS
We recommend our modified umbilical stomal technique for appendicovesicostomy because it allows good cosmesis without compromising stomal function.
Khoury
A E
AE
Department of Surgery, Hospital for Sick Children, University of Toronto, Ontario, Canada.
Van Savage
J G
JG
McLorie
G A
GA
Churchill
B M
BM
D001065:Appendix / Q000601:surgery; D002648:Child; D003251:Constriction, Pathologic / Q000517:prevention & control; D003559:Cystostomy / Q000379:methods; D005500:Follow-Up Studies; D006801:Humans; D011183:Postoperative Complications / Q000517:prevention & control; D013997:Time Factors; D014472:Umbilicus / Q000601:surgery*; D016476:Urinary Reservoirs, Continent / Q000009:adverse effects / Q000379:methods*