How large should a skin trephine be for an end stoma?
BACKGROUND
Although much has been written about techniques for making a good stoma, little has been described regarding how to excise a trephine that will perfectly fit a given end stoma.


METHODS
A reproducible technique for making a stomal trephine to a precise fit for each stoma is described.


RESULTS
More than 20 stomas have been made with good results.


CONCLUSIONS
The skin trephine should have a diameter approximately two-thirds of the width of the crushed bowel end.
Nguyen
M H
MH
Department of Surgery, Launceston General Hospital, Tasmania, Australia.
Pittas
F
F
D003125:Colostomy; D062109:Dermatologic Surgical Procedures; D013505:Digestive System Surgical Procedures / Q000379:methods; D006801:Humans; D007081:Ileostomy; D054047:Surgical Stomas