The use of temporary laparoscopic loop ileostomy in lumbosacral burns.
The technique of laparoscopic formation of loop ileostomies has been previously described for use in a variety of conditions. We present this as an option for faecal diversion in severe burns involving the back and buttock region and describe its use in two cases. Faecal diversion allows for easier wound care and nursing. Intra-abdominal assessment of these very sick patients can also be performed simultaneously. The technique is relatively simple, readily available and associated with minimal morbidity. Furthermore, this technique minimises interference with the abdominal wall as a donor site for skin grafts.
Beagley
M J
MJ
Department of Plastic and Reconstructive Surgery, Middlemore Hospital, Otahuhu, Auckland, New Zealand. jenmax@clear.net.nz
Poole
G
G
Peat
B G
BG
Rees
M J
MJ
D000328:Adult; D002056:Burns / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D015601:Injury Severity Score; D010535:Laparoscopy / Q000379:methods*; D008161:Lumbosacral Region; D012086:Reoperation; D013524:Surgical Flaps; D016896:Treatment Outcome; D014945:Wound Healing / Q000502:physiology