title: Lipomodelling for the management of symptomatic peristomal contour abnormalities: a pilot and feasibility study.
abstract: OBJECTIVE
  Lipomodelling has been successfully used in reconstructive breast surgery but not yet in patients with permanent stomas.
  
  
  METHODS
  A feasibility study of six patients with permanent stomas was undertaken. Patients underwent lipomodelling of the peristomal area. The number of leakages and quality of life were measured before and for 6 months after the procedure.
  
  
  RESULTS
  All patients reported an improvement in their stoma-related quality of life and a reduction in the number of leakages experienced (mean: 2.25 leakages/24 h before lipomodelling and 0.5 leakages/24 h after lipomodelling).
  
  
  CONCLUSIONS
  Lipomodelling appears to be an effective method to reduce stoma leakages caused by peristomal skin contour abnormalities.
authors.affiliation: Department of Oncoplastic Breast Surgery, Worthing Hospital, Western Sussex Hospitals NHS Foundation Trust, Worthing, UK.
authors.forename: R
authors.initials: R
authors.lastname: Bonomi
authors.affiliation: Department of Oncoplastic Breast Surgery, Worthing Hospital, Western Sussex Hospitals NHS Foundation Trust, Worthing, UK.
authors.forename: A Z
authors.initials: AZ
authors.lastname: Conway
authors.affiliation: Department of Oncoplastic Breast Surgery, Worthing Hospital, Western Sussex Hospitals NHS Foundation Trust, Worthing, UK.
authors.forename: I F
authors.initials: IF
authors.lastname: Rapisarda
authors.affiliation: Research and Innovation Department, Worthing Hospital, Western Sussex Hospitals NHS Foundation Trust, Worthing, UK.
authors.forename: C
authors.initials: C
authors.lastname: Koulouglioti
authors.affiliation: General and Laparoscopic Colorectal Surgery, Worthing Hospital, Western Sussex Hospitals NHS Foundation Trust, Worthing, UK.
authors.forename: M S
authors.initials: MS
authors.lastname: Sajid
authors.affiliation: Department of Oncoplastic Breast Surgery, Worthing Hospital, Western Sussex Hospitals NHS Foundation Trust, Worthing, UK.
authors.forename: D
authors.initials: D
authors.lastname: Betal
authors.affiliation: Department of Oncoplastic Breast Surgery, Worthing Hospital, Western Sussex Hospitals NHS Foundation Trust, Worthing, UK.
authors.forename: L
authors.initials: L
authors.lastname: Kalra
mesh_terms: D000273:Adipose Tissue / Q000637:transplantation*; D000368:Aged; D057868:Anastomotic Leak / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010865:Pilot Projects; D011788:Quality of Life; D019651:Plastic Surgery Procedures / Q000379:methods*; D054047:Surgical Stomas / Q000009:adverse effects*; D016896:Treatment Outcome
keywords: Lipomodelling; leakage; peristomal; stoma