title: A novel subcutaneous T-shaped bridge device for loop colostomies.
abstract: OBJECTIVE
  To describe a novel securing device for loop colostomies, developed in our institution and report our 10-year experience.
  
  
  METHODS
  The T-shaped support device was used in all patients who required loop colostomy and who were at an increased risk of stoma withdrawal. The device was removed on the fifth postoperative day in all patients. An analysis from a prospective database regarding early postoperative complication, from 209 patients, was conducted between 2003 and 2013.
  
  
  RESULTS
  Bleeding, peristomal skin problems, surgical site infection, stomal ischemia/necrosis, stenosis, obstruction, retraction and early withdrawal of the stoma were not noted in all cases. Thirteen patients (6%) reported mild discomfort on the site of the skin suture. Removal of the instrument was fast and easy, with the advantage of keeping the colostomy bag.
  
  
  CONCLUSIONS
  The T-shaped bridge device successfully prevented stoma withdrawal in all subjects. The device was safe and well accepted, with minor complications.
authors.affiliation: Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Brazil.
authors.forename: José Joaquim Ribeiro da
authors.initials: JJ
authors.lastname: Rocha
authors.affiliation: Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Brazil.
authors.forename: Marley Ribeiro
authors.initials: MR
authors.lastname: Feitosa
authors.affiliation: Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Brazil.
authors.forename: Thiago Rodrigues da Cunha
authors.initials: TR
authors.lastname: Stoianov
authors.affiliation: Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Brazil.
authors.forename: Camila
authors.initials: C
authors.lastname: Perazzoli
authors.affiliation: Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Brazil.
authors.forename: Vanessa Foresto
authors.initials: VF
authors.lastname: Machado
authors.affiliation: Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Brazil.
authors.forename: Mário Vinícius Angelete Alvarez
authors.initials: MV
authors.lastname: Bernardes
authors.affiliation: Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Brazil.
authors.forename: Rogério Serafim
authors.initials: RS
authors.lastname: Parra
authors.affiliation: Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Brazil.
authors.forename: Omar
authors.initials: O
authors.lastname: Féres
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003125:Colostomy / Q000295:instrumentation* / Q000379:methods*; D004867:Equipment Design; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D015203:Reproducibility of Results; D054047:Surgical Stomas; D013997:Time Factors; D016896:Treatment Outcome; D055815:Young Adult