Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure
Objective: The use of laparoscopic surgery for rectal disease is expected to provide good cosmetic benefits for patients postoperatively. However, this expectation is significantly reduced when a diverting ileostomy is created. We present a new technique that reduces the size of the skin wound by co...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
The Japan Society of Coloproctology
2018-07-01
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| Series: | Journal of the Anus, Rectum and Colon |
| Subjects: | |
| Online Access: | https://www.jstage.jst.go.jp/article/jarc/2/3/2_2017-037/_pdf/-char/en |
| _version_ | 1818145187289890816 |
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| author | Masahiro Hada Kengo Hayashi Koichiro Sawada Masahiro Oshima Yosuke Kato Kaeko Oyama Masanori Kotake Takuo Hara |
| author_facet | Masahiro Hada Kengo Hayashi Koichiro Sawada Masahiro Oshima Yosuke Kato Kaeko Oyama Masanori Kotake Takuo Hara |
| author_sort | Masahiro Hada |
| collection | DOAJ |
| description | Objective: The use of laparoscopic surgery for rectal disease is expected to provide good cosmetic benefits for patients postoperatively. However, this expectation is significantly reduced when a diverting ileostomy is created. We present a new technique that reduces the size of the skin wound by constructing a diverting ileostomy in the umbilicus. This procedure, diverting umbilical ileostomy (umbistoma) does not require special tools for its construction and closure. Methods: Twenty-nine patients underwent treatment with umbilical diverting stoma, including five women and 24 men, with a mean age of 70 years (range: 40-88 years). At the time of ostomy closure, a new umbilicus was formed by subcutaneously suturing the wound to the fascia. In addition, we did not close the new umbilical upper and lower spaces, so as to allow open drainage of the healing wound. Results: All procedures were completed successfully without any perioperative complications. Conclusions: Our findings suggest that the umbilical diverting stoma could provide improved safety and cosmetic advantages in laparoscopic rectal resection. |
| first_indexed | 2024-12-11T11:59:28Z |
| format | Article |
| id | doaj.art-270dbe920e8c4c199c63a281cdf95d12 |
| institution | Directory Open Access Journal |
| issn | 2432-3853 |
| language | English |
| last_indexed | 2024-12-11T11:59:28Z |
| publishDate | 2018-07-01 |
| publisher | The Japan Society of Coloproctology |
| record_format | Article |
| series | Journal of the Anus, Rectum and Colon |
| spelling | doaj.art-270dbe920e8c4c199c63a281cdf95d122022-12-22T01:08:07ZengThe Japan Society of ColoproctologyJournal of the Anus, Rectum and Colon2432-38532018-07-0123778210.23922/jarc.2017-0372017-037Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closureMasahiro Hada0Kengo Hayashi1Koichiro Sawada2Masahiro Oshima3Yosuke Kato4Kaeko Oyama5Masanori Kotake6Takuo Hara7Department of Surgery, Koseiren Takaoka HospitalDepartment of Surgery, Koseiren Takaoka HospitalDepartment of Surgery, Koseiren Takaoka HospitalDepartment of Surgery, Koseiren Takaoka HospitalDepartment of Surgery, Koseiren Takaoka HospitalDepartment of Surgery, Koseiren Takaoka HospitalDepartment of Surgery, Koseiren Takaoka HospitalDepartment of Surgery, Koseiren Takaoka HospitalObjective: The use of laparoscopic surgery for rectal disease is expected to provide good cosmetic benefits for patients postoperatively. However, this expectation is significantly reduced when a diverting ileostomy is created. We present a new technique that reduces the size of the skin wound by constructing a diverting ileostomy in the umbilicus. This procedure, diverting umbilical ileostomy (umbistoma) does not require special tools for its construction and closure. Methods: Twenty-nine patients underwent treatment with umbilical diverting stoma, including five women and 24 men, with a mean age of 70 years (range: 40-88 years). At the time of ostomy closure, a new umbilicus was formed by subcutaneously suturing the wound to the fascia. In addition, we did not close the new umbilical upper and lower spaces, so as to allow open drainage of the healing wound. Results: All procedures were completed successfully without any perioperative complications. Conclusions: Our findings suggest that the umbilical diverting stoma could provide improved safety and cosmetic advantages in laparoscopic rectal resection.https://www.jstage.jst.go.jp/article/jarc/2/3/2_2017-037/_pdf/-char/enumbilical diverting stomarectal resectionlaparoscopy |
| spellingShingle | Masahiro Hada Kengo Hayashi Koichiro Sawada Masahiro Oshima Yosuke Kato Kaeko Oyama Masanori Kotake Takuo Hara Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure Journal of the Anus, Rectum and Colon umbilical diverting stoma rectal resection laparoscopy |
| title | Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure |
| title_full | Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure |
| title_fullStr | Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure |
| title_full_unstemmed | Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure |
| title_short | Anticipation of umbistoma in laparoscopic anterior rectal resection: Ileostomy and ostomy closure |
| title_sort | anticipation of umbistoma in laparoscopic anterior rectal resection ileostomy and ostomy closure |
| topic | umbilical diverting stoma rectal resection laparoscopy |
| url | https://www.jstage.jst.go.jp/article/jarc/2/3/2_2017-037/_pdf/-char/en |
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