Dacron vascular prosthesis for superficially complicated stomas
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Dacron vascular prosthesis for superficially complicated stomas O. Féres1 · M. R. Feitosa1 · R. S. Parra1 · J. J. R. da Rocha1 Received: 13 July 2020 / Accepted: 3 September 2020 © Springer Nature Switzerland AG 2020
A Dacron vascular prosthesis can be used in patients with mucocutaneous separation of the stoma when it is not pos‑ sible to access the abdominal cavity, due to obesity, difficulty in mobilizing the intestinal segments, or multiple previous surgical approaches. We show a novel technique where the
prosthesis was sutured to the retracted stoma to achieve an artificial extension, which allowed the intestinal effluent to be carried into collection bags without contact with the adja‑ cent skin (Figs. 1, 2, 3).
Fig. 1 a Ileostomy with necrosis and enteric fluid, mucocutaneous separation and necrosis of the surgical site. b Prosthesis coupled to ileostomy and aspect of the abdomen after debridement and resuture. c Ileostomy bag attached to the skin
* O. Féres [email protected]; [email protected] M. R. Feitosa [email protected] R. S. Parra [email protected] J. J. R. da Rocha [email protected] 1
Department of Surgery and Anatomy, Ribeirão Preto Medical School, University of São Paulo, Av. Bandeirantes, 3900, Ribeirão Preto, São Paulo 14048‑900, Brazil
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Techniques in Coloproctology
Fig. 2 a Abdominal wall dehiscence and necrosis with severe peristomal dermatitis. b Prosthesis coupled to ileostomy. c Complete resolution of peristomal dermatitis Funding The authors received no financial support for the research, authorship and/or publication of this article. Availability of data and material All data analyzed during this study are included in this published article.
Compliance with ethical standards Conflict of interest The author(s) declared no potential conflicts of interest with respect to the research, authorship and/or publication of this article. Ethical approval This study was approved by the Institutional Review Board and the Ethics Committee (no 11/2019, July 01, 2019). All patients signed informed consent. All procedures were conducted in accordance with the 1964 Declaration of Helsinki and its later amend‑ ments or comparable ethical standards. Informed consent All patients signed an informed consent. In addition, the identity of the subjects was omitted and anonymized. Consent for publication All patients signed an informed consent. In addition, the identity of the subjects was omitted and anonymized. Fig. 3 Prosthesis coupled to ileostomy. Severe malnutrition is observed, secondary to septic complications
Author contributions OF, MRF, RSP, JJRR designed, planned and conducted the study. MRF and RSP produced the figures. All authors contributed in data collection, analysis and interpretation of data. RSP and MRF wrote the final draft, and OF and JJRR did critical revision of manuscript. The final manuscript was approved by all authors. All authors make a substantial contribution to the concept or design of the w
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