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Ito E, Kosaka M, Kawaguchi C, et al. Stomaplasty with pannicuectomy in an obese patient with stomal retraction: A case report. Int J Surg Case Rep. 2016;28:9-14doi: 10.1016/j.ijscr.2016.05.035.
Ito, E., Kosaka, M., Kawaguchi, C., Yoshida, M., Ohdaira, H., Nakashima, K., Suzuki, N., Imakita, T., Tsutsui, N., Kitajima, M., & Suzuki, Y. (2016). Stomaplasty with pannicuectomy in an obese patient with stomal retraction: A case report. International journal of surgery case reports, 289-14. https://doi.org/10.1016/j.ijscr.2016.05.035
Ito, Eisaku, et al. "Stomaplasty with pannicuectomy in an obese patient with stomal retraction: A case report." International journal of surgery case reports vol. 28 (2016): 9-14. doi: https://doi.org/10.1016/j.ijscr.2016.05.035
Ito E, Kosaka M, Kawaguchi C, Yoshida M, Ohdaira H, Nakashima K, Suzuki N, Imakita T, Tsutsui N, Kitajima M, Suzuki Y. Stomaplasty with pannicuectomy in an obese patient with stomal retraction: A case report. Int J Surg Case Rep. 2016;28:9-14. doi: 10.1016/j.ijscr.2016.05.035. Epub 2016 May 24. PMID: 27657823; PMCID: PMC5035330.
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Int J Surg Case Rep. 2016;28:9-14. doi: 10.1016/j.ijscr.2016.05.035. Epub 2016 May 24.

Stomaplasty with pannicuectomy in an obese patient with stomal retraction: A case report.

International journal of surgery case reports

Eisaku Ito, Masaaki Kosaka, Chie Kawaguchi, Masashi Yoshida, Hironori Ohdaira, Keigo Nakashima, Norihiko Suzuki, Tomonori Imakita, Nobuhiro Tsutsui, Masaki Kitajima, Yutaka Suzuki

Affiliations

  1. Department of Surgery, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasushiobara City, Tochigi 329-2763, Japan. Electronic address: [email protected].
  2. Plastic Surgery, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasushiobara City, Tochigi 329-2763, Japan. Electronic address: [email protected].
  3. Plastic Surgery, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasushiobara City, Tochigi 329-2763, Japan. Electronic address: [email protected].
  4. Department of Surgery, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasushiobara City, Tochigi 329-2763, Japan. Electronic address: [email protected].
  5. Department of Surgery, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasushiobara City, Tochigi 329-2763, Japan. Electronic address: [email protected].
  6. Department of Surgery, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasushiobara City, Tochigi 329-2763, Japan. Electronic address: [email protected].
  7. Department of Surgery, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasushiobara City, Tochigi 329-2763, Japan. Electronic address: [email protected].
  8. Department of Surgery, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasushiobara City, Tochigi 329-2763, Japan. Electronic address: [email protected].
  9. Department of Surgery, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasushiobara City, Tochigi 329-2763, Japan. Electronic address: [email protected].
  10. Department of Surgery, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasushiobara City, Tochigi 329-2763, Japan. Electronic address: [email protected].
  11. Department of Surgery, International University of Health and Welfare Hospital, 537-3 Iguchi, Nasushiobara City, Tochigi 329-2763, Japan. Electronic address: [email protected].

PMID: 27657823 PMCID: PMC5035330 DOI: 10.1016/j.ijscr.2016.05.035

Abstract

INTRODUCTION: Stomal retraction is a common complication following stoma formation. A repeat surgical procedure for stomal revision is an invasive treatment that is often required as a result.

CASE PRESENTATION: An 81-year-old woman with obstructive rectal carcinoma and perforative peritonitis underwent an emergent anterior resection and colostomy (Hartmann's operation). After the operation, the patient changed the stoma pouch every day because of stomal retraction and leakage. Thirty-eight days after the operation, we performed a stomaplasty with pannicuectomy. Following this procedure, the patient changed the stoma pouch twice weekly.

DISCUSSION: Stomal retraction is caused by the thick subcutaneous fat and abnormal skin folds in obese patients, as well as the excess tension that is the result of inadequate mobilization. Treatment of stomal retraction typically requires an intraperitoneal stoma revision. Our method of panniculectomy with skin excision but without stomal revision does not involve an incision around the stoma and there is no risk of fecal contamination.

CONCLUSION: We report a case of an obese patient who underwent stomaplasty with pannicuectomy for stomal retraction. We believe that stomaplasty with pannicuectomy is a feasible option in obese patients with stomal retraction.

Copyright © 2016. Published by Elsevier Ltd.

Keywords: Pannicuectomy; Stomal retraction; Stomaplasty

References

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