The skin bridge loop colostomy

Milner, Chris S.; Sutton, Christopher; Hemingway, D.

doi:10.1007/s10151-006-0267-0

Cited by 9 publications

(4 citation statements)

References 4 publications

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“…Stoma creation using the skin bridge technique was rst described in 1986 for colostomy [11] and in 2014 for ileostomy [8]. To the best of our knowledge, there are no published reports on the usefulness of the skin bridge technique for emergency stoma creation.…”

Section: Discussionmentioning

confidence: 99%

Surgical techniques and stoma-related complications associated with emergency stoma creation

Shiraishi

Ogawa

Naomi

et al. 2023

Preprint

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Background Determination of risk factors for stoma-related complications associated with emergency stoma creation may impact reducing complications and improving the quality of life of ostomy patients; however, there are few reports on stoma-related complications associated with emergency stoma creation. Our study aimed to identify the risk factors associated with stoma-related complications after emergency surgery, and evaluate surgical techniques for good stoma creation in the emergency setting.Methods A retrospective analysis of patient and surgical characteristics was performed in 104 consecutive patients who underwent ileostomy or colostomy as emergency surgery between January 2020 and December 2022. Univariate and multivariate analyses of patient and surgical characteristics were conducted to compare cases with and without stoma-related complications during emergency stoma creation.Results Preoperative stoma site marking was performed in 70 (67.3%) patients. Colostomies and ileostomies were performed in 78 (75.0%) and 26 (25.0%) patients, respectively. The skin bridge technique was used in 13 (12.5%) patients. There were 62 (59.6%) patients who were diagnosed with stoma-related complications. Peristomal skin disorders (47.1%) were the most common complication, followed by mucocutaneous separation (31.7%) and stoma retraction (19.2%). Body mass index (BMI) (odds ratio [OR], 5.570; 95% confidence interval [CI], 1.233–25.167; p = 0.026), skin bridge technique (OR, 0.144; 95% CI, 0.031–0.670; p = 0.014), and stoma height (OR: 0.134, 95% CI: 0.038–0.469, p = 0.002) were independent risk factors for stoma-related complications after emergency stoma creation in the multivariable analysis.Conclusions In emergency stoma creation, higher BMI and lower stoma height are associated with stoma-related complications. Furthermore, using the skin bridge technique could reduce the risk of stoma-related complications after emergency stoma creation.

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Section: Discussionmentioning

confidence: 99%

Surgical techniques and stoma-related complications associated with emergency stoma creation

Shiraishi

Ogawa

Naomi

et al. 2023

Preprint

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“…Another technique described, which is much similar to 'V-Y plasty', is the skin itself being used as a bridge. 6 One of the techniques that resulted in a lot of debate was a deep tension suture suggested as a cheap and reliable alternative to a proprietary bridge. 7 Alternatively, a loop of nasogastric or rubber tube is passed under the loop of colon, and the shortened ends are joined together above the bowel with a single nylon suture.…”

Section: Discussionmentioning

confidence: 99%

The Loop Stoma Bridge—A New Technique

Harish

2008

Journal of Gastrointestinal Surgery

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“…skin bridge, by joining two inter-digitating skin flaps, sutured under the stoma 9 . They found no complications, however their series of 20 cases could be considered small.…”

Section: Milner Et Al Described a Technique Using A Permanentmentioning

confidence: 99%

A novel subcutaneous T-shaped bridge device for loop colostomies

et al. 2016

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PURPOSE: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. CONCLUSION:The T-shaped bridge device successfully prevented stoma withdrawal in all subjects. The device was safe and well accepted, with minor complications.

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The skin bridge loop colostomy

Cited by 9 publications

References 4 publications

Surgical techniques and stoma-related complications associated with emergency stoma creation

Surgical techniques and stoma-related complications associated with emergency stoma creation

The Loop Stoma Bridge—A New Technique

A novel subcutaneous T-shaped bridge device for loop colostomies

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