A new surgical procedure for revision of ileal conduit stoma in children.

The etiology of hypertrophic keratotic peristomal lesions is discussed and a new simple, cosmetic and functional operative procedure for excision of peristomal keratosis and revision of ileal loop stoma is described. This advancement (full skin and subcutaneous fat) triangular flap is also useful in the surgical management of other stomal problems, such as prolapsed bud, peristomal hernias and peristomal scarring. Postoperative use of the proper size and type of collecting device, and the importance of achieving sterile acid urine are stressed to prevent further stomal complications.