Ben-Chaim J, Rodriguez R, Docimo S G
Department of Urology, James Buchanan Brady Urological Institute, Johns Hopkins Hospital, Baltimore, Maryland 21287-2101, USA.
J Urol. 1995 Sep;154(3):1169-70. doi: 10.1016/s0022-5347(01)67022-8.
We describe a technique for creating a concealed umbilical stoma.
The base of the umbilicus is used as a superiorly based skin flap that is incorporated into the spatulated stoma. Six patients have undergone diversion using this technique. The stoma was constructed from appendix in 4 cases, stomach in 1 and tapered ileum in 1.
All patients achieved an easily catheterizable hidden umbilical stoma, are dry on clean intermittent catheterization and have had no stomatitis or peristomal hernia.
This technique for creating a concealed umbilical stoma preserves the native appearance of the umbilicus and combines a superior cosmetic result with an easily catheterizable stoma.
我们描述一种创建隐匿性脐部造口的技术。
将脐底部用作带蒂皮瓣,纳入铲形造口。6例患者采用该技术进行转流术。造口由4例阑尾、1例胃和1例锥形回肠构建而成。
所有患者均成功创建了易于导尿的隐匿性脐部造口,清洁间歇性导尿时保持干燥,且未发生口腔炎或造口旁疝。
这种创建隐匿性脐部造口的技术保留了脐部的自然外观,将出色的美容效果与易于导尿的造口相结合。