Different Approaches for Colostomy Skin Closure to Provide an Acceptable Appearance

Authors : Burhan BEGER, Lokman SOYSAL, İbrahim ÖZALP, Ozan OKYAY, Serhat BİNİCİ, Fırat ASLAN

Pages : 189-193

Doi:10.52976/vansaglik.1041850

View : 30 | Download : 33

Publication Date : 2023-08-30

Article Type : Research Paper

Abstract :Background: Colostomy can be performed in various cases in which the gastrointestinal tract cannot be kept intact in children. Conventional colostomy closure approaches can cause serious aesthetic concerns. In order to avoid wound closure problems and to obtain cosmetically better results, new methods such as elliptical excision, S-shape flap, M-shape flap or Z-plasty can be used. In this study, we would like to assess the colostomy closure techniques which can provide more acceptable cosmetic results. Material and Method: 24 colostomy patients who were operated between May 2017 and December 2017 include to study. Patients were evaluated prospectively and randomized. During study period, 12 patients were treated with CM insert ignore into journalissuearticles values(Group 1); whereas other 12 patients were treated with NM insert ignore into journalissuearticles values(Group 2);. Results in skin healing and skin scar were assessed and photographed in certain periods. 3 surgeons, who were blind in closure technique, were asked to assess the photographic results in terms of healing and final scar. The data obtained was statistically reviewed. Results: 24 insert ignore into journalissuearticles values(14 male – 10 female); patients with a mean age of 19 insert ignore into journalissuearticles values(Range: 6 – 36); months were included in the study. Following surgery, skin closure and appearance in Group 2 was significantly better than Group 1 insert ignore into journalissuearticles values(p<1);. Conclusion: By using NM, “dog-ears” deformity which forms during primary closure of colostomy using CM can be avoided. In addition, using New Methods can be beneficial in eliminating the severe cosmetic and aesthetic concerns in both patients and parents for the surgery.
Keywords : kolostomi, eliptik eksizyon, s shape flep, M shape flep, z shape flep, skar