Different Approaches for Colostomy Skin Closure to Provide an Acceptable Appearance

Burhan Beger; Lokman Soysal; İbrahim Özalp; Ozan Okyay; Serhat Binici; Fırat Aslan

Article Details

Different Approaches for Colostomy Skin Closure to Provide an Acceptable Appearance

Authors:

Burhan Beger | Lokman Soysal | İbrahim Özalp | Ozan Okyay | Serhat Binici | Fırat Aslan

Publisher:

Van Yuzuncu Yıl University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Van Sağlık Bilimleri Dergisi Vol.16 Issue 2, pp.189-193

Document Type:

Article

Publication Date:

8/2023

Document Language:

English

Document ID (Org No.):

2001297656

pISSN:

2667-5072

Keywords:

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 Group 1 whereas other 12 patients were treated with NM 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 14 male  10 female patients with a mean age of 19 Range: 6  36 months were included in the study. Following surgery, skin closure and appearance in Group 2 was significantly better than Group 1 p1. 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.

 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 Group 1 whereas other 12 patients were treated with NM 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 14 male  10 female patients with a mean age of 19 Range: 6  36 months were included in the study. Following surgery, skin closure and appearance in Group 2 was significantly better than Group 1 p1. 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.

 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 Group 1 whereas other 12 patients were treated with NM 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 14 male  10 female patients with a mean age of 19 Range: 6  36 months were included in the study. Following surgery, skin closure and appearance in Group 2 was significantly better than Group 1 p1. 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.

 Giriş: Çocuklarda gastrointestinal sistemin sağlam tutulamadığı çeşitli durumlarda kolostomi yapılabilir. Geleneksel kolostomi kapatma yaklaşımları ciddi estetik kaygılara neden olabilir. Yara kapanma problemlerini önlemek ve kozmetik olarak daha iyi sonuçlar elde etmek için eliptik eksizyon, S-şekilli flep, M-şekilli flep veya Z-plasti gibi yeni yöntemler kullanılabilir. Bu çalışmada daha kabul edilebilir kozmetik sonuçlar sağlayabilecek kolostomi kapatma tekniklerini değerlendirmek istedik. Materyal ve Metod: Mayıs 2017 ile Aralık 2017 tarihleri arasında opere edilen 24 kolostomi hastası çalışmaya dahil edildi. Hastalar prospektif olarak değerlendirildi ve randomize edildi. Çalışma süresince 12 hastaya konvansiyonel metod CM Grup 1, diğer 12 hastaya new metod NM Grup 2 uygulandı. Cilt iyileşmesi ve cilt izindeki sonuçlar belirli periyotlarda değerlendirildi ve fotoğraflandı. Kapatma tekniğinde kör olan 3 cerrahtan fotografik sonuçları iyileşme ve son skar açısından değerlendirmeleri istendi. Elde edilen veriler istatistiksel olarak incelendi. Bulgular: Ortalama yaşı 19 Aralık: 6  36 ay olan 24 14 erkek  10 kadın hasta çalışmaya dahil edildi. Ameliyat sonrası cilt kapanması ve görünümü Grup 2de Grup 1e göre anlamlı olarak daha iyiydi p1. Sonuç: NM kullanılarak kolostominin primer kapatılması sırasında oluşan köpek kulak deformitesinin CM kullanılarak önüne geçilebilir. Ayrıca Yeni Yöntemlerin kullanılması hem hasta hem de ebeveynlerde ameliyat için ciddi kozmetik ve estetik kaygıların giderilmesinde faydalı olabilir.

Article Details

Different Approaches for Colostomy Skin Closure to Provide an Acceptable Appearance

Authors:

Burhan Beger | Lokman Soysal | İbrahim Özalp | Ozan Okyay | Serhat Binici | Fırat Aslan

Publisher:

Van Yuzuncu Yıl University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Van Sağlık Bilimleri Dergisi Vol.16 Issue 2, pp.189-193

Document Type:

Article

Publication Date:

8/2023

Document Language:

English

Document ID (Org No.):

2001297656

pISSN:

2667-5072

Colostomy

elliptical excision

s-shape flap

M-shape flap

z-shape flap

skin scarkolostomi

eliptik eksizyon

s-shape flep

M-shape flep

z-shape flep

skar

Issues

Article Details

Authors: Burhan Beger | Lokman Soysal | İbrahim Özalp | Ozan Okyay | Serhat Binici | Fırat Aslan

Publisher: Van Yuzuncu Yıl University

Main Topics: Sağlık Kurumları Yönetimi

Journal: Van Sağlık Bilimleri Dergisi Vol.16 Issue 2, pp.189-193

Document Type: Article

Publication Date: 8/2023

Document Language: English

Document ID (Org No.): 2001297656

pISSN: 2667-5072

Issues

Authors:

Burhan Beger | Lokman Soysal | İbrahim Özalp | Ozan Okyay | Serhat Binici | Fırat Aslan

Publisher:

Van Yuzuncu Yıl University

Main Topics:

Sağlık Kurumları Yönetimi

Journal:

Van Sağlık Bilimleri Dergisi Vol.16 Issue 2, pp.189-193

Document Type:

Article

Publication Date:

8/2023

Document Language:

English

Document ID (Org No.):

2001297656

pISSN:

2667-5072