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Novel technique for stomal isolation after extensive abdominal wall soft tissue loss

  • J. Waller
  • K. Brown
  • C. Mendes
  • N. Ansari
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Introduction

Extensive loss of abdominal wall skin and subcutaneous tissue may result from trauma, burns or debridement of necrotising infections. Occasionally such patients also require formation of a stoma. This creates an uncommon and challenging situation, where a stoma must be formed in the absence of any abdominal wall skin or subcutaneous tissue. This article describes a novel technique for the isolation of a stoma matured onto abdominal wall fascia from surrounding negative-pressure dressings. This was used in a case of extensive necrotising fascitis of the perineum and abdominal wall, requiring abdominoperineal resection and complete debridement of the skin and subcutaneous tissue of the anterior abdominal wall, but may also be helpful in cases with extensive burns or abdominal wall trauma.

Case presentation

A 64-year-old man was transferred from a rural hospital to our referral centre by air ambulance in profound septic shock with clinical evidence of a necrotising soft...

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

All procedures performed in this study involving a human participant were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments and with comparable ethical standards.

Informed consent

Informed consent was obtained by the patient included in this article.

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Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  1. 1.Department of Colorectal SurgeryRoyal Prince Alfred HospitalSydneyAustralia
  2. 2.Surgical Outcomes Research Centre (SOuRCe)SydneyAustralia
  3. 3.The Institute of Academic Surgery at RPASydneyAustralia

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