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Management of a subcutaneous colostomy perforation

The role of a new synthetic skin

  • Published:
Diseases of the Colon & Rectum

Abstract

Colostomy perforation is an infrequent but often diasastrous and lethal complication. In the majority of patients, the traumatic performation occurs during irrigation through the colostomy stoma. This case report reviews the clinical course of a patient with a subcutaneous colostomy perforation and the subsequent development of an extensive abscess. Aspects of the management included mobilization of the colostomy and thorough surgical debridement and drainage. In addition, the report introduces the use of the new semisynthetic biologic dressing, BioBrane®. This synthetic, semipermeable skin substitute served as a temporary dessing, provided good stability, and supported the application of a stoma appliance.

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The opinions or assertions contained herein are the private views of the authors and are not to be construed as reflecting the views of the Department of the Army or the Department of Defense.

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Gomez, E.R., Rosenthal, D. Management of a subcutaneous colostomy perforation. Dis Colon Rectum 27, 651–653 (1984). https://doi.org/10.1007/BF02553356

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  • DOI: https://doi.org/10.1007/BF02553356

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