Kolostomi Kapatılmasında daha kabul edilebilir görünüm için farklı yaklaşımlar

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 (p