PMC5035330_01
Photograph of preoperative stoma (stomal retraction).
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PMC5035330_01_gr1.jpg
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After the operation, the patient changed the stoma pouch every day because of stomal retraction and leakage (Fig. 1, Fig. 2).
Photograph of the operative field.
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Before the stomaplasty, we marked the skin incisional line in the sitting position that uncovers skin folds and excrescent subcutaneous fat (Fig. 3a). A flap of skin and subcutaneous fat was excised en bloc above the anterior rectus sheath (Fig. 3b). To arrange the shape of the flap, we cut the fascia side of the subcutaneous fat (Figs. 3c 4 ). The flap was sutured in two layers using 3-0 absorbable thread and 5-0 non-absorbable fiber (Fig. 3d).
Schema of the operative findings: note the newly formed tight fascial connection with abdominal wall.
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To arrange the shape of the flap, we cut the fascia side of the subcutaneous fat (Figs. 3c 4 ).
Photograph of stoma after the stomaplasty.
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PMC5035330_01_gr5.jpg
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After the stomaplasty, the patient changed the stoma pouch twice weekly (Fig. 5).