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

Excerpt

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. …