Open AccessThe Donut Island Flap: Avoiding Stoma Relocation in Patients With Intractable Chronic Ileostomy Leakage
Author(s) -
Igors Iesalnieks,
Ulf Dornseifer
Publication year - 2021
Publication title -
diseases of the colon and rectum
Language(s) - English
Resource type - Journals
eISSN - 1530-0358
pISSN - 0012-3706
DOI - 10.1097/dcr.0000000000002158
Subject(s) - medicine , ileostomy , surgery , stoma (medicine) , thigh , relocation , colorectal surgery , general surgery , abdominal surgery , computer science , programming language
Severe skin scarring after multiple abdominal surgeries may lead to serious difficulties in stoma care, especially in patients with IBD. We demonstrate the technique of Donut Island Flap that we used in a female patient with colonic Crohn's disease that presented with intractable chronic ileostomy leakage. A relocation of the ileostomy was not possible because an alternative stoma site was not available anymore.