Chinese Journal of Modern Operative Surgery  2017, Vol. 21 Issue (4): 261-264 DOI: 10.16260/j.cnki.1009-2188.2017.04.005 |
| Clinical Research |
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| The Clinical Value of Newly Diamond Incision in Stoma Closure |
| YUAN Yuan-yuan,LIU Gang-lei,WANG Sha-long,YUAN Lian-wen
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| Department?of?Geratic?Surgery,Second?Xiangya?Hospital,Central?South?University,Changsha410011，Hunan，China |
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Abstract ObjectiveTo improve the design of operative incision in stoma closure and to further evaluate the value of newly diamond incision.MethodsThe clinical data of 5 cases performed stoma closure from December 2016 to March 2017 were analyzed retrospectively. Taking two points, marked as A or C, which are about 1 centimeter distant from the edge of the fistula. The line AC was perpendicular to the abdominal dermatoglyphs, and pass through the center of original fistula. Another two points, marked as B or D, were closed to the edge of the fistula. The line BD was paralleled to dermatoglyphs. Connecting four points into a diamond -ABCD with the long diagonal of 4 to 5 centimeters and short diagonal of 2 to 3 centimeters. Join the mid-points on each side of the diamond-ABCD by a needle, then, tighten the cut into a cross, indwelling gram size pore in the middle against the subcutaneous drainage.ResultsThe operative time of stoma closure was 65 to 115 minutes with an average of 90 minutes in all 5 cases. No serious post-operative complications such as severe pain, incisional hernia and superficial incisional surgical site infection (SSI) were found.ConclusionThe diamond incision can be superior to the conventional fusiform incision with simple operating, lower SSI, less pain and better cosmetic result.
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Published: 15 May 2018
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Corresponding Authors:
YUAN -Lian-wen
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