Quantitative evaluation of pediatric umbilical loop stomas: 2 decades of experience from a single institution
Purpose Since pediatric stomas are often temporary, their creation, management, and closure should be simple, with minimal complications and excellent cosmetic results. We began employing umbilical stomas in 2000. This study aimed to characterize the ingenuity and utility of umbilical stomas and pro...
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| Veröffentlicht in: | Pediatric surgery international 2023-09, Vol.39 (1), p.269-269, Article 269 |
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| creator | Ishii, Daisuke Kumata, Yuka Ishii, Seiya Motoki, Keita Miyagi, Hisayuki |
| description | Purpose
Since pediatric stomas are often temporary, their creation, management, and closure should be simple, with minimal complications and excellent cosmetic results. We began employing umbilical stomas in 2000. This study aimed to characterize the ingenuity and utility of umbilical stomas and provide a quantitative evaluation of their cosmetic outcomes.
Methods
We examined cases of stoma construction and closure surgery performed in our department from January 2000 to December 2022. The umbilical and non-umbilical stoma groups included 54 and 42 cases, respectively, and the findings for both groups were compared and analyzed.
Results
The two groups showed no significant differences in the incidence of complications. The Manchester Scar Scale score for the umbilical stoma group (8.42 ± 1.85) was significantly better than that for the non-umbilical stoma group (16.31 ± 2.96;
P
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| doi_str_mv | 10.1007/s00383-023-05546-3 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_10485087</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2863297610</sourcerecordid><originalsourceid>FETCH-LOGICAL-c475t-54b261d9aa7a4839853ddf52c141af7d10cc71e4bbe9666d66d6f6c76622ef443</originalsourceid><addsrcrecordid>eNp9kcuKFTEQhhtxcC76Ai4k4MZNa-7pdiMy6CgMDIKuQzqpPmZIJ23SfdC38Vl8MtOecRxdCClSUF_9VcXfNI8Jfk4wVi8KxqxjLaY1hOCyZfeaE8KZavuOsPt38uPmtJRrjHHHZP-gOWZKql7g_qSJH1YTF7-Yxe8Bwd6EtaYpojSiGZw3S_YWrdPgg7cmoJDSjMqSJlNeIvrjuwNrHJQNh68zZA_RAhpzmpBBxcddAORjqRPWTfZhczSaUODRzX_WfHr75uP5u_by6uL9-evL1nIlllbwgUriemOU4R3rO8GcGwW1hBMzKkewtYoAHwbopZRue6O0SkpKYeScnTWvDrrzOkzgLMQlm6Dn7CeTv-lkvP67Ev1nvUt7TTDvBO5UVXh2o5DTlxXKoidfLIRgIqS1aNpJRnslCa7o03_Q67TmWO_bKFK356KrFD1QNqdSMoy32xCsNz_1wU9d_dS__NSsNj25e8dty28DK8AOQKmluIP8Z_Z_ZH8CYAeuaQ</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2861985458</pqid></control><display><type>article</type><title>Quantitative evaluation of pediatric umbilical loop stomas: 2 decades of experience from a single institution</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Ishii, Daisuke ; Kumata, Yuka ; Ishii, Seiya ; Motoki, Keita ; Miyagi, Hisayuki</creator><creatorcontrib>Ishii, Daisuke ; Kumata, Yuka ; Ishii, Seiya ; Motoki, Keita ; Miyagi, Hisayuki</creatorcontrib><description>Purpose
Since pediatric stomas are often temporary, their creation, management, and closure should be simple, with minimal complications and excellent cosmetic results. We began employing umbilical stomas in 2000. This study aimed to characterize the ingenuity and utility of umbilical stomas and provide a quantitative evaluation of their cosmetic outcomes.
Methods
We examined cases of stoma construction and closure surgery performed in our department from January 2000 to December 2022. The umbilical and non-umbilical stoma groups included 54 and 42 cases, respectively, and the findings for both groups were compared and analyzed.
Results
The two groups showed no significant differences in the incidence of complications. The Manchester Scar Scale score for the umbilical stoma group (8.42 ± 1.85) was significantly better than that for the non-umbilical stoma group (16.31 ± 2.96;
P
< 0.01). Likewise, in Patient and Observer Scar Assessment Scale assessments, the umbilical stoma group showed significantly better scores in both the observer scale (9.48 ± 2.50 vs. 21.78 ± 7.26;
P
< 0.01) and the patient scale (10.5 ± 1.39 vs. 22.40 ± 7.35;
P
< 0.01).
Conclusions
Umbilical stomas are easy to manage and yield an inconspicuous closure incision with excellent cosmetic outcomes. Although patient selection is important, pediatric umbilical stomas are a valuable option that can be actively employed.</description><identifier>ISSN: 1437-9813</identifier><identifier>ISSN: 0179-0358</identifier><identifier>EISSN: 1437-9813</identifier><identifier>DOI: 10.1007/s00383-023-05546-3</identifier><identifier>PMID: 37679509</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Child ; Cicatrix ; Humans ; Medicine ; Medicine & Public Health ; Original ; Original Article ; Ostomy ; Patient Selection ; Pediatric Surgery ; Pediatrics ; Surgery ; Surgical Stomas</subject><ispartof>Pediatric surgery international, 2023-09, Vol.39 (1), p.269-269, Article 269</ispartof><rights>The Author(s) 2023</rights><rights>2023. The Author(s).</rights><rights>The Author(s) 2023. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c475t-54b261d9aa7a4839853ddf52c141af7d10cc71e4bbe9666d66d6f6c76622ef443</citedby><cites>FETCH-LOGICAL-c475t-54b261d9aa7a4839853ddf52c141af7d10cc71e4bbe9666d66d6f6c76622ef443</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00383-023-05546-3$$EPDF$$P50$$Gspringer$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00383-023-05546-3$$EHTML$$P50$$Gspringer$$Hfree_for_read</linktohtml><link.rule.ids>230,314,778,782,883,27911,27912,41475,42544,51306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37679509$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ishii, Daisuke</creatorcontrib><creatorcontrib>Kumata, Yuka</creatorcontrib><creatorcontrib>Ishii, Seiya</creatorcontrib><creatorcontrib>Motoki, Keita</creatorcontrib><creatorcontrib>Miyagi, Hisayuki</creatorcontrib><title>Quantitative evaluation of pediatric umbilical loop stomas: 2 decades of experience from a single institution</title><title>Pediatric surgery international</title><addtitle>Pediatr Surg Int</addtitle><addtitle>Pediatr Surg Int</addtitle><description>Purpose
Since pediatric stomas are often temporary, their creation, management, and closure should be simple, with minimal complications and excellent cosmetic results. We began employing umbilical stomas in 2000. This study aimed to characterize the ingenuity and utility of umbilical stomas and provide a quantitative evaluation of their cosmetic outcomes.
Methods
We examined cases of stoma construction and closure surgery performed in our department from January 2000 to December 2022. The umbilical and non-umbilical stoma groups included 54 and 42 cases, respectively, and the findings for both groups were compared and analyzed.
Results
The two groups showed no significant differences in the incidence of complications. The Manchester Scar Scale score for the umbilical stoma group (8.42 ± 1.85) was significantly better than that for the non-umbilical stoma group (16.31 ± 2.96;
P
< 0.01). Likewise, in Patient and Observer Scar Assessment Scale assessments, the umbilical stoma group showed significantly better scores in both the observer scale (9.48 ± 2.50 vs. 21.78 ± 7.26;
P
< 0.01) and the patient scale (10.5 ± 1.39 vs. 22.40 ± 7.35;
P
< 0.01).
Conclusions
Umbilical stomas are easy to manage and yield an inconspicuous closure incision with excellent cosmetic outcomes. Although patient selection is important, pediatric umbilical stomas are a valuable option that can be actively employed.</description><subject>Child</subject><subject>Cicatrix</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Original</subject><subject>Original Article</subject><subject>Ostomy</subject><subject>Patient Selection</subject><subject>Pediatric Surgery</subject><subject>Pediatrics</subject><subject>Surgery</subject><subject>Surgical Stomas</subject><issn>1437-9813</issn><issn>0179-0358</issn><issn>1437-9813</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>C6C</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kcuKFTEQhhtxcC76Ai4k4MZNa-7pdiMy6CgMDIKuQzqpPmZIJ23SfdC38Vl8MtOecRxdCClSUF_9VcXfNI8Jfk4wVi8KxqxjLaY1hOCyZfeaE8KZavuOsPt38uPmtJRrjHHHZP-gOWZKql7g_qSJH1YTF7-Yxe8Bwd6EtaYpojSiGZw3S_YWrdPgg7cmoJDSjMqSJlNeIvrjuwNrHJQNh68zZA_RAhpzmpBBxcddAORjqRPWTfZhczSaUODRzX_WfHr75uP5u_by6uL9-evL1nIlllbwgUriemOU4R3rO8GcGwW1hBMzKkewtYoAHwbopZRue6O0SkpKYeScnTWvDrrzOkzgLMQlm6Dn7CeTv-lkvP67Ev1nvUt7TTDvBO5UVXh2o5DTlxXKoidfLIRgIqS1aNpJRnslCa7o03_Q67TmWO_bKFK356KrFD1QNqdSMoy32xCsNz_1wU9d_dS__NSsNj25e8dty28DK8AOQKmluIP8Z_Z_ZH8CYAeuaQ</recordid><startdate>20230907</startdate><enddate>20230907</enddate><creator>Ishii, Daisuke</creator><creator>Kumata, Yuka</creator><creator>Ishii, Seiya</creator><creator>Motoki, Keita</creator><creator>Miyagi, Hisayuki</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>C6C</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20230907</creationdate><title>Quantitative evaluation of pediatric umbilical loop stomas: 2 decades of experience from a single institution</title><author>Ishii, Daisuke ; Kumata, Yuka ; Ishii, Seiya ; Motoki, Keita ; Miyagi, Hisayuki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c475t-54b261d9aa7a4839853ddf52c141af7d10cc71e4bbe9666d66d6f6c76622ef443</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Child</topic><topic>Cicatrix</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Original</topic><topic>Original Article</topic><topic>Ostomy</topic><topic>Patient Selection</topic><topic>Pediatric Surgery</topic><topic>Pediatrics</topic><topic>Surgery</topic><topic>Surgical Stomas</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ishii, Daisuke</creatorcontrib><creatorcontrib>Kumata, Yuka</creatorcontrib><creatorcontrib>Ishii, Seiya</creatorcontrib><creatorcontrib>Motoki, Keita</creatorcontrib><creatorcontrib>Miyagi, Hisayuki</creatorcontrib><collection>Springer Nature OA Free Journals</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Pediatric surgery international</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ishii, Daisuke</au><au>Kumata, Yuka</au><au>Ishii, Seiya</au><au>Motoki, Keita</au><au>Miyagi, Hisayuki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Quantitative evaluation of pediatric umbilical loop stomas: 2 decades of experience from a single institution</atitle><jtitle>Pediatric surgery international</jtitle><stitle>Pediatr Surg Int</stitle><addtitle>Pediatr Surg Int</addtitle><date>2023-09-07</date><risdate>2023</risdate><volume>39</volume><issue>1</issue><spage>269</spage><epage>269</epage><pages>269-269</pages><artnum>269</artnum><issn>1437-9813</issn><issn>0179-0358</issn><eissn>1437-9813</eissn><abstract>Purpose
Since pediatric stomas are often temporary, their creation, management, and closure should be simple, with minimal complications and excellent cosmetic results. We began employing umbilical stomas in 2000. This study aimed to characterize the ingenuity and utility of umbilical stomas and provide a quantitative evaluation of their cosmetic outcomes.
Methods
We examined cases of stoma construction and closure surgery performed in our department from January 2000 to December 2022. The umbilical and non-umbilical stoma groups included 54 and 42 cases, respectively, and the findings for both groups were compared and analyzed.
Results
The two groups showed no significant differences in the incidence of complications. The Manchester Scar Scale score for the umbilical stoma group (8.42 ± 1.85) was significantly better than that for the non-umbilical stoma group (16.31 ± 2.96;
P
< 0.01). Likewise, in Patient and Observer Scar Assessment Scale assessments, the umbilical stoma group showed significantly better scores in both the observer scale (9.48 ± 2.50 vs. 21.78 ± 7.26;
P
< 0.01) and the patient scale (10.5 ± 1.39 vs. 22.40 ± 7.35;
P
< 0.01).
Conclusions
Umbilical stomas are easy to manage and yield an inconspicuous closure incision with excellent cosmetic outcomes. Although patient selection is important, pediatric umbilical stomas are a valuable option that can be actively employed.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>37679509</pmid><doi>10.1007/s00383-023-05546-3</doi><tpages>1</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1437-9813 |
| ispartof | Pediatric surgery international, 2023-09, Vol.39 (1), p.269-269, Article 269 |
| issn | 1437-9813 0179-0358 1437-9813 |
| language | eng |
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| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Child Cicatrix Humans Medicine Medicine & Public Health Original Original Article Ostomy Patient Selection Pediatric Surgery Pediatrics Surgery Surgical Stomas |
| title | Quantitative evaluation of pediatric umbilical loop stomas: 2 decades of experience from a single institution |
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