Use of the umbilical area for placement of a urinary stoma
Braren, V.; Workman, C.H.; Johns, O.T.; Brooks, A.L.; Rhamy, R.K.
Surgery Gynecology and Obstetrics 148(4): 543-546
1979
ISSN/ISBN: 0039-6087 PMID: 432767 Document Number: 144685
Children with myelodysplasia are best managed in medical centers by a team consisting of a urologist, an orthopedist, a neurosurgeon, a pediatrician, a social worker, an orthotic technician and physical therapists. A cooperative approach aids in the selection of a urinary diversion stoma site which will not interfere with the multiple orthopedic procedures these children must undergo. The urologic and orthopedic complications and benefits of 24 patients with umbilical stoma are compared with 24 patients with matched right lower quadrant stoma. The incidence of urologic complications is equal, while the orthopedic advantages manifest by the 1st group vastly outweight the problems encountered in the 2nd group. The use of a midline stoma site is advocated for urinary diversion in children with myelodysplasia.