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  • Title: Minimizing stomal stenosis in appendicovesicostomy using the modified umbilical stoma.
    Author: Khoury AE, Van Savage JG, McLorie GA, Churchill BM.
    Journal: J Urol; 1996 Jun; 155(6):2050-1. PubMed ID: 8618332.
    Abstract:
    PURPOSE: We describe creation of a modified umbilical stoma as part of continent urinary diversion using appendicovesicostomy. MATERIALS AND METHODS: Umbilical stomas were created using the eversion-inversion principle in 25 patients undergoing appendicovesicostomy. RESULTS: Mean followup was 3 years. Cosmesis of the umbilical stoma was good in all cases. Stomal stenosis required surgical revision in 8% of cases. CONCLUSIONS: We recommend our modified umbilical stomal technique for appendicovesicostomy because it allows good cosmesis without compromising stomal function.
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