Stoma Patients, leakages and thoughts about lipomodeling

• Research type

  Research Study

• Full title

  Patients with Peristomal Contour Abnormalities: their thoughts about surgery, leakages and quality of life

• IRAS ID

  206457

• Contact name

  Christina Koulouglioti

• Contact email

  Christina.Koulouglioti@wsht.nhs.uk

• Sponsor organisation

  Western Sussex Hospitals NHS Foundation Trust

• Duration of Study in the UK

  0 years, 11 months, 28 days

• Research summary

  Background: An uneven skin surface around a stoma can result in management problems such as leakage of stool onto the skin, skin excoriation, soiling of clothing, poor quality of life, frequent visits to stoma care nurses, and excessive usage of pouches and accessories. Current treatment interventions make the process of changing a pouch a complicated, time-consuming and costly experience.
  Reconstructive surgeons at Western Sussex Hospitals NHS Foundation Trust have been using lipomodelling or ‘fat transfer’ in breast cancer patients with great success. During the last year they introduced this technique to stoma patients and especially to those who have a permanent stoma and suffer from leakages due to abnormalities around the stoma. The aim is to refashion the stoma with a minimally invasive approach, reshaping the surface of the abdomen using fat transfer instead of performing a laparotomy and moving the stoma. The procedure was performed on a small group of patients (N=6) who reported a decrease in the number of leakages, a decrease in the need to change clothes due to a leakage, and an increase in their stoma-related quality of life.
  Despite these preliminary results it is not known whether patients are willing to undergo surgery in order to minimize leakages.
  Aims: To interview patients and explore their views regarding the feasibility and acceptability of this surgical intervention to manage peristomal leakages. First we plan to interview the patients who have already had the lipomodelling procedure and ask their views. We want to hear from the patients themselves about the ways in which their quality life has improved after the procedure. Do the risks outweigh the benefits? Was it worth going through the process? Secondly we plan to interview potential eligible patients and explore whether or not they would consider lipomodeling and the reasons for their decis

• REC name

  East Midlands - Leicester Central Research Ethics Committee

• REC reference

  17/EM/0098

• Date of REC Opinion

  3 Mar 2017

• REC opinion

  Favourable Opinion