A Last Resort: Dacron Vascular Graft Prosthesis for Management of a Blowhole Colostomy.

Abstract

The creation of a blowhole colostomy can be an effective option for patients with large bowel obstruction and severe abdominal disease. However, they are often difficult to manage secondary to poor appliance fitting, peristomal dermatitis, and pain. In 2021, a case series describing a novel technique using a Dacron Vascular Prosthesis (VUP medical, Brno, Czech Republic) sutured to the mucocutaneous junction to help with stoma management was described. In the following case study, we share our experience with placement of a Hemashield Gold Dacron Graft (Maquet Cardiovascular, LLC, Wayne, NJ, USA) as a last resort in the management of a blowhole colostomy in a patient with large bowel obstruction secondary to metastatic carcinoid tumor. Compared to the previously described technique, we used a shorter graft, non-absorbable suture (Nylon, Ethicon, Cincinnati, OH, USA) and took larger bites of the mucocutaneous junction to achieve improved quality of life.