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Objective: The aim of this study was to determine the feasibility and safety of the skin bridge loop technique for colostomy and ileostomy in a gynecological oncology unit. Design: The study's design is a prospective observational case series of skin bridge loop stoma formation. Materials and Methods: All patients in a gynecologic oncology unit requiring defunctioning ileostomy or colostomy as an independent surgical procedure from October 2010 to February 2012 were included in this study. The setting was a tertiary referral center for gynecological oncology and minimal access surgery in Dublin, Ireland. The skin bridge loop enteric and colonic stoma formation technique involves carving a permanent skin bridge within the stoma site. The skin bridge is then fashioned under the loop and tensioned to the required level of elevation. Results: No stomal complications arose in this series of 16 patients in follow-up to 73 weeks. Stomal education was commenced from the first postoperative day, and self-care was achieved in a median of 5 days. Conclusions: The skin bridge stoma is easy to fashion and facilitates early patient self-care education, progression to other treatment, and/or discharge from hospital. We recommend its application in gynecologic oncology. ( J GYNECOL SURG 29:47)

Post-operative ileus is a common compliant of patients at surgical floor. Studies have reported that gums chewing after abdominal surgeries decrease postoperative ileus (POI); but very few studies are available on role of chewing gum in ileostomy reversal cases. We concluded that post-operative gum chewing with standard post-operative care in patients undergoing elective surgery for ileostomy closure done for typhoid ileal perforation in terms of mean length of hospital stay and mean time of passage of first flatus is significantly better than those without gum chewing. Objectives: To compare post-operative gum chewing with standard care in cases having elective ileostomy closure in terms of mean length of hospital stay and mean time of passage of first flatus. Study Design: Randomized Control Trial. Setting: Department of Surgery, Allied Hospital Faisalabad. Period: 1st January 2017 to 31st December 2017. Material & Methods: Patients of 20 to 60 years undergoing elective surgery for typhoid ileal perforation were included in the study after informed consent. Two groups with A: allocated to chewing gum three times a day up to discharge; Control group: allocated to standard post-operative care without chew gum. Length of hospital stay and time of passage of first flatus was noted. Results: In this study, mean length of hospital stay in Chewing gum group was 7.73+0.74 days and 10.27+0.87 days in Control group, p value was 0.0001, mean time of passage of first flatus in Chewing gum group was 49.97+1.69 hrs and 89.17+2.07 hrs in Control group, p value was 0.0001. Conclusion: We concluded that post-operative gum chewing with standard post-operative care in patients undergoing elective surgery for ileostomy closure done for typhoid ileal perforation in terms of mean length of hospital stay and mean time of passage of first flatus is significantly better than those without gum chewing.