To report the use of acupotomy as a treatment for stomal stenosis in a patient following abdominoperineal resection for rectal cancer.
Approach:
Patient Case: A 55-year-old female patient developed stomal stenosis two months post-abdominoperineal resection for rectal cancer. After conservative treatments failed, acupotomy was performed to release fibrotic scar tissue.
Procedure Details: The procedure involved local anesthesia, disinfection, and careful release of scar tissue using an acupotomy knife until the stoma could accommodate an index finger.
Key Findings:
Stomal stenosis developed in a 55-year-old female patient two months post-abdominoperineal resection for rectal cancer.
Acupotomy resolved the stenosis immediately and relieved the patient's symptoms.
Interpretation:
The evidence is limited to this single case.
Limitations:
The evidence level is limited due to the case study design.
Further research is needed to validate the effectiveness of acupotomy for stomal stenosis.
Conclusion:
Acupotomy presents a potential alternative treatment for stomal stenosis, warranting further investigation.
