부산대학교 도서관

For inflammatory intestinal diseases such as ulcerative colitis and Crohn's disease, cases resistant to medical treatment require surgery. When multiple-stage surgery is performed, a temporary Heal stoma is constructed. A 38-year-old female with ulcerative colitis underwent rectal mucosectomy, H-type pouch anal anastomosis (IAA), and ileostomy, as the second stage of three-stage surgery. She was admitted for pain control of a skin ulcer at the stoma site.Stoma care was intensively performed by invigation and application of various types of ointments and covering materials.Finally, the third-stage operation could be successfully performed for the intractable skin ulcer associated with pyoderma gangrenosus developing around the stoma.