Background: Creating an intestinal stoma is an important component of gynaecological oncology surgery. However, despite careful pre-operative planning, extensive experience, and precise surgical technique, complications occur in high frequency. Leaking stomas and peristomal skin complications are the most common complications, with rates ranging from 18-60%. The psychological and financial consequences of these complications can be considerable for the patient, as well as incurring significant morbidity. Current management of leaking stomas may involve adjustment of the appliance and the use of accessories including seals, fillers, skin protectors and creams. In 2013 these products cost the Australian government over $19 million. However, notwithstanding these resources and optimal management by a stoma nurse, some patients may find their leaking stomas refractory to treatment.

Method: We describe the use of a novel and innovative method, which has been used in a series of patients with complex stoma sites, resulting in complete resolution of leakage.