A L A Bloemendaal1, R Kraus2, N C Buchs2, F C Hamdy3,4, R Hompes2, L Cogswell4,5, R J Guy2. 1. Department of Colorectal Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK. bobbloemendaal@gmail.com. 2. Department of Colorectal Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK. 3. Department of Urology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK. 4. Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK. 5. Department of Plastic and Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
Abstract
AIM: In advanced pelvic cancer it may be necessary to perform a total pelvic exenteration. In such cases urinary tract reconstruction is usually achieved with the creation of an ileal conduit with a urinary stoma on the right side of the patient's abdomen and an end colostomy separately on the left. The potential morbidity from a second stoma may be avoided by the use of a double-barrelled wet colostomy (DBWC), as a single stoma. Another advantage is the possibility of using a vertical rectus abdominis muscle flap for perineal reconstruction. METHOD: All patients undergoing formation of a DBWC were included. RESULT: A DBWC was formed in 10 patients. One patient underwent formation of a double-barrelled wet ileostomy. CONCLUSIONS: In this technical note we present our early experience in 11 cases and a video of DBWC formation in a male patient. Colorectal Disease
AIM: In advanced pelvic cancer it may be necessary to perform a total pelvic exenteration. In such cases urinary tract reconstruction is usually achieved with the creation of an ileal conduit with a urinary stoma on the right side of the patient's abdomen and an end colostomy separately on the left. The potential morbidity from a second stoma may be avoided by the use of a double-barrelled wet colostomy (DBWC), as a single stoma. Another advantage is the possibility of using a vertical rectus abdominis muscle flap for perineal reconstruction. METHOD: All patients undergoing formation of a DBWC were included. RESULT: A DBWC was formed in 10 patients. One patient underwent formation of a double-barrelled wet ileostomy. CONCLUSIONS: In this technical note we present our early experience in 11 cases and a video of DBWC formation in a male patient. Colorectal Disease
Authors: Boris Schiltz; Nicolas Christian Buchs; Marta Penna; Cosimo Riccardo Scarpa; Emilie Liot; Philippe Morel; Frederic Ris Journal: World J Clin Oncol Date: 2017-06-10