Bloemendaal ALA, Kraus R, Buchs NC, Hamdy FC, Hompes R, Cogswell L, Guy RJ. Double-barrelled wet colostomy formation after pelvic exenteration for locally advanced or recurrent rectal cancer.
Colorectal Dis 2016;
18:O427-O431. [PMID:
27620339 DOI:
10.1111/codi.13512]
[Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/09/2016] [Accepted: 07/11/2016] [Indexed: 12/11/2022]
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.
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