Double Barreled Wet Colostomy: Initial Experience and Literature Review

Background. Pelvic exenteration and multivisceral resection in colorectal have been described as a curative and palliative intervention. Urinary tract reconstruction in a pelvic exenteration is achieved in most cases with an ileal conduit of Bricker, although different urinary reservoirs have been d...

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Main Authors: Luis Salgado-Cruz, Eloy Espin-Basany, Francesc Vallribera-Valls, Jose Sanchez-Garcia, Luis Miguel Jimenez-Gomez, Marc Marti-Gallostra, Ana Garza-Maldonado
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/961409
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author Luis Salgado-Cruz
Eloy Espin-Basany
Francesc Vallribera-Valls
Jose Sanchez-Garcia
Luis Miguel Jimenez-Gomez
Marc Marti-Gallostra
Ana Garza-Maldonado
author_facet Luis Salgado-Cruz
Eloy Espin-Basany
Francesc Vallribera-Valls
Jose Sanchez-Garcia
Luis Miguel Jimenez-Gomez
Marc Marti-Gallostra
Ana Garza-Maldonado
author_sort Luis Salgado-Cruz
collection DOAJ
description Background. Pelvic exenteration and multivisceral resection in colorectal have been described as a curative and palliative intervention. Urinary tract reconstruction in a pelvic exenteration is achieved in most cases with an ileal conduit of Bricker, although different urinary reservoirs have been described. Methods. A retrospective and observational study of six patients who underwent a pelvic exenteration and urinary tract reconstruction with a double barreled wet colostomy (DBWC) was done, describing the preoperative diagnosis, the indication for the pelvic exenteration, the complications associated with the procedure, and the followup in a period of 5 years. A literature review of the case series reported of the technique was performed. Results. Six patients had a urinary tract reconstruction with the DBWC technique, 5 male patients and one female patient. Age range was from 20 to 77 years, with a medium age 53.6 years. The most frequent complication presented was a pelvic abscess in 3 patients (42.85%); all complications could be resolved with a conservative treatment. Conclusion. In the group of our patients with pelvic exenteration and urinary tract reconstruction with a DBWC, it is a safe procedure and well tolerated by the patients, and most of the complications can be resolved with conservative treatment.
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institution Kabale University
issn 2356-6140
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publishDate 2014-01-01
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spelling doaj-art-ed97012ec32640e5a58bfc33724a7e652025-02-03T01:03:15ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/961409961409Double Barreled Wet Colostomy: Initial Experience and Literature ReviewLuis Salgado-Cruz0Eloy Espin-Basany1Francesc Vallribera-Valls2Jose Sanchez-Garcia3Luis Miguel Jimenez-Gomez4Marc Marti-Gallostra5Ana Garza-Maldonado6Colorectal Surgery Unit, Vall d’Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, SpainColorectal Surgery Unit, Vall d’Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, SpainColorectal Surgery Unit, Vall d’Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, SpainColorectal Surgery Unit, Vall d’Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, SpainColorectal Surgery Unit, Vall d’Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, SpainColorectal Surgery Unit, Vall d’Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, SpainColorectal Surgery Unit, Vall d’Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, SpainBackground. Pelvic exenteration and multivisceral resection in colorectal have been described as a curative and palliative intervention. Urinary tract reconstruction in a pelvic exenteration is achieved in most cases with an ileal conduit of Bricker, although different urinary reservoirs have been described. Methods. A retrospective and observational study of six patients who underwent a pelvic exenteration and urinary tract reconstruction with a double barreled wet colostomy (DBWC) was done, describing the preoperative diagnosis, the indication for the pelvic exenteration, the complications associated with the procedure, and the followup in a period of 5 years. A literature review of the case series reported of the technique was performed. Results. Six patients had a urinary tract reconstruction with the DBWC technique, 5 male patients and one female patient. Age range was from 20 to 77 years, with a medium age 53.6 years. The most frequent complication presented was a pelvic abscess in 3 patients (42.85%); all complications could be resolved with a conservative treatment. Conclusion. In the group of our patients with pelvic exenteration and urinary tract reconstruction with a DBWC, it is a safe procedure and well tolerated by the patients, and most of the complications can be resolved with conservative treatment.http://dx.doi.org/10.1155/2014/961409
spellingShingle Luis Salgado-Cruz
Eloy Espin-Basany
Francesc Vallribera-Valls
Jose Sanchez-Garcia
Luis Miguel Jimenez-Gomez
Marc Marti-Gallostra
Ana Garza-Maldonado
Double Barreled Wet Colostomy: Initial Experience and Literature Review
The Scientific World Journal
title Double Barreled Wet Colostomy: Initial Experience and Literature Review
title_full Double Barreled Wet Colostomy: Initial Experience and Literature Review
title_fullStr Double Barreled Wet Colostomy: Initial Experience and Literature Review
title_full_unstemmed Double Barreled Wet Colostomy: Initial Experience and Literature Review
title_short Double Barreled Wet Colostomy: Initial Experience and Literature Review
title_sort double barreled wet colostomy initial experience and literature review
url http://dx.doi.org/10.1155/2014/961409
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