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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2014-01-01
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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. |
format | Article |
id | doaj-art-ed97012ec32640e5a58bfc33724a7e65 |
institution | Kabale University |
issn | 2356-6140 1537-744X |
language | English |
publishDate | 2014-01-01 |
publisher | Wiley |
record_format | Article |
series | The Scientific World Journal |
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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