Double Barreled Wet Colostomy : Initial Experience and Literature Review
Salgado-Cruz, Luis (Hospital Universitari Vall d'Hebron)
Espin-Basany, Eloy (Hospital Universitari Vall d'Hebron)
Vallribera-Valls, Francesc (Hospital Universitari Vall d'Hebron)
Sanchez-Garcia, Jose (Hospital Universitari Vall d'Hebron)
Jimenez-Gomez, Luis Miguel (Hospital Universitari Vall d'Hebron)
Marti-Gallostra, Marc (Hospital Universitari Vall d'Hebron)
Garza-Maldonado, Ana (Hospital Universitari Vall d'Hebron)
Universitat Autònoma de Barcelona

Date:	2014
Abstract:	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.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Published in:	The Scientific World Journal, Vol. 2014 (december 2014) , ISSN 1537-744X

DOI: 10.1155/2014/961409
PMID: 25574498

8 p, 1.9 MB

The record appears in these collections:
Articles > Research articles
Articles > Published articles