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Total exenteration, two or one ostomy
J D Trelford1, J Goodnight, P Schneider
1Department of Obstetrics and Gynecology, University of California, Davis.
Abstract:
Total exenterations require fecal and urinary diversions, necessitating ostomies in the anterior abdominal wall. This article was done to explore the possibility of extremely low anastomoses of the intestine to the anal stump, to reduce the number of ostomies to only one for the urinary diversion. Although technically feasible, the long term follow-up evaluation of these patients resulted in us having reservations concerning function.