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Double barreled wet colostomy: initial experience and literature review
Luis Salgado-Cruz1, Eloy Espin-Basany2, Francesc Vallribera-Valls2
1Colorectal Surgery Unit, Vall d'Hebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain ; Instituto de Cirugía Centro Médico Zambrano Hellion-Tec Salud, Batallón de San Patricio 112, Real de San Agustín, 66278 San Pedro Garza García, NL, Mexico ; School of Medicine and Health Sciences, Tecnológico de Monterrey, Mexico.
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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