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Modified Benchekroun technique for continent ileal stoma
J M Guzman1, L Montes de Oca, R Gonzalez
1Department of Urologic Surgery, University of Minnesota Hospital and Clinic, Minneapolis.
The Journal of Urology
|December 1, 1989
Summary
The Guzman continent ileal stoma, a modification of the Benchekroun technique, offers a simple, complication-free method for continent urinary diversion. This technique ensures patient continence with a low risk of stoma-related issues like evagination or stone formation.
Area of Science:
- Urology
- Surgical Techniques
- Continent Urinary Diversion
Background:
- Continent urinary diversion is crucial for patients requiring bladder reconstruction.
- Traditional techniques may present challenges such as stomal complications and patient discomfort.
- The Benchekroun technique offers a basis for improved stoma construction.
Purpose of the Study:
- To evaluate the efficacy and safety of the modified Guzman continent ileal stoma.
- To assess the complication rates and ease of use of this surgical modification.
- To determine the suitability of different ileal segments for stoma construction.
Main Methods:
- A modified Benchekroun technique was employed to create the Guzman continent ileal stoma.
- The procedure involves principles of inkwell construction and retrograde valve filling.
- Seven patients underwent the procedure, with follow-up ranging from 6 months to 2 years.
Main Results:
- All seven patients achieved and maintained urinary continence.
- No major complications were observed during the follow-up period.
- The stoma demonstrated ease of construction, low evagination risk due to suture stabilization, and simple catheterization.
Conclusions:
- The modified Guzman continent ileal stoma is a safe and effective technique for urinary diversion.
- The technique minimizes risks of stone and fistula formation by avoiding staples.
- It offers a reliable option for continent urinary diversion using either the terminal ileum in continuity with the cecum or an isolated ileal segment.
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Ostomy Care
Introduction
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:
An ostomy is a surgical procedure that creates an artificial opening from the intestines to the outside of the body, allowing for the rerouting of effluent. This opening is known as a stoma. A stoma usually protrudes above the skin surface, appearing pink or red, moist, and round, and it lacks nerve sensations.
There are different types of ostomies, including colostomies, ileostomies, and urostomies:

