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Modified double-barrelled wet colostomy after total pelvic exenteration
1Department of Human Pathology, University of Messina, Via Consolare Valeria, 98125, Messina, Italy. amacri@unime.it.
Abstract:
Pelvic exenteration is a radical surgery that can require urinary and faecal diversions. Double-barreled wet colostomy, a viable alternative to the traditional ileal conduit with separate colostomy technique, is not always applicable due to the shortness of an ureter. To overcome this problem, I modified the original technique, replacing the two uretero-colic anastomoses with an ureteroureterostomy and an uretero-colic anastomosis.
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