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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.
Updates in Surgery
|August 16, 2017
Summary
This study presents a modified double-barreled wet colostomy technique for pelvic exenteration patients. The modification overcomes ureter length limitations, improving surgical options for urinary and fecal diversion.
Area of Science:
- Urology
- Surgical Oncology
- Gastroenterology
Background:
- Pelvic exenteration is a complex surgery necessitating urinary and fecal diversion.
- Traditional methods include ileal conduit with separate colostomy.
- Double-barreled wet colostomy offers an alternative but has limitations.
Observation:
- Short ureter length can preclude the standard double-barreled wet colostomy.
- A modified technique was developed to address this limitation.
Findings:
- The modified technique replaces two uretero-colic anastomoses with an ureteroureterostomy and one uretero-colic anastomosis.
- This approach enhances applicability in cases with limited ureter length.
Implications:
- This modification expands the utility of double-barreled wet colostomy in pelvic exenteration.
- It provides a viable surgical solution for complex urinary and fecal diversion cases.
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