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"Imola-Montecatone" subtotal colectomy to improve bowel management in spinal cord injury patients. Retrospective
Luca Negosanti1, Rossella Sgarzani2, Romano Linguerri3
1Montecatone Rehabilitation Institute, Imola, Italy. luca.negosanti81@gmail.com.
Study Design:
Retrospective single-center study.
Objectives:
Persons with spinal cord injury live with neurogenic bowel dysfunction. Difficulties with management of neurogenic bowel can increase over time with age and time post injury, with a negative impact on autonomy and quality of life. Many conservative treatments are available to improve bowel management; however, in case of failure, a colostomy may be considered.
Setting:
Specialized Care Unit, Montecatone Rehabilitation Institute and General Surgery Division, Imola Hospital, Imola, Italy.
Methods:
From 2016 to 2019, selected patients affected by SCI and bowel dysfunction failing conservative care were treated with subtotal colectomy associated with placement of a bioabsorbable prosthesis, to prevent parastomal hernia. The surgical procedure is presented along with results.
Results:
Overall, 19 individuals underwent the described procedure; after 1 year of follow-up, we observed four minor complications: two cases of dehiscence of the abdominal incision, easily treated during hospital stay, and two cases of leakage of mucorrhoea.
Conclusion:
Our results demonstrate the efficacy of the procedure to improve bowel management in persons with spinal cord injury.
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