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Double‐barrelled wet colostomy formation after pelvic exenteration for locally advanced or recurrent rectal cancer
Author(s) -
Bloemendaal A. L. A.,
Kraus R.,
Buchs N. C.,
Hamdy F. C.,
Hompes R.,
Cogswell L.,
Guy R. J.
Publication year - 2016
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/codi.13512
Subject(s) - medicine , pelvic exenteration , colostomy , stoma (medicine) , surgery , ileostomy , urinary diversion , urinary system , colorectal cancer , abdomen , cancer , bladder cancer , cystectomy , anatomy
Aim In advanced pelvic cancer it may be necessary to perform a total pelvic exenteration. In such cases urinary tract reconstruction is usually achieved with the creation of an ileal conduit with a urinary stoma on the right side of the patient's abdomen and an end colostomy separately on the left. The potential morbidity from a second stoma may be avoided by the use of a double‐barrelled wet colostomy (DBWC), as a single stoma. Another advantage is the possibility of using a vertical rectus abdominis muscle flap for perineal reconstruction. Method All patients undergoing formation of a DBWC were included. Result A DBWC was formed in 10 patients. One patient underwent formation of a double‐barrelled wet ileostomy. Conclusions In this technical note we present our early experience in 11 cases and a video of DBWC formation in a male patient.