Publication Type:

Journal Article

Source:

Indian Journal of Gastroenterology, Volume 29, Number 6, p.240-243 (2010)

URL:

http://www.scopus.com/inward/record.url?eid=2-s2.0-79955467893&partnerID=40&md5=743ba459c94c001614217091e158b7fd

Keywords:

adult, aged, anastomosis leakage, article, cause of death, clinical article, colostomy, double barreled wet colostomy, enterocutaneous fistula, female, human, Humans, kidney abscess, length of stay, male, middle aged, operation duration, outcome assessment, patient satisfaction, Pelvic Exenteration, pelvis cancer, pelvis exenteration, postoperative complication, pyelonephritis, Retrospective Studies, surgical technique, survival time, treatment outcome, urinary diversion, wound dehiscence

Abstract:

Pelvic exenteration in advanced malignancies is usually a curative procedure aimed at improving quality of life. We analyzed the perioperative data and outcomes in 12 patients who underwent simultaneous urinary and fecal diversion with a double-barreled wet colostomy after total pelvic exenteration. Eight males and four females aged between 25 and 73 years underwent the procedure with mean operative duration of 350 min and mean postoperative stay of 15 days. Three patients developed early complications while four developed late complications. During follow up ranging from 6 to 64 months, four patients died of disease progression while four died of unrelated causes. One lady was lost to follow up, the remaining had a mean survival of 32.9 months. None had deterioration in renal function or peristomal dermatitis and all were well accustomed to managing one stoma. Our results show that double-barreled wet colostomy is technically simple and reduces surgical morbidity while providing satisfactory outcomes and patient comfort. © 2011 Indian Society of Gastroenterology.

Notes:

cited By (since 1996)0

Cite this Research Publication

Sa Sukumar, Sivanandam, Ea, Bhat, H. Sa, Mathew, Ga, Sudheer, O. Vb, and Dhar, Pb, “Revisiting the double-barreled wet colostomy for simultaneous urinary and fecal diversion-an Indian experience”, Indian Journal of Gastroenterology, vol. 29, pp. 240-243, 2010.