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Publication Type : Journal Article
Thematic Areas : Medical Sciences
Publisher : Indian Journal of Gastroenterology
Source : Indian Journal of Gastroenterology, Volume 29, Number 6, p.240-243 (2010)
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
Campus : Kochi
School : School of Medicine
Department : Gastrointestinal Surgery
Year : 2010
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.
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.