Double barreled wet colostomy: Initial experience and literature review

Luis Salgado-Cruz, Eloy Espin-Basany, Francesc Vallribera-Valls, Jose Sanchez-Garcia, Luis Miguel Jimenez-Gomez, Marc Marti-Gallostra, Ana Garza-Maldonado

Research output: Contribution to journalArticleResearchpeer-review

4 Citations (Scopus)

Abstract

Copyright © 2014 Luis Salgado-Cruz et al. Background. Pelvic exenteration and multivisceral resection in colorectal have been described as a curative and palliative intervention. Urinary tract reconstruction in a pelvic exenteration is achieved inmost cases with an ileal conduit of Bricker, although different urinary reservoirs have been described. Methods. A retrospective and observational study of six patients who underwent a pelvic exenteration and urinary tract reconstruction with a double barreled wet colostomy (DBWC) was done, describing the preoperative diagnosis, the indication for the pelvic exenteration, the complications associated with the procedure, and the followup in a period of 5 years. A literature review of the case series reported of the technique was performed. Results. Six patients had a urinary tract reconstruction with the DBWC technique, 5 male patients and one female patient. Age range was from 20 to 77 years, with a medium age 53.6 years. The most frequent complication presented was a pelvic abscess in 3 patients (42.85%); all complications could be resolved with a conservative treatment. Conclusion. In the group of our patients with pelvic exenteration and urinary tract reconstructionwith a DBWC, it is a safe procedure and well tolerated by the patients, and most of the complications can be resolved with conservative treatment.
Original languageEnglish
Article number961409
JournalScientific World Journal
Volume2014
DOIs
Publication statusPublished - 1 Jan 2014

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