Double Barreled Wet Colostomy: Initial Experience and Literature Review

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 in most cases with an ileal conduit of Bricker, although different urinary reservoirs have been d...

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Bibliographic Details
Published in:TheScientificWorld 2014, Vol.2014 (2014), p.1-7
Main Authors: Garza-Maldonado, Ana, Jimenez-Gomez, Luis Miguel, Sanchez-Garcia, Jose, Vallribera-Valls, Francesc, Espin-Basany, Eloy, Salgado-Cruz, Luis, Marti-Gallostra, Marc
Format: Article
Language:English
Subjects:
Adult
Aged
Clinical Study
Colostomy
Colostomy - adverse effects
Colostomy - methods
Female
Humans
Literature reviews
Male
Middle Aged
Observational studies
Patient outcomes
Reconstructive Surgical Procedures - adverse effects
Urinary Reservoirs, Continent - adverse effects
Urinary Tract Infections - surgery
Young Adult
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Summary: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 in most 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 reconstruction with a DBWC, it is a safe procedure and well tolerated by the patients, and most of the complications can be resolved with conservative treatment.
ISSN:2356-6140
1537-744X
1537-744X
DOI:10.1155/2014/961409