A Comparison of End and Loop Colostomy for Fecal Diversion in Gynecologic Patients with Colonic Fistulas

Segreti, Eileen M.; Levenback, Charles; Morris, Mitchell; Lucas, Kristin R.; Gershenson, David M.; Burke, Thomas W.

doi:10.1006/gyno.1996.0010

Cited by 21 publications

(17 citation statements)

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“…Cleaning of the mucocutaneous wound and application of the plate/phalange for the stoma bag were easy. Previously described complications of necrosis, infection, retraction, and bypassing of fecal stream 8,16,17 were not seen in our cohort up to 72 weeks of follow-up.…”

Section: Discussioncontrasting

confidence: 67%

“…7 However, higher rates of stomal complications including incomplete fecal diversion, retraction, and prolapse are described with the loop stoma. 8 Our standard surgical approach was to fashion the loop stoma over a glass or plastic bridge/rod, [9][10][11] and we found that elevation of the shortened mesentery sometimes necessitated use of a pliable rubber tubing (red rubber catheter) instead. The bridge was left in situ for 7-10 days while the initial mucocutaneous healing took place.…”

Section: Introductionmentioning

confidence: 99%

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Skin Bridge Loop Stoma in a Gynecologic Oncology Unit

Kamran

Ahmed

Wong

et al. 2013

Journal of Gynecologic Surgery

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Objective: The aim of this study was to determine the feasibility and safety of the skin bridge loop technique for colostomy and ileostomy in a gynecological oncology unit. Design: The study's design is a prospective observational case series of skin bridge loop stoma formation. Materials and Methods: All patients in a gynecologic oncology unit requiring defunctioning ileostomy or colostomy as an independent surgical procedure from October 2010 to February 2012 were included in this study. The setting was a tertiary referral center for gynecological oncology and minimal access surgery in Dublin, Ireland. The skin bridge loop enteric and colonic stoma formation technique involves carving a permanent skin bridge within the stoma site. The skin bridge is then fashioned under the loop and tensioned to the required level of elevation. Results: No stomal complications arose in this series of 16 patients in follow-up to 73 weeks. Stomal education was commenced from the first postoperative day, and self-care was achieved in a median of 5 days. Conclusions: The skin bridge stoma is easy to fashion and facilitates early patient self-care education, progression to other treatment, and/or discharge from hospital. We recommend its application in gynecologic oncology. ( J GYNECOL SURG 29:47)

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Section: Discussioncontrasting

confidence: 67%

Section: Introductionmentioning

confidence: 99%

Skin Bridge Loop Stoma in a Gynecologic Oncology Unit

Kamran

Ahmed

Wong

et al. 2013

Journal of Gynecologic Surgery

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“…The construction of a stoma is associated with decreased physical and psychological well-being and decreased quality of life. In addition to stoma-related morbidity, a significant number of temporary stomas tend to become permanent, especially in elderly patients [3, 4, 5, 6, 7, 8]. The purpose of this study was to prospectively examine the outcome of patients with temporary stomas, i.e.…”

Section: Introductionmentioning

confidence: 99%

Outcome of Temporary Stomas

et al. 2002

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Purpose: The purpose of this study was to examine the outcome of patients to whom a temporary stoma was constructed in our institution. Method: The outcome of patients operated on over an 8-year period was prospectively examined. Special attention was given to the influence of age on complications and closure of stomas. Results: Between 1989 and 1996, a total of 349 intestinal stomas were constructed in 342 patients. In 141 of these patients, the stoma could be considered as temporary. The 30-day mortality rate was 7%. The overall complication rate was 50%. Pure stoma-related complications were observed in 12% of the patients. The final closure rate of temporary stomas was 67%. The closure rate was significantly higher if the temporary stomas were of the double-barrel type. There was no significant difference in the closure rate between patients with benign and malignant diseases, but the rate decreased significantly in age groups over 70 years. Conclusions: Forty percent of stomas constructed are considered as temporary, but only two-thirds of temporary stomas are closed subsequently. Especially end stomas tend to become permanent in patients over 70 years of age, although the morbidity rates of stoma closure do not differ from those of younger patients.

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“…A colostomia é sabidamente um procedimento operatório com índices de complicação não o 2 desprezíveis. 15,37 Contudo não foi possível verificar na literatura pesquisada se a situação de obstrução intestinal modificaria as taxas de complicação deste procedimento, como observado nesse experimento.…”

Section: Discussionunclassified

Avaliação do efeito da colostomia proximal na cicatrização de anastomoses colocólicas em ratos com obstrução intestinal

Leme

Matos

Luderer

et al. 2001

Rev. Col. Bras. Cir.

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OBJETIVO: Avaliar o efeito da colostomia proximal na cicatrização de anastomoses colocólicas em ratos com obstrução intestinal. MÉTODO: 72 ratos foram divididos em três grupos: grupo controle (C), submetido à anastomose colocólica e à colostomia proximal na ausência de oclusão intestinal; grupo sem colostomia (SC), submetido à oclusão intestinal de 72 horas e à anastomose colocólica primária; grupo com colostomia (CC) submetido à oclusão intestinal de 72 horas, à anastomose colocólica primária e à colostomia proximal. A cicatrização anastomótica foi avaliada em dois períodos, nos 2º e 7º dias de pós-operatório, em relação à deiscência anastomótica, aderências, epitelização mucosa, pressão de ruptura e a variáveis histológicas por estudo convencional e informatizado. RESULTADOS: verificou-se maior tendência a deiscência anastomótica no grupo SC (12,5%), e elevada incidência de complicações da colostomia no grupo CC (13%), entretanto tais resultados não apresentaram diferença estatística significante. No que se refere às demais variáveis analisadas para verificação da cicatrização anastomótica deve-se considerar que houve equivalência entre os três grupos nos dois períodos analisados. CONCLUSÃO: Não há diferença entre a cicatrização de anastomoses colocólicas associadas ou não à colostomia proximal, em ratos com obstrução intestinal.

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A Comparison of End and Loop Colostomy for Fecal Diversion in Gynecologic Patients with Colonic Fistulas

Cited by 21 publications

References 1 publication

Skin Bridge Loop Stoma in a Gynecologic Oncology Unit

Skin Bridge Loop Stoma in a Gynecologic Oncology Unit

Outcome of Temporary Stomas

Avaliação do efeito da colostomia proximal na cicatrização de anastomoses colocólicas em ratos com obstrução intestinal

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