Colostomía húmeda en doble barra: análisis de una derivación

Abstract

We analyse our experience in performing the wet colostomy, also called urocolostomy and present seven cases treated at our hospital in which this was used. We present: a) three women, one underwent an urocolostomy as a result of a myelomeningocele with urinary and fecal incontinence, another because of a pelvic malignancy, and the third after developing a post radiotherapy cysto-proctitis; b) four men, one underwent this surgical procedure as a result of a traumatic paraplegia with multiple urinary fistulae and neurogenic bladder, the other three were secondary to pelvic malignancies (two bladder and one sigmoid malignacies). The outcome was fine in all cases with no pyelonephritis or metabolic imbalances; in all cases it represented a good option for these patients.

Double Barreled Wet Colostomy: Initial Experience and Literature Review

“…Double barreled wet colostomy is now used in cases of pelvic exenteration due to gynecological, urological, and/or colorectal primary or recurrent malignancies [ 2 , 3 , 10 – 16 ] ( Table 2 ).…”

“…The perioperative mortality reported in the different published series of patients with a DBWC ranges from 0 to 11.56% [ 2 , 3 , 10 – 16 ]. No mortality in the perioperative period was found in our case series ( Table 5 ).…”