Does trephine colostomy produce a satisfactory stoma?

Patel, Prajay; Wright, Anna; Messersmith, Richard N.; Palmer, J. G.

doi:10.1046/j.1463-1318.2001.00266.x

Cited by 10 publications

(17 citation statements)

References 4 publications

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“…Patel et al performed TS in 31 patients, and the laparotomies in 9 cases were constructed due to immobile sigmoid colon [8]. In our study, no laparotomy was needed.…”

Section: Discussionmentioning

confidence: 62%

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Trephine stoma: Outcomes in a single center

Oğuz

Türkoğlu²,

Gümüş³

et al. 2015

J Clin Exp Invest

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ÖZETAmaç: Saptırıcı stoma sıklıkla fekal inkontinans, Fournier gangreni, anorektal fistüller ve tıkayıcı inoperable anorektal tümörler gibi durumlarda yapılır. Trefin stoma (TS) laparatomi yapılmaksızın yapılabilir. Biz bu çalışmada TS vakalarımızın sonuçlarıyla ilgili deneyimimizi paylaşmayı amaçladık.Yöntemler: Bu çalışma 2010 ile 2015 yılları arasında kliniğimizde Fournier gangreni, inoperabl anorektal kanser, rektovajinal fistül ve radyoterapi nedeniyle oluşan benign striktür gibi çeşitli nedenlerle TS yapılan 14 hastanın verileri geriye doğru incelendi. Bulgular:Hastalarımızın 10'u erkek, 4'ü kadın idi. Ortalama yaşları 52.07 yıl idi. Hastalarımızdan 7 tanesine Fournier gangreni, 5 tanesine inoperabl anorektal tümör, bir tanesine kompleks rekto-vajinal fistül ve bir tanesine de almış olduğu radyoterapiye bağlı gelişen tıkayıcı striktür nedeniyle TS yapıldı. Hastalarımızın 8 tanesine rejyonel anestezi uygulandı. Tüm hastalarımıza trefin loop sigmoid kolostomi uygulandı. Bir hastamız ostomi prolapsusu nedeniyle ikinci kez opere edildi. Geçici stomalar 3 ay sonra kapatıldı. Ortalama hastanede kalış süresi 14 gün idi.Sonuç: TS görece basit, güvenli ve hızlı yapılan bir uygulama olup laparatomi endikasyonu olmayan hastalarda etkili alternatif bir yöntemdir. Düşük morbidite oranıyla acil ve elektif şartlarda uygulanabilir.Anahtar kelimeler: Fekal diversiyon, Trefin stoma, sonuçlarımız ABSTRACT Objective: Fecal diversion is often indicated in cases with fecal incontinence, Fournier's gangrene, anal fistula, and inoperable obstructive anorectal cancer. Trephine colostomy can be performed without necessitating laparotomy. We present our experience related to the outcome of trephine sigmoid colostomy. Methods:The retrospective study included 14 patients who underwent trephine colostomy due to various conditions including Fournier's gangrene, inoperable anorectal cancer, recto-vaginal fistula, and benign stricture due to radiotherapy at our clinic between January 2010 and January 2015.Results: Patients comprised 4 females and 10 males with a mean age of 52.07 years. The indications for stoma formation were Fournier's gangrene in 7 cases, inoperable anorectal cancer in 5, rectovaginal fistula in 1, and benign stricture due to radiotherapy in 1 case. Eight patients underwent surgery under regional anesthesia. All the patients underwent trephine loop sigmoid colostomy. One patient had second operation on the postoperative period due to colostomy prolapse. The temporary stomas were closed in 3 months. Mean length of hospital stay was 14 days. Conclusion:Trephine stoma is a relatively simple, safe and rapid procedure and an effective alternative to colostomy formation without laparotomy indications. It can be performed under emergency or elective conditions with low morbidity. J Clin Exp Invest 2015; 6 (2): 87-90

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“…Patel et al performed TS in 31 patients, and the laparotomies in 9 cases were constructed due to immobile sigmoid colon [8]. In our study, no laparotomy was needed.…”

Section: Discussionmentioning

confidence: 62%

“…Complications related to the stoma have been reported including retraction of the stoma, stricture of the stoma, prolapse of the stoma, parastomal hernia, and acute urinary retention [4][5][6][7][8]. In our study, only one patient had colostomy prolapse.…”

Section: Discussionmentioning

confidence: 64%

Trephine stoma: Outcomes in a single center

Oğuz

Türkoğlu²,

Gümüş³

et al. 2015

J Clin Exp Invest

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“…On the other hand, in 1996 Caruso et al [6] stated that in all 12 cases sigmoid volvulus diagnosed, trephine end colostomy use was succeeded after rectal decompression. In their study, Patel et al [7] emphasized that 22 of 31 cases, they used Trephine stoma technique successfully, in 9 case (29%) laparatomy was made as a result of sigmoid colon mobilization difficulty. Similarly in their trephine ileostomy study including 2 cases, Neşşar et al [8] others emphasized that opening a trephine stoma was a minimal invasive method, and it was a basic and quick fecal diversion technique easily applicable for the cases who had no laparatomy indication.…”

Section: Discussionmentioning

confidence: 99%

Trephine Ostomy: Safe and Simple

Soyder¹

2013

Surgery

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“…The trephine colostomy technique does not allow easy identification of the colon segment, and differentiation between the proximal and distal ends of the sigmoid loop can be technically difficult (7,20,21).…”

Section: Discussionmentioning

confidence: 99%

“…Colorectal surgical procedures have been performed via minimally invasive techniques with increasing frequency (2). Although colostomy has traditionally required formal laparotomy, this procedure could be performed via an trephine, endoscopic or laparoscopic approach (3)(4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

Endoscopic colostomy with percutaneous colopexy: an animal feasibility study

et al. 2017

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Background: Indications for colostomy in colorectal diseases are obstruction of the large bowel, such as in cancer, diverticular disease in the acute phase, post-radiotherapy enteritis, complex perirectal fistulas, anorectal trauma and severe anal incontinence. Some critically ill patients cannot tolerate an exploratory laparotomy, and laparoscopic assisted colostomy also requires general anesthesia.Objective: To evaluate the feasibility, safety and efficacy of performing colostomy assisted by colonoscopy and percutaneous colopexy.Materials and methods: Five pigs underwent endoscopic assisted colostomy with percutaneous colopexy. Animals were evaluated in post-operative days 1, 2, 5 and 7 for feeding acceptance and colostomy characteristics. On day 7 full colonoscopy was performed on animals followed by exploratory laparotomy.Results: Average procedure time was 27 minutes (21-54 min). Postoperative mobility and feeding of animals were immediate after anesthesia recovery. Position of the colostomy, edges color, appearance of periostomal area, as well as its function was satisfactory in four animals. Retraction of colostomy was present in one pig. The colonoscopy and laparotomy control on the seventh day were considered as normal. A bladder perforation that was successfully repaired through the colostomy incision occurred in one pig. The main limitation of this study is its experimental nature.Conclusion: Endoscopic assisted colostomy with percutaneous colopexy proves to be a safe and effective method with low morbidity for performing colostomy in experimental animals, with possible clinical application in humans.

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Does trephine colostomy produce a satisfactory stoma?

Cited by 10 publications

References 4 publications

Trephine stoma: Outcomes in a single center

Trephine stoma: Outcomes in a single center

Trephine Ostomy: Safe and Simple

Endoscopic colostomy with percutaneous colopexy: an animal feasibility study

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