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Perineal colostomy: an alternative to avoid permanent abdominal colostomy: operative technique, results and reflection
BACKGROUND: The most common injury to indicate definitive stoma is rectal cancer. Despite advances in surgical treatment, the abdominoperineal resection is still the most effective operation in radical treatment of malignancies of the distal rectum invading the sphincter and anal canal. Even with al...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Colégio Brasileiro de Cirurgia Digestiva
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743214/ https://www.ncbi.nlm.nih.gov/pubmed/25626931 http://dx.doi.org/10.1590/S0102-67202014000400004 |
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author | da SILVA, Alcino Lázaro HAYCK, Johnny DEOTI, Beatriz |
author_facet | da SILVA, Alcino Lázaro HAYCK, Johnny DEOTI, Beatriz |
author_sort | da SILVA, Alcino Lázaro |
collection | PubMed |
description | BACKGROUND: The most common injury to indicate definitive stoma is rectal cancer. Despite advances in surgical treatment, the abdominoperineal resection is still the most effective operation in radical treatment of malignancies of the distal rectum invading the sphincter and anal canal. Even with all the effort that surgeons have to preserve anal sphincters, abdominoperineal amputation is still indicated, and a definitive abdominal colostomy is necessary. This surgery requires patients to live with a definitive abdominal colostomy, which is a condition that modify body image, is not without morbidity and has great impact on the quality of life. AIM: To evaluate the technique of abdominoperineal amputation with perineal colostomy with irrigation as an alternative to permanent abdominal colostomy. METHOD: Retrospective analysis of medical records of 55 patients underwent abdominoperineal resection of the rectum with perineal colostomy in the period 1989-2010. RESULTS: The mean age was 58 years, 40 % men and 60 % women. In 94.5% of patients the indication for surgery was for cancer of the rectum. In some patients were made three valves, other two valves and in the remaining no valve at all. Complications were: mucosal prolapse, necrosis of the lowered segment and stenosis. CONCLUSION: The abdominoperineal amputation with perineal colostomy is a good therapeutic option in the armamentarium of the surgical treatment of rectal cancer. |
format | Online Article Text |
id | pubmed-4743214 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Colégio Brasileiro de Cirurgia Digestiva |
record_format | MEDLINE/PubMed |
spelling | pubmed-47432142016-02-24 Perineal colostomy: an alternative to avoid permanent abdominal colostomy: operative technique, results and reflection da SILVA, Alcino Lázaro HAYCK, Johnny DEOTI, Beatriz Arq Bras Cir Dig Original Article BACKGROUND: The most common injury to indicate definitive stoma is rectal cancer. Despite advances in surgical treatment, the abdominoperineal resection is still the most effective operation in radical treatment of malignancies of the distal rectum invading the sphincter and anal canal. Even with all the effort that surgeons have to preserve anal sphincters, abdominoperineal amputation is still indicated, and a definitive abdominal colostomy is necessary. This surgery requires patients to live with a definitive abdominal colostomy, which is a condition that modify body image, is not without morbidity and has great impact on the quality of life. AIM: To evaluate the technique of abdominoperineal amputation with perineal colostomy with irrigation as an alternative to permanent abdominal colostomy. METHOD: Retrospective analysis of medical records of 55 patients underwent abdominoperineal resection of the rectum with perineal colostomy in the period 1989-2010. RESULTS: The mean age was 58 years, 40 % men and 60 % women. In 94.5% of patients the indication for surgery was for cancer of the rectum. In some patients were made three valves, other two valves and in the remaining no valve at all. Complications were: mucosal prolapse, necrosis of the lowered segment and stenosis. CONCLUSION: The abdominoperineal amputation with perineal colostomy is a good therapeutic option in the armamentarium of the surgical treatment of rectal cancer. Colégio Brasileiro de Cirurgia Digestiva 2014 /pmc/articles/PMC4743214/ /pubmed/25626931 http://dx.doi.org/10.1590/S0102-67202014000400004 Text en http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License, which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article da SILVA, Alcino Lázaro HAYCK, Johnny DEOTI, Beatriz Perineal colostomy: an alternative to avoid permanent abdominal colostomy: operative technique, results and reflection |
title | Perineal colostomy: an alternative to avoid permanent abdominal
colostomy: operative technique, results and reflection |
title_full | Perineal colostomy: an alternative to avoid permanent abdominal
colostomy: operative technique, results and reflection |
title_fullStr | Perineal colostomy: an alternative to avoid permanent abdominal
colostomy: operative technique, results and reflection |
title_full_unstemmed | Perineal colostomy: an alternative to avoid permanent abdominal
colostomy: operative technique, results and reflection |
title_short | Perineal colostomy: an alternative to avoid permanent abdominal
colostomy: operative technique, results and reflection |
title_sort | perineal colostomy: an alternative to avoid permanent abdominal
colostomy: operative technique, results and reflection |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4743214/ https://www.ncbi.nlm.nih.gov/pubmed/25626931 http://dx.doi.org/10.1590/S0102-67202014000400004 |
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