Metastatic testicular choriocarcinoma to the rectum requiring diverting colostomy

2021 ◽  
Author(s):  
Oliver v. Best ◽  
Lawrence H. C. Kim ◽  
Manish I. Patel
Keyword(s):  
Diverting Colostomy

Predictors of morbidity in patients undergoing diverting colostomy for non-healing sacral, perineal or ischial wounds

2016 ◽  
Vol 14 ◽  
pp. 12-15 ◽  
Author(s):  
Ashanthi M. Ratnasekera ◽  
Lisa Derr ◽  
Matthew J. Finnegan ◽  
David A. Berg
Keyword(s):  
Diverting Colostomy

scholarly journals Closure of a Recurrent Urethrovaginal Fistula in a Girl with Cloacal Anomaly Using Deflux Injection

2018 ◽  
Vol 06 (01) ◽  
pp. e52-e55 ◽  
Author(s):  
Hanan Said ◽  
Salahuddin Syed ◽  
Ali Zeinelabdeen ◽  
Mohamed Fayez
Keyword(s):  
Treatment Option ◽  
Bladder Neck ◽  
Open Surgery ◽  
Vesicovaginal Fistula ◽  
Urethrovaginal Fistula ◽  
Ureteric Reimplantation ◽  
Cloacal Anomaly ◽  
Diverting Colostomy

AbstractIn a girl born with cloaca, both hemivaginae and rectum were located above the bladder neck, and both ureters were connected to the hemivaginae. After diverting colostomy and cystovaginoscopy on the second day of life, the repair of cloaca was performed at 10 months of age by posterior sagittal anorecto vaginoplasty (PSARVP), including laparotomy and bilateral ureteric reimplantation. Eight months after the surgery, she developed a vesicovaginal fistula, which was repaired and closed by open surgery through the bladder. Three months after this procedure, a tiny urethrovaginal fistula was noticed, which was closed at the age of 2 years using hook diathermy to refresh the edges and was then closed by Deflux injection. The proper closure of the urethrovaginal fistula was confirmed by radiology and cystoscopy 3 months after the surgery. This report shows that injection of Deflux into a tiny urethrovaginal fistula following refreshing the edges may be a valid treatment option in selected cases.

Evidence-Based Management of Acute Malignant Colorectal Obstruction: Diverting Colostomy as a Bridge to Elective Surgery is a Valid Alternative

2018 ◽  
Vol 90 (4) ◽  
pp. 177-185 ◽  
Author(s):  
Eelco de Bree ◽  
D Michelakis ◽  
D Stamatiou ◽  
P Taflampas ◽  
M Christodoulakis
Keyword(s):  
Elective Surgery ◽  
Evidence Based ◽  
Colorectal Obstruction ◽  
Acute Malignant Colorectal Obstruction ◽  
Diverting Colostomy

scholarly journals Diverting colostomy induces mucosal and muscular atrophy in rat distal colon.

Gut ◽  
1994 ◽  
Vol 35 (9) ◽  
pp. 1275-1281 ◽  
Author(s):  
P Kissmeyer-Nielsen ◽  
H Christensen ◽  
S Laurberg
Keyword(s):  
Muscular Atrophy ◽  
Distal Colon ◽  
Rat Distal Colon ◽  
Diverting Colostomy

scholarly journals The Cost-Effectiveness of Colonic Stenting as a Bridge to Curative Surgery in Patients with Acute Left-Sided Malignant Colonic Obstruction: A Canadian Perspective

2006 ◽  
Vol 20 (12) ◽  
pp. 779-785 ◽  
Author(s):  
Harminder Singh ◽  
Steven Latosinsky ◽  
Brennan MR Spiegel ◽  
Laura E Targownik
Keyword(s):  
Cost Effectiveness ◽  
Colonic Obstruction ◽  
Cost Effective ◽  
Therapeutic Modality ◽  
Curative Surgery ◽  
Resective Surgery ◽  
Colonic Stenting ◽  
Canadian Perspective ◽  
Colorectal Cancer Patients ◽  
Diverting Colostomy

BACKGROUND: Over the past several years, colonic stenting has been advocated as an alternative to the traditional surgical approach for relieving acute malignant left-sided colonic obstruction. The aim of the present study was to determine the most cost-effective strategy in a Canadian setting.PATIENTS AND METHODS: A decision analytical model was developed to compare three competing strategies: CS – emergent colonic stenting followed by elective resective surgery and reanastomosis; RS – emergent resective surgery followed by creation of either a diverting colostomy or primary reanastomosis; and DC – emergent diverting colostomy followed by elective resective surgery and reanastomosis. The costs were estimated from the perspective of the Manitoba provincial health plan.RESULTS: The use of CS resulted in fewer total operative procedures per patient (mean CS 1.03, RS 1.32, DC 1.9), lower mortality rate (CS 5%, RS 11%, DC 13%) and lower likelihood of requiring a permanent stoma (CS 7%, RS 14%, DC 14%). CS is slightly more expensive than DC, but less costly than RS (DC $11,851, CS $13,164, RS $13,820). The incremental cost-effectiveness ratio associated with the use of CS versus DC is $1,415 to prevent a temporary stoma, $1,516 to prevent an additional operation and $15,734 to prevent an additional death.CONCLUSIONS: Colonic stenting for patients with acute colonic obstruction secondary to a resectable colonic tumour is comparable in cost with surgical options, and reduces the likelihood of requiring both temporary and permanent stomas. Colonic stenting should be offered as the initial therapeutic modality for Canadian colorectal cancer patients presenting with acute obstruction as a bridge to definitive RS.

scholarly journals Minimally invasive approach to low-velocity penetrating extraperitoneal rectal trauma

2020 ◽  
Vol 5 (1) ◽  
pp. e000396
Author(s):  
Megan Melland-Smith ◽  
Tyler R Chesney ◽  
Shady Ashamalla ◽  
Fred Brenneman
Keyword(s):  
Minimally Invasive ◽  
New Technologies ◽  
Primary Repair ◽  
Standard Of Care ◽  
Rectal Disease ◽  
Low Velocity ◽  
Invasive Approach ◽  
Rectal Trauma ◽  
Rectal Injuries ◽  
Diverting Colostomy

Unlike intraperitoneal colorectal injuries, the standard of care for extraperitoneal rectal trauma includes a diverting colostomy due to relative inaccessibility of these injuries for primary repair. New technologies to enhance access to the extraperitoneal rectum have gained increasing use in benign and malignant rectal disease. We present two cases of low-velocity penetrating extraperitoneal rectal trauma. In both cases, a transanal minimally invasive surgery (TAMIS) approach was used to access, and primarily repair, full-thickness rectal lacerations. These patients were successfully managed without a colostomy and without complication. TAMIS enables access to distal rectal injuries, facilitating primary repair and bringing the management of extraperitoneal rectal injuries in line with intraperitoneal injuries, with the potential to avoid fecal diversion.

Effect of diverting colostomy on collagen metabolism in the colonic wall

1985 ◽  
Vol 149 (3) ◽  
pp. 419 ◽  
Author(s):  
Diller B. Groff
Keyword(s):  
Collagen Metabolism ◽  
Colonic Wall ◽  
Diverting Colostomy

Effect of diverting colostomy on breaking strength of anastomoses after resection of the left side of the colon

1985 ◽  
Vol 149 (6) ◽  
pp. 712-715 ◽  
Author(s):  
Peter Blomquist ◽  
Hasse Jiborn ◽  
Bengt Zederfeldt
Keyword(s):  
Breaking Strength ◽  
Diverting Colostomy

scholarly journals Treatment of Complete Anal Stricture after Diverting Colostomy for Fournier’s Gangrene

2017 ◽  
Vol 2017 ◽  
pp. 1-3
Author(s):  
Kenji Okumura ◽  
Tadao Kubota ◽  
Kazuhiro Nishida ◽  
Alan Kawarai Lefor ◽  
Ken Mizokami
Keyword(s):  
Soft Tissues ◽  
Fournier’S Gangrene ◽  
Colostomy Closure ◽  
Anal Stenosis ◽  
Fournier's Gangrene ◽  
Anal Stricture ◽  
Internal Hemorrhoids ◽  
Old Japanese ◽  
History Of ◽  
Diverting Colostomy

Background. Anal stenosis is a rare but serious complication of anorectal surgery. Severe anal stenosis is a challenging condition. Case Presentation. A 70-year-old Japanese man presented with a ten-hour history of continuous anal pain due to incarcerated hemorrhoids. He had a history of reducible internal hemorrhoids and was followed for 10 years. He had a fever and nonreducible internal hemorrhoids surrounding necrotic soft tissues. He was diagnosed as Fournier’s gangrene and treated with debridement and diverting colostomy. He needed temporary continuous renal replacement therapy and was discharged on postoperative day 39. After four months, severe anal stenosis was found on physical examination, and total colonoscopy showed a complete anal stricture. The patient was brought to the operating room and underwent colostomy closure and anoplasty. He recovered without any complications. Conclusion. We present a first patient with a complete anal stricture after diverting colostomy treated with anoplasty and stoma closure. This case reminds us of the assessment of distal bowel conduit and might suggest that anoplasty might be considered in the success of the colostomy closure.

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