Trephine Colostomy: Minimally Invasive Stoma Technique
Journal Title: Journal of Advances in Medicine and Medical Research - Year 2016, Vol 15, Issue 7
Abstract
Aims: Stoma is an important part of surgical management of numerous malignant or benign anorectal diseases and anorectal injuries. This can be performed without recourse to laparatomy. This study was aimed to assess the outcome of trephine to loop sigmoid colostomy creation. Study Design: The retrospective study included 18 patients who underwent trephine colostomy due to various conditions including Fournier’s gangrene, inoperable anorectal cancer, recto-vaginal fistula, fecal incontinence, and rectal injury. Place and Duration of Study: Izmir Katip Celebi University Ataturk Training and Research Hospital, Department of Surgery between January 2005 and January 2015. Methodology: The retrospective study included 18 patients who underwent trephine colostomy. Demographic characteristics, primary pathology for colostomy decision, length of hospital stay, anesthesia technique, and early period surgical complications at 3 months were recorded. Results: Patients comprised 11 males and 7 women with a mean age of 53±5 years. The indications for stoma formation were Fournier’s gangrene in 8 cases, inoperable anorectal cancer in 3 cases, high recto-vaginal fistula in 2 cases, fecal incontinence in 3 cases and rectal injury in 2 cases. Regional anesthesia was performed in 12 and general anesthesia in 6 cases. Only one patient (5.6%) had stricture of the stoma. There were no other complications and no additional morbidity and mortality related to TS technique. Conclusion: Trephine stoma is a relatively simple, safe and rapid procedure and an effective alternative to colostomy formation without laparotomy indications.
Authors and Affiliations
Erdinc Kamer, Fevzi Cengiz, Ahmet Er, Turan Acar, Nihan Acar, Yeliz Yilmaz, Mehmet Haciyanli
Keywords
Related Articles
- EP ID EP341424
- DOI 10.9734/BJMMR/2016/25187
- Views 79
- Downloads 0
Prevalence of Chronic Kidney Disease in Relatives of Patients with Advanced Renal Disease in a Nigerian Tertiary Hospital
Genetic predisposition plays a key role in many forms of Chronic Kidney Disease (CKD). Family members of patients with advanced renal disease have been reported to have an increased prevalence of CKD. We sought to invest...
Comparison of the Partec CyScope® Rapid Diagnostic Test with Light Microscopy for Malaria Diagnosis in Rural Tole, Southwest Cameroon
Introduction/Aim: Malaria is a major public health problem and can lead to fatal consequences within few days if not diagnosed and promptly treated. The aim of this study was to determine the malaria parasite prevalence...
The Recognition of Locomotive Syndrome in 2014: A Cross-Sectional Study in the Orthopeadic Outpatients in Tokyo
Background: To prevent locomotor dysfunction, the Japanese Orthopaedic Association (JOA) proposed the concept of locomotive syndrome (LS) in 2007, and has carried out numerous campaigns to increase the awareness of LS. W...
Neurocysticercosis and Psycho-Social Trauma
Aims: This paper describes a patient with neurocysticercosis who presented with psychotic features that related to his experiences of civil unrest in Rwanda. Study Design: A review of the literature on neurocysticercosis...
Molecular Detection of Group A Rotavirus in Children under Five in Urban and Peri-urban Arusha, Tanzania
Background: Rotavirus gastroenteritis is the leading cause of severe diarrhea in children under the age of five years worldwide. However, very little information is available on Rotavirus status in Tanzania. Aims: The...