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PubMed1993

A detailed colostomy procedure and its application to quantify water and nitrogen balance and urine contribution to thermobalance in broilers exposed to thermoneutral and heat-distressed environments.

A surgical procedure for the separation of avian urinary and fecal excrement, in birds as young as 3.5 wk of age, was developed and used to quantify ambient temperature effects on urine production and composition. The colostomized broilers were used in two experiments to estimate urine production, osmolality, and contribution to water, nitrogen, and thermobalance of birds exposed to thermoneutral (24 C, TN) and heat-distressed (35 C, HD) environments. Urine production averaged over three 12-h periods was greater (P < .05), at 101 versus 51 mL/12 h per kilogram of BW and osmolality lower (P < .05) at 142 versus 220 mOsm/kg urine during HD and TN, respectively, in Experiment 1; and averaged over one 12-h period 82 versus 32 mL/12 h per kilogram of BW and 136 versus 208 mOsm/kg in Experiment 2 for HD and TN, respectively. In Experiment 1, urine production per milliliter of water consumed was increased (P < .05) by HD during Periods 2 and 3 even though in both experiments the values were similar during the first 12 h. Both urinary nitrogen and osmolar losses were increased (P < .05) by 50 and 89.2%, respectively, during HD, but without effect on fecal nitrogen. Evaporative cooling of broilers was increased (P < .05) by 154% during HD. These studies provide a well-defined colostomy procedure and suggest that broiler urine production and composition as well as overall thermobalance, water, and nitrogen balance are strongly impacted by acute HD.

Animals↗
PubMedDate not supplied

A simplified procedure for creating a urinary conduit in patients with a colostomy.

A simplified procedure for constructing a urinary conduit is described in patients who have already undergone fecal diversion with colostomy. Two patients are described in whom this method was utilized to create a urinary conduit without the need for an intestinal anastomosis. This procedure is especially suited to high-risk surgical candidates with comorbid medical conditions, multiple previous surgical procedures or prior pelvic radiotherapy in whom avoiding an intestinal anastomosis can significantly reduce postoperative morbidity. This simplified method for creating a urinary conduit is described in two patients and discussed as related to alternative methods for establishing supravesicular urinary diversion.

Adenocarcinoma↗
PubMed1996

Colostomies and their management.

This article describes the common types of colostomy and outlines the basic principles of management. It relates to UKCC professional development category: Care enhancement.

Colostomy↗
PubMed1998

Colostomy.

Undergoing surgery for a colostomy and coming to terms with the resulting change in body image can be a traumatic time for patients. This update examines the pre- and postoperative care that nurses should provide.

Body Image↗
PubMedDate not supplied

[Portal hypertension and enterostomy: a dangerous combination. Colostomy-induced varices as a rare cause of gastrointestinal hemorrhage. Report of a case and review of the literature].

Variceal bleeding from enterostomy in an unusual complication of portal hypertension. The hemorrhage can be managed in most patients with local measures, but if these manouvres fail, surgical procedures may be required. Treatment options include pressure dressings, stomal revision or disconnection, suture or ligation of stomal varices, bowel resection, and porto-systemic shunting. Recently sclerotherapy and percutaneous transhepatic embolization have been reported. A case of ectopic varices in the site of colostomy complicated by recurrent hemorrhage is described and the therapeutic option utilized is discussed with review of Literature to assess the efficacy of the various treatment options.

Aged↗
PubMed1976

Colostomates' reactions to hospitalization and colostomy surgery.

Six patients having colostomy surgery on an emergency or urgent basis were observed during the morning care period for the entire length of hospitalization. The primary purpose of this clinical study was to provide nurses with information on new colostomates' behaviors which have implications for nursing care during hospitalization and in planning for discharge. The evidence presented strongly suggests that colostomates' reactions and behaviors reflect their struggling with catastrophic events, the resolution of which is not reached by discharge. Colostomates are unique because of the nature of their surgery and the specific learning needs entailed, plus the skill, time, and money required to provide care. Yet their anxieties, fears, affects, the nature of their information-seeking and goal-setting, their efforts to deal with reality by controlling imput, and the ways in which they seek help and socialize, are all themes common among other groups of patients experiencing stress as the result of sudden illness or injury.

Aged↗
PubMed1999

[Sugerbaker technique in para-colostomy hernia. An analysis of personal experiences].

Paracolostomy hernias represent the most common complication after colostomy surgery occurring in approximately 30% of all patients. The need for operation, however, emerges in only 20% of the hernias becoming symptomatic with pain, difficulties in stoma care, bowel obstruction and cosmetic problems. Due to their often huge size the repair is technically difficult and frequently accompanied by complications and recurrence. The method of intraperitoneal mesh repair and lateralisation of the colon presented by Sugarbaker 1980 offers not only the advantages of sufficient strengthening of the ventral abdominal wall even in big hernias and of an aseptic technique but also the chance of simultaneous treatment of other hernias. We present 9 patients with large paracolostomy hernias operated on according to Sugarbaker. In three patients we delt with a recurrence of a paracolostomy hernia. Three patients suffered additionally from an incisional hernia, one from an umbilical hernia and another one from an inguinal hernia. The hernial orifice was usually closed with a 30 x 20 cm Gore patch. All patients (6 males, 3 females, median age 63 years) tolerated the operation well which lasted as a mean 240 min. In the follow-up we saw two recurrences one of them being small, asymptomatic and without tendency to enlargement. In conclusion we can say that a considerable improvement was achieved in 89% of our patients after surgery performed in the herein presented way. We esteem this method a good option in a situation with otherwise poor alternatives.

Aged↗
PubMed2001

Ileostomy and colostomy support groups.

The first organized ostomy support group in the world was formed at The Mount Sinai Hospital, in 1950, through the efforts of a surgeon and the patients themselves. Later, similar groups were set up in other locations and some even took the name of Mount Sinai's first such society (QT). These groups had two major functions: Psychological: reassurance and understanding from other ostomates before and after the operation; advice on how to deal with oneself and others. Educational: instruction on the details of stoma management; information for surgeons on the proper location and other details of fashioning a stoma; information to the public on the existence and needs of ostomates. In order to extend services to more people and with more individual attention, a special clinic was established at The Mount Sinai Hospital devoted entirely to patients with ileostomy and colostomy. It too was the first of its kind anywhere. Years later, two surgeons arranged an all-day convention of the ostomy groups in the greater New York City, New Jersey, and Connecticut areas, at the New York Academy of Medicine. At the convention, the idea of a national society was conceived. In the following years - in Detroit, then Cleveland, and finally Los Angeles - the United Ostomy Association was developed, structured, and incorporated. The educational uses of the ostomy groups were later supplemented and partly replaced by enterostomal therapists who originally were trained and practiced in Cleveland. Now the therapists, the societies, and the ostomates themselves are available to patients with various types of stomas, whether recent or longstanding, before and after surgery.

Academic Medical Centers↗
PubMed2000

[Methods of inversion closure of transient colostomy].

The method of inversive excision of colostomy, securing access to noninflamed tissues of intestine and pericolostomic region for consequent suturing made in accordance to requirements. While using the method purulent-inflammatory complications had occurred in less than 5% of patients and insufficiency of anastomotic sutures--in 3.4%.

Adult↗
PubMed1975

[Complications following colostomy closure --resection or extraperitoneal closure?].

At the Surgical Clinic of the University Erlangen-Nürnberg 213 colostomies in the period between 1961 and 1971 have been closed. In 88 patients an extraperitoneal procedure and in 125 patients a resection was performed. We recommend resection, because complications (first of all leakage) have been observed less often than in the extraperitoneal method.

Age Factors↗
PubMed2000

[Pseudocontinent colostomy - comparative experimental study].

The possibilities of smoothmuscle sphincteroplastic have been researched experimentally at 29 mongrel dogs. Six types smoothmuscle plastics have been studied--a method of Feodorov and Odariuc, a method of Musiani, a pylor as a sphincter, an own operative method in three versions. A comparatively research upon a functional fitness of the offered plastics and Schmidt's method has been done. The level of intraluminal pressure into the precolostomy segment of colon and a functional status of the taken out colostomy have been compared. The reliable lower level of intraluminal compression has been established (p < 0.05), using longitudinal muscle as a plastic material. The intraluminal pressure into the end segment of colon has been sustained raised, permanently, due to the tonus of circular muscle in to the transplant's wall. The degree of intraluminal compression seems to be directly proportional to the volume of stretching of smoothmuscle transplant (p < 0.001). There has been done a conclusion, that the smoothmuscle plastic gives operative-technical possibilities for raising of intraluminal pressure by changing the volume of stretching of the transplant.

Anal Canal↗
PubMedDate not supplied

[Use of ileostomy and colostomy as temporal derivation in colorectal surgery].

A retrospective study on 41 patients with primary stoma creation after low anterior resection of the rectum was made. Among the 41 patients 24 had a loop colostomy (Group A) and 17 had a loop ileostomy (Group B). The two groups were well matched for each of the data analysed and there was no significant difference in the rate of complications related to stomas creation and closure. In this study the Authors suggest that loop ileostomy is the best procedure to electively defunctionate colorectal anastomoses.

Adenocarcinoma↗
PubMed2002

[Temporal decompressive laparoscopy-assisted colostomy].

Morphofunctional changes in intestinal wall above the obstruction were studied experimentally in 112 rats with low intestinal obstruction. Treatment with antioxidants and lasertherapy was developed. After removal of obstruction this complex permits to eliminate its negative local and general consequences 1.5 times faster than without it. Laparoscopic decompressive colostomy was performed in 65 patients with sub- and decompensated colonic obstruction. The developed therapeutic scheme was included in combined treatment before surgery. There were no lethal outcomes, purulent-inflammatory complications were seen in 24 (39.6%) patients.

Colonic Diseases↗
PubMed1976

Massive hemorrhage from ileostomy and colostomy stomas due to mucocutaneous varices in patients with coexisting cirrhosis.

Enterostomal varices have been recognized as a cause of serious recurrent hemorrhage in patients with portal hypertension secondary to cirrhosis. Most often the varices at the mucocutaneous junction are the source of the hemorrhage. Three patients--two with hemorrhages from ileostomies and one with hemorrhages from a colostomy--are presented. Local measures have proved successful in controlling hemorrhages. Occasionally direct pressure alone will prove sufficient; more often the bleeding varix will need ligation. Complete revision of the enterostomy under local anesthesia can effect total disruption of the protal-systemic shunt and temporarily can eliminate local hemorrhage. Surgically created portasystemic shunts may be considered in good risk patients in order to eliminate hemorrhage from the stomal varices. Palliative local measures, however, remain the treatment of choice in the high-risk, cirrhotic patient who is unlikely to survive a major operation.

Colostomy↗
PubMedDate not supplied

Is temporary loop colostomy of the right transverse colon appropriate for complete obstruction by colorectal cancer?

We experienced 12 consecutive cases of complete bowel obstruction due to primary colorectal cancer. Among these patients, temporary loop colostomy (loop C) was performed within the resection zone for the primary tumor in 10 cases, and Hartmann's operation was performed in two cases. The loop C was located in the sigmoid colon in five cases and on the left side of the transverse colon in five cases. The interval until radical resection was from 13 to 35 days (mean: 20 days), the duration of surgery was from 2 h 5 min to 4 h 55 min (mean: 4 h 7 min), and the length of resected bowel ranged from 22.5 cm to 51.2 cm (mean: 29.8 cm). Mild wound infection was observed in two cases. Dukes' clinical stage was as follows: A in 0 case, B in 5 cases, C in 6 cases and D (distant metastasis) in 1 case. We have achieved good results over the past two years without performing standard loop C on the right side of the transverse colon.

Adenocarcinoma, Mucinous↗
PubMed1992

[Loop colostomy in patients with cancer of the colon and rectum].

At the clinic of Scientific Research Institute of Proctology, Ministry of Public Health of Armenia, in 97 patients with complicated cancer of the colon and rectum, a two-barrel loop colostomy was created for the recent 10 years. Use of intraperitoneal method contributed to 3-fold decrease in incidence of postoperative purulent complications. Irrigation of a tumour site with antibacterial preparations in perifocal inflammation of colonic cancer together with carrying out the complex antibacterial therapy permits to perform the radical operations.

Adult↗
PubMed1992

Laparoscopic sigmoid colostomy for perianal Crohn's disease.

Fecal stream diversion is not an uncommonly used procedure in the treatment of symptomatic Crohn's disease of the rectum. We present a case report of a patient with documented Crohn's proctitis with multiple rectovaginal and perianal fistulas; an end sigmoid colostomy was performed as part of the management of her disease.

Adult↗
PubMed2004

Loop colostomy without a rod.

Loop colostomy is traditionally prevented from retracting into the peritoneal cavity by a rod or other supporting device. The rod can be safely replaced by a single suture. The technique facilitates fitting of the ostomy bag and eliminates the need to remove the supporting element later on.

Colostomy↗