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At least 595 records · Page 33Linked to original sources
PubMed2004

[Intraoperative complications in performance of reconstruction-restoration interventions in patients, to whom one-barrel colostomy was constructed].

Results of performance of reconstruction-restoration operations in 208 patients with one-barrel colostomy were analyzed. Earlier operation according to Hartmann procedure modification was performed in 138 (66.3% +/- 3.3%) of them, operation according to Hartmann--in 70 (33.7% +/- 3.3%). There were elaborated and introduced: the method of the intestinal continuity restoration, and also of the colonic anastomosis formation. The most frequent complications during performance of reconstructive operations were: deserosation of small intestine and colon, dissect of the hollow organ lumen, hemorrhage from the small pelvis veins. Cicatricial changes and adhesions in abdominal cavity and cavity of small pelvis were the main causes of the complications occurrence, making the intestinal loops and the colonic stump mobilization difficult, disordering the topographoanatomic arrangement of organs.

Colostomy↗
PubMed2005

[Norwood procedure after colostomy; report of a case].

We encountered a baby who was diagnosed with anal atresia, interruption of aortic arch (type B), aortic stenosis, mitral stenosis, single atrium, large ventricular septal defects, aberrant origin right subclavian artery. We operated on him using the Norwood procedure after a colostomy. Aortic arch was reconstructed by interposing with an 8 mm graft and the right ventricular-pulmonary artery (RV-PA) conduit was chosen for pulmonary flow. We closed the sternum 6 days after the Norwood procedure. We extubated him 16 days after delayed sternal closure. There was no trouble with his stoma and no sign of infection. The postoperative echocardiography didn't show the finding which left pulmonary artery was stenotic, but the lung perfusion schintigraphy revealed an imbalance in the distribution of lung perfusion. He was discharged 70 days after undergoing the Norwood procedure.

Anastomosis, Surgical↗
PubMed2005

Alleviating debilitating, chronic constipation with colostomy after appendicostomy: a case study.

Severe chronic constipation is a debilitating condition. Patients not only experience infrequent bowel movements, but also are often frustrated by the sensation of incomplete evacuation; pain; straining; daily use of enemas; and continual concerns regarding diet, fluids, and medications. Diagnostic tests are performed to rule out organic causes of the condition. Common treatment options consist of dietary fiber supplementation, dietary instruction, adequate fluid intake, enemas, and laxatives; additional noninvasive management includes biofeedback training and botulinum toxin type A injections. Surgery is rarely recommended, although a select group of patients may benefit from antegrade continence enema procedure. A female patient presented with a history of long-standing constipation. When antegrade continence enema offered no improvement and other treatment measures failed, she underwent successful laparoscopic-assisted sigmoid resection and end colostomy. This approach may provide options for patients in similar circumstances.

Appendix↗
PubMed2006

[Colostomy as a cause of deviation colitis in a blind-ended bowel segment].

Two women aged 63 and 53 who had undergone colostomy for faecal incontinence, presented a few months later complaining of anal blood and mucous loss. On sigmoidoscopy, a previously healthy section of colorectum seemed to be inflamed. Local treatment with hydrocortisone and mesalazine and oral prednisolone did not relieve the symptoms. Subsequently the affected part of the colon was resected upon which the anal blood and mucous loss stopped. After a deviating stoma procedure, the colonic segment diverted from the faecal stream can develop signs of non-specific inflammation. The risk of colitis following the creation of a stoma is 0-50%. On systematic endoscopy 3-36 months following deviation, the risk of findings corresponding to deviation colitis is 50-100%. Symptoms are usually mild but can be so devastating that continuity of the faecal stream has to be restored or further resection is warranted.

Colitis↗
PubMed1992

A secure end colostomy technique.

A secure end colostomy technique preventing the common complications of intestinal prolapse and paracolostomy hernia is presented. Prosthetic mesh is fitted and secured to the intestine and the underside of the abdominal wall, giving considerable strength to the area and avoiding complications.

Colostomy↗
PubMedDate not supplied

[Surgical management of acute, malignant obstruction of the left colon with colostomy].

One-stage subtotal colectomy of an acutely obstructed left colon would improve quality of life while shortening the length of hospitalization. Prohibitive mortality rates, however, are ascribed to such an approach. Analyzing the Senior Author's experience we compared the one-stage approach versus the multi-stage resections concerning operative mortality and morbidity rates and the duration of hospitalization. Forty-nine of 291 (17%) large bowel cancers presented acute left-sided obstruction requiring emergency surgery. Colostomy alone was performed in 18 (37%), multi-stage colectomy in 20 (41%, Group A) and one-stage subtotal colectomy in 11 (22%, Group B, all of them after 1979), the years under scrutiny being from 1973 through Sept. 1990. Both groups were comparable in age and sex distribution, TNM staging and ASA classification. Operative mortality and morbidity rates were 10% and 30% in Group A, 9% and 18% in Group B, respectively. The average length of hospitalization was 21.25 days (14-30) in Group A, 9.18 days (7-14) in Group B. Whenever an experienced surgical team is available and in the absence of contra-indications (local factors precluding a swift dissection, hemodynamic instability, gangrenous bowel) a one-stage subtotal colectomy, taking advantage of a better healing ileo-sigmoid or ileo-rectal anastomosis, carries acceptable mortality and morbidity rates while enhancing the quality of life and shortening the length of hospitalization. It should be considered the choice procedure, provided selection requirements and technical demands are met. An evaluation of the Senior Author's team experience (1973-90) in the management of acutely obstructing left colon cancer (49/291 or 17%) provides information on multi-stage resections and one-stage subtotal colectomy (Group A and B) as regards operative mortality (10% in Group A, 9% in Group B) as well as length of hospitalization (21 days in Group A, 9 days in Group B).(ABSTRACT TRUNCATED AT 250 WORDS)

Acute Disease↗
PubMed1991

[Preparation of patients with double-channel and marginal colostomies for restorative treatment].

The data on restorative treatment of 215 patients with double-channel and terminal colostomy are analysed to determine the efficacy of total lavage of the gastrointestinal tract in preparation of patients for operation. Postoperative complications occurred in 52.4 +/- 3.8% of patients prepared by a diet, purgatives, and enemas and in 34 +/- 6.9% in those prepared by the method of total lavage of the gastrointestinal tract (p = 0.021). Neither suppuration of wounds nor incompetence of the restorative anastomosis occurred after lavage.

Colonic Diseases↗
PubMed1990

[Adenocarcinoma at the site of colostomy. Is it local recurrence or subsequent cancer?].

This paper presents on case of adenocarcinoma at the site of colostomy in a patient treated by abdominoperineal amputation five years earlier due to rectal cancer. The case raised the doubt as to whether the carcinoma represented a late, local recurrence or a second metachronic neoplasia. The most frequent location and pathogenesis of each were analyzed. The role of follow-up of these patients in detecting cases such as the one presented here are discussed.

Adenocarcinoma↗
PubMedDate not supplied

Colostomy irrigations: mechanism guidelines and considerations.

Colostomy irrigation is most often indicated for the control of bowel function in a select population of patients. Irrigation of an ostomy may also be necessary to prepare to bowel prior to surgery or diagnostic testing, to alleviate constipation or impaction or to relieve a food blockage at the fascial opening of an ileostomy. To achieve a successful outcome with irrigation procedures, the practitioner must carefully consider the anatomy and physiology of the intestine as well as appreciate the patient's history, physical capability and unique situation.

Colon↗
PubMed1989

[Use of mechanical staplers in colostomy].

The authors used the technique of Chung, slightly modified, to perform the end colostomy in five patients who underwent abdomino-perineal resection according to Miles for rectal carcinoma. The technique proved to be easy and quick. The results have been satisfactory, without complications such as infections, necrosis, stenosis, retraction or paracolostomy hernias.

Aged↗
PubMed1989

[Transpositioning of an abdominal colostomy to the perineum to form an intussuscepted artificial anus].

This article introduced a new method of transposition of permanent abdominal colostomy to perineum to form the intussuscepted artificial anus. Since May, 1982 to September, 1987, 10 cases of middle portion of rectal carcinoma had received this new operative method (repair failure of high unperforated anus 3, traumatic anus incontinence 4, post-miles' radical operation 3). The results of operative treatment of this new method were satisfactory. The operative procedures, peri and post-operative managements were introduced. The indication, evaluation of the operative designs and the preventive measures for complications were discussed.

Abdominal Muscles↗
PubMed1989

[Our experience in tailoring definitive terminal colostomies and in the follow-up of such patients].

Between January 1983 and July 31, 1988 at the 1st Division of General Surgery of Cuneo S. Croce Hospital, 57 patients (33 m, 24 f) were subjected to abdomino-perineal amputation for rectal A.D.K. A definitive colostomy was fashioned for all patients. Neostoma complications were encountered in 33% of cases. 91% of patients completed the rehabilitative programme and 40% saw satisfactory results as regards the regularisation of the alvus and return to social life.

Adult↗
PubMed1989

[Can chlorophyll reduce fecal odor in colostomy patients?].

The effect of 75 mg chlorophyll tablets thrice daily was studied in 28 colostomy patients. The investigation was carried out as a randomized, double-blind, cross-over study. The effect of chlorophyll did not differ from that of a placebo in the patients' subjective assessment of the unpleasant odour.

Adult↗
PubMed1986

End colostomy and Brooke's ileostomy constructed by surgical stapler.

A technique for making an end colostomy and a Brooke's ileostomy using the surgical stapler is described. The resulting stoma is geometrically perfect. No complication or wound infection occurred in a series of 26 stomas observed for up to ten months. The cost of the cartridge may be considered recovered if this technique decreases the operating time by 13 minutes.

Colostomy↗
PubMed1987

Defunctioning colostomy for perianal sepsis in acute leukaemia.

Perianal sepsis in patients with acute leukaemia is a life threatening complication which carries an extremely poor prognosis. The usual approach to this problem is simple incision and parenteral antibiotics but we have recently treated two patients with wide excision combined with a defunctioning colostomy which resulted in rapid and complete eradication of sepsis.

Abscess↗
PubMedDate not supplied

[Deodorant gaskets for colostomy patients].

The results of the experiments for the objective evaluation on a model system of the protective effect of deodorant gaskets on colostomy patients are given. It has been determined that the deodorant capacity of the above gaskets is more than two times higher than that of its "washer filter" analog manufactured by the foreign "Coloplast" company.

Colostomy↗