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At least 613 records · Page 34Linked to original sources
PubMed1977

[Animal studies on the construction of continent ileostomies and colostomies with the use of BioCarbon implants].

Ring-shaped implants of BioCarbon, a recently developed vitreous carbon polymer, were used for construction of continent ileostomies and colostomies in dogs. The stoma was fashioned by suture fixation of the intestine inside the ring, which was then placed subfascially in the abdominal wall. The exterior of the implant could be hermetically sealed with a screw cap. Implantation in 19 dogs performed so far showed a high rate of incorporation of BioCarbon devices.

Animals↗
PubMed1986

Perineal gangrene in the patient with granulocytopenia: the importance of early diverting colostomy.

Perirectal and perineal infections represent a life-threatening complication of hematologic diseases associated with granulocytopenia. Early and aggressive surgical management is essential. This should include hemodynamic support and monitoring, broad-spectrum antibiotics, wide surgical debridement, and a totally diverting colostomy. The prognosis of these infections parallels that of the underlying hematologic disease. Three patients seen on a university surgical service whose clinical management and course underscore these principles are presented.

Adolescent↗
PubMed1979

Avoidance of permanent colostomy in pelvic malignancy using the surgical stapler.

The potential for reducing the number of gynecologic oncology patients left with a permanent colostomy may be achieved by the use of the end-to-end anastomosis (EEA) automatic surgical stapler. This instrument allows a rectocolonic anastomosis at a very low level (below the levator muscles), which is very difficult and poorly performed by hand-suture techniques. This report presents the author's experience with 6 patients in whom a low rectocolonic anastomosis was performed with the EEA surgical stapler.

Adult↗
PubMed1979

Necessity for end colostomy with transection of the descending colon in guinea pigs.

Surgical procedures for resection and transection of the descending colon in the guinea pig were studied. Wedge resection with removal of less than 1 cm diameter of tissue resulted in an 80% (8 of 10 guinea pigs) survival rate. Colonic transection with restorative anastomosis, either end-to-end or side-to-side, resulted in a 94% (35 of 37 guinea pigs) death rate due to colonic impaction proximal to the site of anastomosis. A modified procedure for ventral end colostomy resulted in a 79% (19 of 24 guinea pigs) survival rate. These results indicated that caution should be taken in surgical manipulations intended to treat or study diseases of the colon in the guinea pig.

Animals↗
PubMed1984

A new technique of prolapse-free transverse colostomy.

With this technique, the colostomy loop emerges in the space between the linea alba and the right rectus muscle. These two tough structures act as gatekeepers and prevent prolapse of the intestine when there is a rise in the intra-abdominal pressure. The stoma is matured immediately. Small incisions and precision with the technique are essential in neonates.

Abdominal Muscles↗
PubMed1984

Peristomal hernia following end-colostomy: a conservative approach.

Available data from follow-up of 183 patients who survived abdominoperineal excision for cancer of the rectum are reviewed. Sixteen patients developed a peristomal hernia, but none required surgical correction for over 20 years of observation. An additional group of 50 long-survivors has been recently examined to verify whether our restrictive surgical indications are adequate. Seven of these patients presented with a hernia, but none suffered obstructive symptoms and surgery was judged unnecessary in every case. Thereby, in our view, the benign evolution of peristomal hernias support a conservative approach based on a confident observation, control of the diseases which increase the abdominal pressure, and hernia compression by a colostomy belt.

Colostomy↗
PubMed1984

[Principles of rehabilitation of colostomy patients].

The authors, after pointing out the number of enterostomized patients in the last years was more and more increasing, study all the repercussions of metabolic, functional and psychologic nature which are arising in the patients subjected to ultimate colostomy. Then, they describe the principles of a correct rehabilitative program for such patients, consisting in performing a correct colostimy and rigidly following hygienicodietetic rules. At last the authors, as a conclusion, affirm the rehabilitation, through the creation of proper centers with specialized staff, should also aim at the resolution of the remarkable psychologic problems affecting such patients, so as to have them reinserted in the social context they are coming from.

Colostomy↗
PubMedDate not supplied

Experience with the Erlangen magnetic ring colostomy-closure system.

The Erlangen magnetic ring for colostomy closure was used in 240 patients. Forty-five rings were explanted because of infection, pressure necrosis, parastomal hernia, invagination, prolapse and stenosis. Although continence was obtained in 68% of patients, only 43% of surviving patients are still using the system. Reasons given for not using the cap were pain and weight. Increased use of deep anterior resections and the introduction of irrigation and improved stoma bags have limited the indications for the use of the magnetic ring.

Colostomy↗
PubMed1978

A comparison of the open and closed methods of anastomosis for colostomy closure.

A transverse colostomy was performed in dogs and, later, closed by resection and anastomosis. Half the anastomoses were done by the open and half by the closed method. The anastomoses were evaluated by barium enema series and by gross and microscopic examination. All anastomoses functioned well, but barium enema series showed great variation in the lumina diameter. Results of histologic studies revealed evidence of more inflammation and reaction about the open method.

Animals↗
PubMed1981

A device for the control of colostomy prolapse.

A simple device to control colostomy prolapse can be made of easily available materials. Use of the device is not intended as a substitute for operation except when an operation is contraindicated. The device should be used as a temporary measure until an operation can be performed.

Aged↗
PubMed1980

[Change to continent colostomy with secondary sphincter transplant].

Intesive histological and biomechanical examinations have shown that the smooth muscles of the human gastrointestinal tract can be freely transplanted to take over the functions of a sphincter. In this study it has been shown how conventional colostomy can be converted into a continent one with the aid of a sphincter plasty. The operational technique, especially encircling the rectum, provides protection at the same time against prolapse of the anus praeternaturalis.

Colostomy↗
PubMed1981

Button colopexy for colostomy prolapse.

Prolapse of a colostomy is a common problem. Although rarely a significant risk to life, it does present serious problems for patient care and stomal function. Button colopexy can be done easily as an outpatient procedure and is best suited for those patients who are not candidates for more extensive revisions.

Anesthesia, Local↗
PubMed1995

[Rehabilitation of the colostomy patient].

The Authors report their experience concerning the rehabilitation of patients with temporary or definitive colostomy. Mechanical and psychosocial implications as well as different rehabilitative methods are discussed and literature data are reviewed. Surgery should play a major role in this rehabilitation programme, either in terms of prevention or definitive treatment; nonetheless only through a multidisciplinary approach these patients will achieve a better quality of life.

Aged↗
PubMed1994

[The application of stool excretion alarm systems in patients with permanent colostomies].

Type D16-2 stool excreation alarm system is applied to patients with colostomies. It helps the patient to control stool excreation. The alarm system consists of a probe and alarming parts. The probe is usually put 20 mm into the stoma. The pressure sensitivity of alarming part carried by waist varies from 0.48 to 1.49N/cm2. As the pressure arrives to a certain degree, it will alarm and patient can go to release the stool. 205 patients under the instruction of the nurse used this system and showed the alarm system was sensitive, easy to use and not interrupt patients' daily activities.

Colostomy↗
PubMed1976

The temporary colostomy.

The indications for a temporary transverse colostomy are examined in the light of a year's experience of the Stomatherapy Service at Groote Schuur Hospital. A surgical technique, which employs primary colocutaneous suture and which may be used in both emergency and elective situations, is described.

Abdomen↗
PubMed1994

End colostomy using stapling device.

Our experiences concerning the end colostomy using the stapling method are reported. The anvil which has been inserted to the proximal end of the colon and purse string suture with the skin is engaged the anvil shaft, and then, is fired. This operative procedure is simple, safe and convenient, and we can expect a uniform and satisfactory outcome. We applied this technique on 6 cases and have had no postoperative complications.

Adult↗