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PubMed1983

[Controllable colostomy following abdomino-peritoneal extirpation of the rectum].

Abdominoperineal extirpation of the rectum and formation of a controlled artificial sphincter were performed in 74 cases, following research conducted in 1978-1981. An artificial sphincter was formed from a fascial-muscular flap of musculus adductor magnus of the thigh in 35 cases; a magnetic ring was implanted in 39 cases. Indications for both surgical procedures and technical details are discussed. The good long-term functional results point to the effectiveness of the said procedures of surgical rehabilitation of cases of extirpation of the rectum.

Abdominal Muscles↗
PubMedDate not supplied

[Medical management of colostomies in children].

The author presents his experience in 17 colostomized patients, 15 from high anorectal malformation and 2 from Hirschsprung's disease. He mentions the methods followed to prevent incrustations of the skin, stenosis and prolapse of the colic mouths. the same as the perforation, eventration and evisceration in this type of operations; he stresses the psychological management of the parents and warns pediatricians and pediatric surgeons to keep in mind that the child is a socio-psycho-biological unit. Finally, he reports with this type of management.

Aftercare↗