Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “COLOSTOMY”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 19 recordsLinked to original sources
PubMed1990

[Complications of colostomies and colostomy closure].

Three hundred and sixty patients underwent 369 colostomies over 7 years, 66 for benign and 303 for malignant disease, and were followed up for an average of 20 months. Stomas were made electively in 246 cases and urgently in 123. Thirty-seven stomas were brought out through incision and 332 from separate sites. End colostomy was made in 179 cases, loop colostomy in 136 and double barrel colostomy in 54. There were 102 complications in 85 patients (27.6%). The most common complication was wound infection (10.8%). The total number of complications was not related to the urgency of the procedure, the disease process, or the stoma site. Wound infection, however, increased in incisional stomas. Extraperitoneal tunneling of end colostomy did not decrease the complication rate of parastomal hernia or intestinal obstruction. Sixteen cases (4.3%) received another operation for complications. Eighty-five patients the colostomy closed on an average of 3.4 months after its creation. Four patients had 5 complications (5.9%). Two patients required another operation. Complications increased with Hartmann closures and may be related to the timing of the colostomy closure.

Adolescent↗
PubMed1996

Temporary colostomy in supralevator pelvic exenteration. A comparative study between stapled loop and loop colostomy.

A temporary loop colostomy is created in most patients undergoing total supralevator pelvic exenteration with low rectal anastomosis. We report 16 patients comparing two different types of loop colostomy. In half of them a normal loop colostomy was made and refashioning of the stoma was necessary in two patients because of faecal spillover in the presence of anastomotic leakage. In the other eight patients a functional terminal colostomy was created by application of a TA 55 stapler on the efferent loop. In this group no refashioning of the stoma was necessary and no difficulties were encountered on closure of this type of colostomy. Because of the high incidence of anastomotic leakage in this population, the stapled loop colostomy is the preferred method of choice because it eliminates any possible faecal spillover.

Adult↗
PubMed1987

Temporary colostomy for trauma. A new method to simplify colostomy closure.

A technique for construction of a functional loop colostomy is described for the management of colonic injuries in which complete fecal diversion is not required. The colostomy and mucous fistula are converted into a functional loop colostomy at the initial procedure and exteriorized through a single stoma. Subsequent colostomy closure is simplified. Intraperitoneal colostomy closure can usually be performed by mobilizing the colon at the stoma site without resorting to formal laparotomy.

Colon↗
PubMed1998

Does type of colostomy influence outcome of colostomy closure?

A retrospective analysis of 81 patients who had closure of colostomy over a 32-month period was carried out to establish factors affecting the outcome of this operation. Their ages averaged 27 years and there were 69 male patients. The sigmoid colon was the most common site and the loop colostomy was most frequently performed. The majority were closed 3 or more months after construction. Loop colostomy took significantly less time to close and patients were fed significantly earlier compared with the other types. Patients who underwent closure after Hartmann's procedure had the longest hospital stay. The complication rate was 12% and there was no mortality. Colostomy closures in this study had minimal complications and no mortality. The loop colostomy is as easy to close as it is to perform and results in shorter hospital stay.

Adolescent↗
PubMed1995

Colostomy tube: new device for a continent colostomy.

PURPOSE: This study describes a new device (the colostomy tubus) for potentially establishing continence in patients with a diverted bowel. METHODS: The device was used in an animal experiment on dogs. The period of wearing the device was from one day to an uninterrupted insertion period of eight months. The device was used on an end sigmoid colostomy (4 dogs) and on a specifically shaped pouch stoma (2 dogs), in which the results proved most favorable. RESULTS: There were no complications caused by the device itself. The colostomy tubus seems to be a safe method of creating a continent colostomy and causes no tissue lesions. It proved reliable to wear. CONCLUSION: The device seems reasonable for human use, and a trial is currently under way.

Animals↗
PubMed1995

Conversion of loop colostomy to end colostomy: is dismantling necessary?

Twelve patients who had previously undergone preliminary pelvic loop colostomy were treated by conversion of loop colostomy to end colostomy by alternative technique ie without dismantling of loop and conversion to end stoma. The results of this technique were compared with those of conventional procedure which was performed in ten patients. The new technique results in a 'mature' end colostomy in situ with little pain at the stoma site, no risk of retraction and lower risk of peristomal infection. We therefore recommend this procedure for all patients needing such conversion.

Colostomy↗
PubMed1986

The colostomy plug: a new disposable device for a continent colostomy.

A new disposable device for colostomy control is described. It is a two-piece system consisting of an adhesive base plate and a disposable colostomy plug, attachable to the plate. The plug is made of a soft, pliable plastic material with open cells, containing a carbon filter which allows flatus to pass odour-free. It is packed and compressed in a water-soluble film, which disintegrates immediately after insertion, allowing the plug to expand and prevent the passage of faeces. The device has been tested in 53 patients. Faecal continence and the passage of flatus without noise or odour was achieved in 90%. The median application period until the plug became obstructed with mucus or faeces was 8 h (range 5-24 h or more), the application period being somewhat longer for patients who used bowel irrigation. Patients not using bowel irrigation applied a colostomy bag during the night.

Adult↗
PubMedDate not supplied

["Ring" colostomy--technical artifice of over rod colostomy].

Out of the wish to immediately postoperatively apply the colostomy bags on a stoma, we invented a simple technical artifice allowing the colostomy opening and prosthetics in the operating room: the tube ends passed under the outside colon are united so that they form a ring above the loop that can be easily introduced in the colostomy bag.

Colostomy↗
PubMed1998

Seromuscular spiral cuff perineal colostomy: an alternative to abdominal wall colostomy after abdominoperineal excision for rectal cancer.

Seromuscular spiral cuff perineal colostomy may be an alternative to abdominal wall colostomy after abdomino-perineal excision. We present our initial experience with the procedure in 13 patients operated upon between March 1993 and December 1997. Patients undergoing abdomino-perineal excision for rectal cancer, under 65 years of age, without severe concomitant disease, and strongly motivated to comply with an intensive postoperative physiotherapy were selected. The neosphincter procedure comprised a pull-through of a sufficient length of well-vascularized colon, 12 cm of which was then cleared of fat. In this segment, the seromuscular layer was separated from the mucosa, cut into a longitudinal sheet and wrapped in spirals around the colon at its perineal insertion. One patient died from pulmonary embolism. A second patient suffered from ischemic necrosis of the distal colon and lost his neosphincter. Minor complications included one stenosis, corrected by surgery, and one iatrogenic lesion on rectoscopy at another institution. No patients experienced local recurrence, while four patients presented distant metastases. Initially, all patients suffered from incontinence. After 6 months, 6 of 11 evaluable patients showed total and 5 showed partial continence.

Abdominal Muscles↗
PubMed2006

Colostomy prolapse and hernia following window colostomy in congenital pouch colon.

Congenital pouch colon, a variant of anorectal malformation, is a rare anomaly with a high incidence in North India and although the anatomy and diagnostic features have been well described, the surgical treatment continues to be challenging. This report describes the complications following a less preferred but often practised surgical option-a temporizing window colostomy in three babies. A window colostomy predisposes to prolapse of the entire pouch colon with herniation of bowel loops, intestinal obstruction and failure to thrive. Depending on the state of the child, either a proximal diverting stoma or tubularization of the pouch with a terminal stoma is recommended as the procedure of choice for the initial surgical management of this complex and rare malformation.

Colon↗
PubMed1977

Colostomy and colostomy closure.

A series of 181 adult patients subjected to colostomy was studied, almost all of whom had disease rather than injury. The complication rate was 28 per cent. One hundred of these patients had a subsequent colostomy closure with a complication rate of 17 per cent. Of the patients who had both procedures, 35 (35 per cent) had one or more significant complications. The causes and prevention of these complications are described.

Adult↗
PubMed2002

Untreatable faecal incontinence: colostomy or colostomy and proctectomy?

PURPOSE: To determine the frequency of rectal symptoms and secondary proctectomy in patients undergoing elective permanent end sigmoid colostomy for faecal incontinence and determine risk factors. METHODS: A retrospective chart review of patients undergoing elective end sigmoid colostomy for faecal incontinence at St Mark's Hospital between January 1991 and December 1998. Patients were divided into three groups: A, symptoms leading to subsequent proctectomy; B, symptomatic but avoiding proctectomy; C, asymptomatic. RESULTS: There were 44 patients (80% women, average age 57 years): Group A 12 (27%); Group B 13 (30%); Group C 19 (43%). Group A were on average younger than Group C (45 years vs 64 years, P < 0.05). No other risk factor for symptoms or proctectomy was evident, and in particular a prior history of obstructed defaecation/anal digitation was not related. Only half the patients undergoing proctectomy had histological evidence of defunctioned proctitis in the resected rectum. CONCLUSIONS: Data are insufficient presently to recommend primary proctectomy in this group of patients (even if it were to be performed laparoscopically).

Journal Article↗