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Colostomy reversal

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https://www.readbyqxmd.com/read/27863343/acrometastasis-following-colorectal-cancer-a-case-report-and-review-of-literature
#1
Kozar Agha, Khalid Akbari, Syed Husain Abbas, Simon Middleton, Daniel McGrath
INTRODUCTION: Colorectal cancer commonly metastasises to the liver, peritoneum and lungs. Bony metastases are uncommon in colorectal cancer and in particular metastases to the hands or feet (acrometastasis) are an extremely rare occurrence. CASE PRESENTATION: A 65-year-old male with a colonic malignancy underwent elective anterior resection. Intra-operatively he was found to have a pelvic collection necessitating an end colostomy. Histology confirmed complete Dukes B tumour excision with no evidence of lymph node metastases...
November 10, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27828857/protection-of-low-rectal-anastomosis-with-a-new-tube-ileostomy-using-a-biofragmentable-anastomosis-ring-a-retrospective-study
#2
Liming Liu, Qi Huang, Jialiang Wang, Quanning Chen, Rui Lin, Bujun Ge
A temporarily defunctioning stoma, while effective at reducing symptomatic anastomotic leakage after low anterior resection (LAR) of rectal cancer, and its subsequent closure, is associated with significant morbidity. Here, we devised a new tube ileostomy using a biofragmentable anastomosis ring (TIB) with no need for reversal.This is a retrospective cohort study. From June 2011 to March 2015, TIBs were performed on 31 consecutive patients with mid- or low-rectal cancer who underwent elective laparoscopic LARs...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27710988/outcome-of-loop-versus-divided-colostomy-in-the-management-of-anorectal-malformations
#3
Osama Ibrahim Almosallam, Ali Aseeri, Saud Al Shanafey
BACKGROUND: Colostomy is a common part of the management of high anorectal malformation (ARM) in the pediatric population. OBJECTIVE: To evaluate whether the type of colostomy (loop vs divided) has an impact on outcome in patients with ARM. DESIGN: A retrospective study. SETTING: King Faisal Specialist Hospital and Research Center, a tertiary care center. PATIENTS AND METHODS: All patients who were managed with colostomy for ARM and had definitive repair during the period of January 2000 to December 2014...
September 2016: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/27668078/local-repair-of-stoma-prolapse-case-report-of-an-in%C3%A2-vivo-application-of-linear-stapler-devices
#4
Margaret M Monette, Rodney T Harney, Melanie S Morris, Daniel I Chu
INTRODUCTION: One of the most common late complications following stoma construction is prolapse. Although the majority of prolapse can be managed conservatively, surgical revision is required with incarceration/strangulation and in certain cases laparotomy and/or stoma reversal are not appropriate. This report will inform surgeons on safe and effective approaches to revising prolapsed stomas using local techniques. PRESENTATION OF CASE: A 58 year old female with an obstructing rectal cancer previously received a diverting transverse loop colostomy...
November 2016: Annals of Medicine and Surgery
https://www.readbyqxmd.com/read/27492376/-prophylactic-meshes-in-the-abdominal-wall-german-version
#5
F E Muysoms, U A Dietz
BACKGROUND: There is a high incidence of incisional hernias in specific high-risk patient populations. For these patients, the prophylactic placement of mesh during closure of the abdominal wall incision has been investigated in several prospective studies. OBJECTIVE: This article aims to summarize and synthetize the currently available evidence on prophylactic meshes in a narrative review. MATERIALS AND METHODS: Systematic reviews were performed on the use of prophylactic meshes in different indications: midline laparotomies, stoma reversal wounds, and permanent stoma...
September 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27460229/prophylactic-meshes-in-the-abdominal-wall
#6
F E Muysoms, U A Dietz
BACKGROUND: There is a high incidence of incisional hernias in specific high-risk patient populations. For these patients, the prophylactic placement of mesh during closure of the abdominal wall incision has been investigated in several prospective studies. OBJECTIVE: This article aims to summarize and synthetize the currently available evidence on prophylactic meshes in a narrative review. MATERIALS AND METHODS: Systematic reviews were performed on the use of prophylactic meshes in different indications: midline laparotomies, stoma reversal wounds, and permanent stoma...
July 26, 2016: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/27450347/neonate-with-imperforate-anus-and-meconium-streak-along-the-penile-shaft
#7
Robbie Hurtt, Christopher Bean, David Sawaya, Edwin Harmon
We present a neonatal male with a rectopenile fistula in the setting of imperforate anus. Reported cases of fistulae exiting on the penile shaft are exceedingly rare. The patient had a diverting colostomy performed within the first 48 hours of life and imaging later revealed no communication with the urinary tract. At 4 months of age the child was brought to the operative suite for penile exploration and posterior sagittal anorectoplasty. The patient's colostomy was reversed 4 months later. We discuss the embryology and management of imperforate anus as well as literature review...
July 20, 2016: Urology
https://www.readbyqxmd.com/read/27395762/the-impact-of-surgeon-volume-on-colostomy-reversal-outcomes-after-hartmann-s-procedure-for-diverticulitis
#8
Christopher T Aquina, Christian P Probst, Adan Z Becerra, Bradley J Hensley, James C Iannuzzi, Katia Noyes, John R T Monson, Fergal J Fleming
BACKGROUND: Colostomy reversal after Hartmann's procedure for diverticulitis is a morbid procedure, and studies investigating factors associated with outcomes are lacking. This study identifies patient, surgeon, and hospital-level factors associated with perioperative outcomes after stoma reversal. METHODS: The Statewide Planning and Research Cooperative System was queried for urgent/emergency Hartmann's procedures for diverticulitis between 2000-2012 in New York State and subsequent colostomy reversal within 1 year of the procedure...
November 2016: Surgery
https://www.readbyqxmd.com/read/27358511/the-reversal-of-stoma-following-open-abdomen-management
#9
Fahri Yetişir, AkgünEbru Şarer, H Zafer Acar, Erdinç Çiftciler
Bowel stoma formation is very often required during open abdomen (OA) management; we aim to report our stoma reversal series following OA management retrospectively. A retrospective analysis of 31 patients who underwent the reversal of the stoma created during OA management between January 2008 and September 2014 was performed. Twenty-eight of these 31 patients were included in this study. The stoma-related complications are more common after OA management during waiting time interval for reversal. At this time interval, patients with jejunostomy had more stoma-related complications than patients with ileostomy (p = 0...
June 2016: Indian Journal of Surgery
https://www.readbyqxmd.com/read/27084900/evisceration-of-the-small-bowel-through-a-perforated-and-prolapsed-sigmoid-colon-an-unusual-presentation-of-rectal-prolapse
#10
Arshad Ahmad, Suresh Kumar, Abhinav Arun Sonkar, Sanjeev Kumar
Spontaneous prolapse of the sigmoid colon and evisceration of the small bowel through a rupture in the rectosigmoid is a rare presentation. We report a case of a 60-year-old man presenting with massive small bowel evisceration through a perforation in a prolapsed sigmoid colon. The patient had a 2-year history of rectal prolapse. He was also incontinent for flatus and liquid stool. There was no other significant medical history. After reduction of the small intestine, a large perforation was seen in the prolapsed sigmoid colon...
2016: BMJ Case Reports
https://www.readbyqxmd.com/read/27075662/laparoscopic-reversal-of-hartmann-procedure-is-it-safe-and-feasible
#11
Alessandra Lucchetta, Nicolò De Manzini
The Hartmann procedure (HP) consists of a sigmoidectomy followed by a terminal colostomy in the left iliac fossa and closure of the rectal stump. Although done as a temporary procedure, up to 74 % of patients will not have stoma reversal with subsequent negative impact on the quality of life. A literature search was performed using MEDLINE (PubMed), The Cochrane Library, and Google Scholar, and the articles from January 2000 until December 2015, edited in English, Italian and French, prospective or retrospective, were analyzed...
March 2016: Updates in Surgery
https://www.readbyqxmd.com/read/26994768/transabdominal-sacrocolpopexy-with-autologous-rectus-fascia-graft
#12
Nitya Abraham, Adrienne Quirouet, Howard B Goldman
INTRODUCTION AND HYPOTHESIS: Extrusion and infection are potential postoperative complications when using synthetic mesh for abdominal sacrocolpopexy. Long-term follow-up in the Colpopexy and Urinary Reduction Efforts (CARE) trial revealed an estimated 9.9 % risk of mesh extrusion. There are 26 reports of spondylodiscitis after sacrocolpopexy with synthetic mesh. These surgical risks may be decreased by using autologous fascia. To date, there have been no reports of extrusion or spondylodiscitis after using autologous fascia for sacrocolpopexy...
August 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/26852146/race-and-socioeconomic-disparities-in-national-stoma-reversal-rates
#13
Syed Nabeel Zafar, Navin R Changoor, Kibileri Williams, Rafael D Acosta, Wendy R Greene, Terrence M Fullum, Adil H Haider, Edward E Cornwell, Daniel D Tran
BACKGROUND: Many temporary stomas are never reversed leading to significantly worse quality of life. Recent evidence suggests a lower rate of reversal among minority patients. Our study aimed to elucidate disparities in national stoma closure rates by race, medical insurance status, and household income. METHODS: Five years of data from the Nationwide Inpatient Sample (2008 to 2012) was used to identify the annual rates of stoma formation and annual rates of stoma closure...
April 2016: American Journal of Surgery
https://www.readbyqxmd.com/read/26814336/management-of-a-giant-perineal-condylomata-acuminata
#14
Evelyn Hemper, Mathias Wittau, Johannes Lemke, Marko Kornmann, Doris Henne-Bruns
A condylomata acuminata infection is caused by human papillomaviridae (HPV). This sexually transmitted condition most often affects the perineal region. Importantly, infections with types 16 and 18 are associated with an increased risk for anal and cervix cancer. In most cases topical therapy is sufficient for successfully treating condylomata acuminata. Here, we report the case of a 51-year old patient who suffered from a giant perianal located condylomata acuminata which had developed over a period of more than 10 years...
2016: GMS Interdisciplinary Plastic and Reconstructive Surgery DGPW
https://www.readbyqxmd.com/read/26793492/management-of-a-case-of-severe-pelvic-fracture-related-bladder-trauma
#15
Jeremy B Myers, James M Hotaling, William O Brant, Toby M Enniss
A 62-year-old male was admitted after being struck by a bus. He sustained a severe pelvic fracture, sigmoid colon injury, and both intraperitoneal and extraperitoneal bladder injury. He underwent initial successful bladder repair. However, at 7 days post-operatively he manifested a leak from the repair and urine was evident coming from the pins of his pelvic external fixator. A repeat cystogram showed massive extravasation, which was managed by operative ligation of the lower ureters and placement of percutaneous nephrostomy tubes...
March 2015: Urology Case Reports
https://www.readbyqxmd.com/read/26788240/transperineal-approach-to-complex-rectourinary-fistulae
#16
Henry Tran, Ryan Flannigan, Daniel Rapoport
INTRODUCTION: We sought to present our experience and outcomes in patients with complex rectourethral fistulae (RUF) treated using the transperineal approach with gracilis muscle flap interposition. Complex RUF was defined as having prior radiation, failed repair attempts, and large size (>2 cm). METHODS: A retrospective review identified 10 patients presenting with complex RUF between July 2009 and November 2013. Three were excluded due to large fistula defects managed with urinary diversion...
November 2015: Canadian Urological Association Journal, Journal de L'Association des Urologues du Canada
https://www.readbyqxmd.com/read/26769786/outcomes-after-kidney-injury-in-surgery-oaks-protocol-for-a-multicentre-observational-cohort-study-of-acute-kidney-injury-following-major-gastrointestinal-and-liver-surgery
#17
MULTICENTER STUDY
(no author information available yet)
INTRODUCTION: Acute kidney injury (AKI) is associated with increased morbidity and mortality following cardiac surgery. Data focusing on the patterns of AKI following major gastrointestinal surgery could inform quality improvement projects and clinical trials, but there is a lack of reliable evidence. This multicentre study aims to determine the incidence and impact of AKI following major gastrointestinal and liver surgery. METHODS AND ANALYSIS: This prospective, collaborative, multicentre cohort study will include consecutive adults undergoing gastrointestinal resection, liver resection or reversal of ileostomy or colostomy...
January 14, 2016: BMJ Open
https://www.readbyqxmd.com/read/26736162/incidence-of-ostomy-site-incisional-hernias-after-stoma-closure
#18
Stephen P Sharp, Jacquelyn K Francis, Brian T Valerian, Jonathan J Canete, A David Chismark, Edward C Lee
This study sought to evaluate the incidence of ostomy site incisional hernias after stoma reversal at a single institution. This is a retrospective analysis from 2001 to 2011 evaluating the following demographics: age, gender, indication for stoma, urgent versus elective operation, time to closure, total follow-up time, the incidence of and reoperation for stoma incisional hernia, diabetes, postoperative wound infection, smoking status within six months of surgery, body mass index, and any immunosuppressive medications...
December 2015: American Surgeon
https://www.readbyqxmd.com/read/26463313/outcomes-of-colostomy-reversal-in-a-public-safety-net-hospital-the-end-or-beginning-of-a-new-problem
#19
Nadir Adam, Shahrzad Rahbar, Ruby Skinner
Colostomy reversals can be technically challenging and linked to significant morbidity. There is sparse evidence that evaluates outcomes after colostomy reversals performed by acute care surgeons. We performed a review of 61 colostomy reversals from January 2011 to January 2014. Colostomies for acute diverticulitis were predominate, n = 32 (52%). Traumatic colorectal injuries were n = 15, 25 per cent. Colorectal cancer was n = 8, 13 per cent. Sigmoid volvulus accounted for n = 2 cases. Abdominal sepsis from adhesions was n = 3...
October 2015: American Surgeon
https://www.readbyqxmd.com/read/26423412/transanal-hartmann-reversal-a-new-technique
#20
R Bravo, M Fernández-Hevia, M Jiménez-Toscano, L F Flores, B de Lacy, S Quaresima, A M Lacy
BACKGROUND: Hartmann procedure consists in a sigmoidectomy followed by a terminal colostomy. However, the stoma is associated with complications and suboptimal quality of life, so the restoration of colonic continuity should be, at least, considered in any case. Open restoration has been associated with significant morbidity and mortality; therefore, many authors have described the advantages of laparoscopic Hartmann reversal. We want to go a step further showing our experience using a combined laparoscopic and transanal approach in an attempt to improve the surgical technique...
June 2016: Surgical Endoscopy
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