13,395 results match your criteria colostomy

Outcome and Timing of Ostomy Reversal Surgery for Diverticular Disease in Veterans Administration Hospitals.

Am Surg 2021 Aug 4:31348211034764. Epub 2021 Aug 4.

Department of Surgery, 19986Washington DC. Veterans Affairs Medical Center, Washington, DC, USA.

Background: Veterans undergoing elective surgery for diverticular disease have an ostomy creation rate of 18%. The purpose of this study was to analyze the outcomes and timing of ostomy reversal surgery, perioperative complications, and differences between colostomy and ileostomy reversal outcomes.

Methods: A retrospective review of the Veterans Affairs Surgical Quality Improvement Project (VASQIP) database was performed. Read More

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Case Report: A Case Series of Rare High-Type Anorectal Malformations With Perineal Fistula: Beware of Urethral Involvement.

Front Surg 2021 15;8:693587. Epub 2021 Jul 15.

Department of Paediatric Surgery, KK Women's and Children's Hospital, Singapore, Singapore.

Anorectal malformations (ARMs) are one of the more common congenital anomalies encountered in pediatric surgery where the majority are diagnosed in the early neonatal period. The etiology of ARM remains uncertain and is likely to be multifactorial. A majority of ARMs result from abnormal development of the urorectal septum in early fetal life. Read More

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Transverse Colostomy Differs in Outcomes Compared to Sigmoid Colostomy: A Cohort Analysis.

J Invest Surg 2021 Aug 1:1-5. Epub 2021 Aug 1.

Division of Colorectal Surgery, University Surgical Cluster, National University Hospital, National University Health System, Singapore.

Purpose: Our aim was to identify any differences in outcomes following transverse versus sigmoid colostomy creation for management of cancer.

Methods: Transverse and sigmoid colostomies are used to manage cancer-related complications including obstruction, perforation, and fistulation. The decision to use either colostomy is largely based on the surgeon's preference and the location of the cancer complication. Read More

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Dual energy CT in necrotizing enterocolitis; a novel diagnostic approach.

Turk J Med Sci 2021 Aug 2. Epub 2021 Aug 2.

Background/aim: Necrotizing enterocolitis (NEC) is one of the most important causes of morbidity and mortality in premature infants. Although there are no specific diagnostic tools, the main factors affecting prognosis are clinical and laboratory findings, and early diagnosis and treatment. In this study, we demonstrate the importance of dual-energy computed tomography (DECT) in confirming intestinal ischemia in neonates with NEC. Read More

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A semi-Markov model comparing the lifetime cost-effectiveness of mesh prophylaxis to prevent parastomal hernia in patients undergoing end colostomy creation for rectal cancer.

Colorectal Dis 2021 Jul 31. Epub 2021 Jul 31.

The CIPHER study group investigators.

Aim: Parastomal hernia (PSH) is a common problem following colostomy. Using prophylactic mesh during end colostomy creation may reduce PSH incidence, but concerns exist regarding the optimal type of mesh, potential long-term complications, and cost-effectiveness of its use. We evaluated the cost-effectiveness of mesh prophylaxis to prevent PSH in patients undergoing end colostomy for rectal cancer. Read More

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Simultaneous Endoscopic Management of Urethral Duplication and Postposterior Sagittal Anorectoplasty Urethral Diverticulum in a Boy with Anorectal Malformation.

J Indian Assoc Pediatr Surg 2021 May-Jun;26(3):200-202. Epub 2021 May 17.

Department of Paediatric Surgery, Maulana Azad Medical College, Associated Lok Nayak Hospital, New Delhi, India.

We report a case of urethral duplication with high anorectal malformation (ARM). A 12-year-old boy who had undergone transverse colostomy on day 2 of life and posterior sagittal anorectoplasty (PSARP) for ARM (rectobulbar fistula) at 8 years and also had urinary dribbling from a midscrotal opening in addition to normal voiding, presented with recurrent urinary tract infections and dysuria. Midscrotal dribbling had continued postoperatively. Read More

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A 77-Year-Old Man with a Pulse Granuloma of the Descending Colon Identified by Fluorodeoxyglucose-Positron Emission Tomography (FDG-PET) Imaging 19 Months Following Surgical Resection for Rectal Carcinoma.

Am J Case Rep 2021 Jul 29;22:e932153. Epub 2021 Jul 29.

Department of Surgery, Seirei Hamamatsu General Hospital, Hamamatsu, Shizuoka, Japan.

BACKGROUND Food particles may sometime lodge in the intestinal wall, resulting in a granuloma. Pulse granuloma is associated with the seed of a legume and has a characteristic appearance on histology. This report describes a case of pulse granuloma of the descending colon identified by fluorodeoxyglucose-positron emission tomography (FDG-PET) imaging. Read More

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Predicting life with a permanent end colostomy- a prospective study on function, bother and acceptance.

Colorectal Dis 2021 Jul 27. Epub 2021 Jul 27.

Department of Surgery, SSORG - Scandinavian Surgical Outcomes Research Group, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden.

Aim: The factors that influence a patient's experience of a colostomy are not known. The aim was to characterise stoma function, stoma-related bother and acceptance among patients operated for rectal cancer and to investigate if there were any preoperative personal factors with predictive impact on long-term stoma-related bother.

Methods: The QoLiRECT (Quality of Life in RECTal cancer) study is a prospective multicentre study of patients with rectal cancer. Read More

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Reversal of left-sided colostomy utilizing single-port laparoscopy a multicenter European audit and overview of the literature.

Surg Endosc 2021 Jul 26. Epub 2021 Jul 26.

Department of Surgery, Elisabeth-TweeSteden Hospital, Hilvarenbeekseweg 60, 5022GC, Tilburg, The Netherlands.

Background: Stoma reversal surgery can result in considerable morbidity and even mortality. Feasibility of utilizing single-port laparoscopy through the stoma fenestration have been shown before. Aim of the present observational study is to evaluate multicenter experiences of single-port reversal of left-sided colostomy (SPRLC) throughout Europe and to provide an overview of available literature on this topic. Read More

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The safety of surgical technique for ileostomy and colostomy in preventing parastomal hernias: an in vitro experimental simulation study.

Peter C Ambe

Patient Saf Surg 2021 Jul 26;15(1):26. Epub 2021 Jul 26.

Department of General Surgery, Visceral Surgery and Coloproctology, Vinzenz-Pallotti-Hospital Bensberg, Vinzenz-Pallotti-Str. 20-24, Bensberg, 51429, Germany.

Background: Parastomal hernia (PH) is a common long-term complication in persons with an ostomy. Although the cause of PH may be multifactorial, the surgical technique employed for the creation of a stoma may be a risk factor for the development of PH. The traditional technique of cruciate fascia incision may predispose to increased pressure zones at the ostomy exit site, thereby increasing the risk of PH. Read More

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Metachronous Carcinoma at the Colostomy Site After Abdominoperineal Resection of Rectal Cancer.

Ann Coloproctol 2021 Jul 27. Epub 2021 Jul 27.

Department of Surgery, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea.

Metachronous carcinoma at the colostomy site is very rare after abdominoperineal resection. A 53-year-old male patient underwent an abdominoperineal resection 6 years earlier for rectal cancer developed metachronous carcinoma at the site of stoma. A portion of the colon, including the stoma and the surrounding skin, was resected and a new stoma was created in the transverse colon. Read More

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Long-term outcome of indwelling colon observed seven years after radical resection for rectosigmoid cancer: A case report.

World J Clin Cases 2021 Jul;9(19):5252-5258

Department of Gastrointestinal Surgery, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.

Background: Indwelling colon is characterized by an excluded segment of the colon after surgical diversion of the fecal stream with colostomy so that contents are unable to pass through this part of the colon. We report a rare case of purulent colonic necrosis that occurred 7 years after surgical colonic exclusion.

Case Summary: A 73-year-old male had undergone extended radical resection for rectosigmoid cancer. Read More

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Effects of comprehensive care on psychological emotions, postoperative rehabilitation and complications of colorectal cancer patients after colostomy.

Am J Transl Res 2021 15;13(6):6889-6896. Epub 2021 Jun 15.

General Surgery, The Fourth Hospital of Changsha Changsha 410006, Hunan Province, China.

Objective: This study aimed to explore the impacts of comprehensive care on psychological emotion, postoperative rehabilitation and complications of colorectal cancer patients after colostomy.

Methods: From August 2018 to February 2020, a total of sixty colorectal cancer patients undergoing colostomy in our hospital were collected and randomly assigned to a control group to receive conventional care and a research group to receive comprehensive care, with 30 patients in each group. The two groups of patients were compared for postoperative recovery, complications, adverse psychological emotions, self-care ability, quality of life, and nursing satisfaction. Read More

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The influence of predictive nursing on the emotions and self-management abilities of post-colostomy rectal cancer patients.

Am J Transl Res 2021 15;13(6):6543-6551. Epub 2021 Jun 15.

Intensive Care Unite, The First Affiliated Hospital of University of South China Hengyang 421001, Hunan Province, China.

Objective: This study aimed to explore the influence of predictive nursing on the emotions and self-management abilities of post-colostomy rectal cancer patients.

Methods: From March 2017 to October 2019, 130 patients with rectal cancer were recruited as the study cohort and placed into a predictive group (the PG) (n=80) that underwent predictive nursing or a normal group (the NG) (n=50) that underwent routine nursing. After the intervention, the operative indications, self-care abilities, nutritional indicators, mental health, postoperative recovery, complications, and nursing satisfaction of the two groups were compared. Read More

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Intra-abdominal desmoid-type fibromatosis successfully resected using laparoscopic fluorescence imaging with indocyanine green after intersphincteric resection for rectal cancer.

Asian J Endosc Surg 2021 Jul 24. Epub 2021 Jul 24.

Department of Gastrointestinal Surgery, Osaka General Medical Center, Osaka, Japan.

Successful resection of intra-abdominal tumors using indocyanine green (ICG) fluorescence imaging has not been reported. Here, we report a rare case of an intra-abdominal desmoid-type fibromatosis successfully resected using this technique after intersphincteric resection (ISR) for rectal cancer. One year after ISR for rectal cancer in a 47-year-old man, computed tomography showed a 50-mm intra-abdominal tumor near the left common iliac vein. Read More

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Hospital variation in sphincter-preservation rates in rectal cancer treatment: results of a population-based study in the Netherlands.

BJS Open 2021 Jul;5(4)

Department of Surgery, Radboud University Medical Centre, Nijmegen, The Netherlands.

Background: This study aimed to examine the sphincter-preservation rate variations in rectal cancer surgery. The influence of hospital volume on sphincter-preservation rates and short-term outcomes (anastomotic leakage (AL), positive circumferential resection margin (CRM), 30- and 90-day mortality rates) were also analysed.

Methods: Non-metastasized rectal cancer patients treated between 2009 and 2016 were selected from the Netherlands Cancer Registry. Read More

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A rare case of intussusception through a prolapsed end colostomy.

J Surg Case Rep 2021 Jul 19;2021(7):rjab319. Epub 2021 Jul 19.

Department Surgery, Trinity Centre for Health Sciences, St. James's Hospital and Trinity College Dublin, Dublin 8, Ireland.

Intussusception through a prolapsed end colostomy is amongst the rarest of stoma complications. In this case report, we discuss the therapeutic approach to this complication and provide an update of the existing literature. A 66-year-old male presented with a prolapsed colostomy that was ischaemic in appearance. Read More

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Neoadjuvant chemotherapy followed by radical surgery in locally advanced vulvar carcinoma: a single-institution experience.

Tumori 2021 Jul 21:3008916211027627. Epub 2021 Jul 21.

Gynaecologic Oncology Surgical Unit, Obstetrics and Gynaecology Department, ASST-Monza, San Gerardo Hospital, Monza, Lombardia, Italy.

Background: Squamous cell carcinoma of the vulva is a rare malignancy that affects elderly women. About one-third of vulvar cancers are diagnosed in an advanced stage, requiring extensive surgery. Neoadjuvant chemotherapy (NACT) has been introduced to reduce local tumor burden. Read More

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Total Transperineal Laparoscopic Proctectomy for the Treatment of Crohn's Proctitis.

Dis Colon Rectum 2021 Aug 2. Epub 2021 Aug 2.

Department of Surgery, Division of Colorectal Surgery, University of Massachusetts, Worcester, Massachusetts.

Introduction: Completion proctectomy is traditionally performed using a combination of abdominal and perineal approaches. Access to and exposure of the pelvis through the abdominal cavity can be limited in patients with prior surgery or inflammatory conditions. We describe a novel technique for a total transperineal approach for proctectomy for Crohn's proctitis, avoiding technical challenges, risks, and recovery associated with abdominal surgery. Read More

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The SYSTEMIC Project: A Pilot Study to Develop a Registry of Patients With an Ostomy for Predictive Modeling of Outcomes.

Wound Manag Prev 2021 Apr;67(4):24-34

Health Professional Management Service of the University Hospital of Padova, Padova, Italy.

Background: Stomal and peristomal skin complications represent a significant burden on the physical and psychological well-being of patients.

Purpose: To develop a predictive tool for identifying the risk of complications in patients following ostomy surgery.

Methods: The oStomY regiSTry prEdictive ModelIng outCome (SYSTEMIC) project was developed to improve patient-oriented outcomes. Read More

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Anorectal Malformation with Rectovestibular Fistula and Vaginal Agenesis: Usage of Rectovestibular Fistula as a Neovagina Followed by PSARP with Preservation of the Anal Sphincter.

European J Pediatr Surg Rep 2021 Jan 12;9(1):e51-e55. Epub 2021 Jul 12.

Department of Pediatric Surgery, National Children Hospital and Vinmec International Hospital, Hanoi, Vietnam.

Anorectal malformation with rectovestibular fistula associated with vaginal agenesis is rare. We report on a child in whom this combination was diagnosed at the age of 1 year. After creation of a divided descending colostomy, we chose to leave the rectum-rectovestibular fistula to function as a neovagina, while the sigmoid colon was relocated via modified posterior sagittal anorectoplasty. Read More

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January 2021

Perforated colorectal cancers: clinical outcomes of 18 patients who underwent emergency surgery.

Prz Gastroenterol 2021 4;6(2):161-165. Epub 2021 Jun 4.

Clinic of General Surgery, Ali Osman Sönmez Oncology Hospital, Bursa, Turkey.

Introduction: Although colon cancer perforations are rare among acute abdominal syndromes, it is a clinical picture with high mortality that requires urgent treatment.

Aim: In this study, the clinical results of patients who were operated in emergency conditions due to colorectal cancer perforation were evaluated.

Material And Methods: The data of 18 patients treated for colorectal cancer perforation in our clinic between February 2014 and February 2017 were retrospectively reviewed. Read More

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[Surgical treatment of rectovaginal fistula with vaginal rectangular flap].

Khirurgiia (Mosk) 2021 (7):5-11

Ryzhikh National Medical Research Centre for Coloproctology, Moscow, Russia.

Objective: To evaluate the early and long-term outcomes of rectovaginal fistula closure with vaginal rectangular flap.

Material And Methods: There were 61 patients with rectovaginal fistula for the period 2012-2020. Median age of patients was 35 years [31; 48]. Read More

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High-Intensity vs Low-Intensity Knowledge Translation Interventions for Surgeons and Their Association With Process and Outcome Measures Among Patients Undergoing Rectal Cancer Surgery.

JAMA Netw Open 2021 Jul 1;4(7):e2117536. Epub 2021 Jul 1.

Institute of Health Policy, Management, and Evaluation, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Importance: Surgeon-directed knowledge translation (KT) interventions for rectal cancer surgery are designed to improve patient measures, such as rates of permanent colostomy and in-hospital mortality, and to improve survival.

Objective: To evaluate the association of sustained, iterative, integrated KT rectal cancer surgery interventions directed at all surgeons with process and outcome measures among patients undergoing rectal cancer surgery in a geographic region.

Design, Setting, And Participants: This quality improvement study used administrative data from patients who underwent rectal cancer surgery from April 1, 2004, to March 31, 2015, in 14 health regions in Ontario, Canada. Read More

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Colonic metastasis from hepatocellular carcinoma after treated by ablation and transarterial chemoembolization manifested by intestinal obstruction: A case report and review of the literature.

J Cancer Res Ther 2021 Jul;17(3):814-817

Department of Interventional Ultrasound, Chinese PLA General Hospital, Beijing 100853, China.

Hepatocellular carcinoma (HCC) with gastrointestinal tract metastasis is a rare condition. Recently, we encountered one case of HCC with direct invasion to the colon, which was manifested by intestinal obstruction. The patient was an 86-year-old man who underwent multiple transarterial chemoembolization and microwave ablation treatment for HCC lesions for 10 years. Read More

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Prophylactic Funnel Mesh to Prevent Parastomal Hernia in Permanent End Colostomy: A Retrospective Cohort Study.

Colorectal Dis 2021 Jul 15. Epub 2021 Jul 15.

Department of General, Visceral, Endocrine and Transplant Surgery, Cantonal Hospital of St. Gallen, St. Gallen, Switzerland.

Aim: This study assessed the impact of a prophylactic, 3D funnel-shaped intraperitoneal mesh on the rate of parastomal hernia after abdominoperineal rectum resection with permanent end colostomy.

Material And Methods: Data from 76 patients receiving permanent end colostomy after abdominoperineal rectum resection between 2013 and 2018 were collected retrospectively. Occurrences of parastomal hernia and reoperation rate due to parastomal hernia in patients with and without a prophylactic mesh were compared by univariate, multivariate, and propensity score-adjusted analyses. Read More

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A novel bowel rehabilitation programme after total mesorectal excision for rectal cancer: the BOREAL pilot study.

Colorectal Dis 2021 Jul 15. Epub 2021 Jul 15.

Colorectal Unit, Department of Digestive Surgery, Haut-Lévêque Hospital, Bordeaux University Hospital, Pessac, France.

Aim: Low anterior resection syndrome (LARS) following sphincter-preserving surgery for rectal cancer has a high prevalence, with an impact on long-term bowel dysfunction and quality of life. We designed the bowel rehabilitation programme (BOREAL) as a proactive strategy to assess and treat patients with LARS. The BOREAL programme consists of a stepwise approach of escalating treatments: medical management (steps 0-1), pelvic floor physiotherapy, biofeedback and transanal irrigation (step 2), sacral nerve neuromodulation (step 3), percutaneous endoscopic caecostomy and anterograde enema (step 4) and definitive colostomy (step 5). Read More

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Parestomal hernia repair. Prospective observational study based on the Spanish Registry of Incisional Hernia (EVEREG).

Cir Esp (Engl Ed) 2021 Jul 9. Epub 2021 Jul 9.

Servicio de Cirugía General, Hospital Universitari del Mar, Departament de Cièncias Experimentals i de la Salut, Universitat Pompeu Fabra, Barcelona, Spain.

Introduction: The results of parastomal hernia (PH) repair based on data from registries are scarce. The objective of this work is to analyze the data collected on PH in the National Registry of Incisional Hernia (EVEREG) and thus evaluate current practices and results in PH repair.

Methods: Data from the PH cohort recorded in the period from July 2012 to June 2018 are analyzed. Read More

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Quality of Life and Sexual Function of Men Who Have Sex With Men Treated for Anal Cancer: A Prospective Trial of a Neglected Population.

J Sex Med 2021 Jul 9. Epub 2021 Jul 9.

Department of Radiology and Oncology - Faculdade de Medicina FMUSP, Universidade de Sao Paulo, Sao Paulo, Brazil; Hospital Sírio-Libanês, São Paulo, Brazil.

Background: Anal cancer is a rare disease, more prevalent in women. Men who have sex with men (MSM) are a high-risk neglected population.

Aim: The primary objective was to assess quality of life (QoL) and sexual function (SxF) among MSM treated with radical chemoradiation for anal cancer. Read More

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Challenge and Outcome for the Prostate Squamous Cell Carcinoma Which Developed 8 Years after Low-Dose-Rate Brachytherapy Approached by a Combined Multimodal Treatment with High-Dose-Rate Interstitial Brachytherapy, External Beam Radiation Therapy, and Chemotherapy.

Case Rep Oncol 2021 May-Aug;14(2):854-860. Epub 2021 Jun 11.

Department of Urology, Kyoto Prefectural University of Medicine, Kyoto, Japan.

Prostate squamous cell carcinoma (pSCC) rarely develops as a secondary cancer after treatment with low-dose-rate brachytherapy (LDR-BT). There is no established effective treatment for the disease condition. Herein, we present a 78-year-old man who developed pSCC 8 years after LDR-BT. Read More

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