45 results match your criteria colostomy well-known


Temporary Diverting End-Colostomy in Critically Ill Children with Severe Perianal Wound Infection.

Adv Skin Wound Care 2021 Jun;34(6):322-326

At the Ankara University School of Medicine, Turkey, Emrah Gün, MD, is Fellow, Department of Pediatric Critical Care Medicine; Tanil Kendirli, MD, is Professor, Department of Pediatric Critical Care Medicine; Edin Botan, MD, is Fellow, Department of Pediatric Critical Care Medicine; Halil Özdemir, MD, is Associate Professor, Department of Pediatric Infectious Disease; Ergin Çiftçi, MD, is Professor, Department of Pediatric Infectious Disease; Kübra Konca, MD, is Fellow, Department of Pediatric Infectious Disease; Meltem Koloğlu, MD, is Professor, Department of Pediatric Surgery; Gülnur Göllü, MD, is Associate Professor, Department of Pediatric Surgery; Özlem Selvi Can, MD, is Associate Professor, Department of Pediatric Anesthesia; Ercan Tutar, MD, is Professor, Department of Pediatric Cardiology; Ahmet Rüçhan Akar, MD, is Professor, Department of Cardiovascular Surgery, Heart Center, Cebeci Hospitals; and Erdal İnce, MD, is Professor, Department of Pediatric Infectious Disease. Acknowledgments: The authors wish to thank all the pediatric ICU nursing staff for all their efforts and support for our critically ill pediatric patients. The authors have disclosed no financial relationships related to this article. Submitted June 24, 2020; accepted in revised form September 25, 2020.

Abstract: Broad and deep perianal wounds are challenging in both adult and pediatric ICUs. These wounds, if contaminated with gastrointestinal flora, can cause invasive sepsis and death, and recovery can be prolonged. Controlling the source of infection without diverting stool from the perianal region is complicated. Read More

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Ampullitis Superimposed Obstructive Jaundice in a Patient With COVID-19.

Gastroenterology Res 2021 Feb 19;14(1):41-44. Epub 2021 Feb 19.

Department of Pathology and Laboratory Medicine, Kaiser Permanente Sacramento Medical Center, Sacramento, CA, USA.

While coronavirus disease 2019 (COVID-19) is well known to cause significant lower respiratory symptoms, recent literature has documented numerous cases of multi-systemic involvement that can present with atypical symptoms. We report a case of an 83-year-old man, recovering from abdominal aortic aneurysm repair complicated by colonic injury requiring colostomy rendering him dependent on gastrostomy tube feedings for 3 years, who was transferred from a nursing care facility to the emergency department with altered mental status, fever and jaundice. Abdominal imaging and biopsy studies eventually identified duodenitis and ampullitis complicated by a suspected Klatskin tumor leading to biliary obstruction, sepsis and hepatoencephalopathy. Read More

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February 2021

Transverse colon perforation in the mediastinum after esophagectomy: a case report.

Surg Case Rep 2020 May 25;6(1):114. Epub 2020 May 25.

Division of Advanced Surgical Science and Technology, Graduate School of Medicine, University of Tohoku, 1-1 Seiryo-machi, Aoba-ku, Sendai, Miyagi, 980-8574, Japan.

Background: While anastomotic leakage, recurrent laryngeal nerve paralysis, and pneumonia are well-known complications of esophagectomy, the incidence of hiatal hernia after esophagectomy for carcinoma has been reported to only be between 0.6 and 10%. We report a very rare case of hiatal hernia with transverse colon rupture in the mediastinum after esophagectomy in a 65-year-old woman. Read More

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Devastating Outcomes of Traditional Enemas: Unusual Indications for Well-Known Operations.

European J Pediatr Surg Rep 2020 Jan 8;8(1):e3-e6. Epub 2020 Feb 8.

Department of Paediatric Surgery, Chris Hani Baragwanath Hospital, Johannesburg, Gauteng, South Africa.

 Despite serious health risks having been described, traditional enemas are still often used in African traditional medicine. We aim to report two cases of complications secondary to traditional enemas, to illustrate how severe the injuries can be, and to describe the use of a Swenson type endoanal pull-through and a posterior sagittal anorectoplasty (PSARP) as surgical options.  A 2-year-old girl presented with a necrotic rectum after a traditional enema administration. Read More

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January 2020

Parastomal Evisceration: A Report of Two Cases and Review of Literature.

Cureus 2019 Sep 25;11(9):e5750. Epub 2019 Sep 25.

Surgery, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, IND.

Intestinal stomas have been performed for hundreds of years for both benign and malignant disorders of the large and small bowel. Complications of stomas like stomal prolapse, parastomal hernia, and retraction are well-known. The evisceration of intra-abdominal contents is a very rare occurrence, carrying a high burden of morbidity. Read More

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September 2019

Sexual function after stoma formation in women with colorectal cancer.

Authors:
Ciara Tripaldi

Br J Nurs 2019 Sep;28(16):S4-S15

Staff Nurse, Tallaght University Hospital, Dublin, Ireland.

Background: stoma formation is performed on many women with colorectal cancer. The physical effects of this are well known and explained to patients by health professionals. Stoma formation also affects sexual function for a variety of emotional and physical reasons, but this appears to be inadequately discussed. Read More

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September 2019

Blowhole tangential cecostomy and transanal tube insertion for neonatal cecal perforation in a patient with Hirschsprung's disease in the earlier definitive operation era.

Surg Case Rep 2019 Jul 10;5(1):111. Epub 2019 Jul 10.

Department of General Thoracic, Breast and Pediatric Surgery, Faculty of Medicine, Fukuoka University, 7-45-1 Nanakuma, Jonan-ku, Fukuoka, Fukuoka, 814-0180, Japan.

Background: Although uncommon and seldom experienced, intestinal perforation is a well-known complication of Hirschsprung's disease (HD). A literature review revealed that the cecum, including the appendiceal base, is a site of perforation. The cecum is not suitable for making an ordinary loop colostomy, and the optimal operative strategy remains to be established. Read More

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Case report of squamous cell cancer arising in perineal epidermal inclusion cyst, presenting as rapidly enlarging and cavitating lesion.

Int J Surg Case Rep 2018 29;53:115-119. Epub 2018 Oct 29.

Dermatology, OhioHealth Marion Area Physicians, Marion Medical Campus, 1040 Delaware Avenue, 43302 Marion, OH, USA. Electronic address:

Introduction: Cutaneous squamous cell cancer (cSCC) is a common condition, with straight forward and well-known heuristics regarding diagnosis, treatment, and surveillance. cSCC arising in an epidermal inclusion cyst is rare, but not unheard of. In contrast, the authors' are unaware of any prior reports of cSCC arising in an epidermal inclusion cyst within an atypical cavernous and cavitating lesion in the perineum. Read More

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October 2018

Damage control surgery for perforated diverticulitis: a two center experience with two different abdominal negative pressure therapy devices.

Acta Chir Belg 2019 Dec 2;119(6):370-375. Epub 2018 Nov 2.

Department of Visceral, Transplant and Thoracic Surgery, Medical University of Innsbruck , Innsbruck , Austria.

The adoption of abdominal negative pressure therapy (NPT) during urgent laparotomy has shown to be helpful to control abdominal sepsis, improve morbidity and increase anastomosis rate. The aim of this study was to compare feasibility and outcome of two different abdominal negative pressure devices. The retrospective two-center study includes 78 consecutive patients with perforated sigmoid diverticulitis, who underwent urgent laparotomy using the ABThera™ (KCI, Wien, Austria) abdominal NPT device (Group A,  = 51) or the Suprasorb® CNP (Lohmann & Rauscher, Wien, Austria) abdominal NPT device (Group B,  = 27). Read More

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December 2019

End-colostomy diverticulitis with parastomal phlegmon: A case report.

Medicine (Baltimore) 2017 Oct;96(43):e8358

Department of General and Visceral Surgery, EHC Hospital, Morges Department of Visceral Surgery, University Hospital CHUV, Lausanne Unilabs, Department of Pathology, Lausanne, Switzerland.

Rationale: Acute colonic diverticulitis is a well-known surgical emergency, which occurs in about 10 percent of patients known for diverticulosis.

Patient Concerns: The case of a 77-year-old woman is reported, with past history of abdominoperineal resection with end-colostomy for low rectal adenocarcinoma, and who developed an acute colonic diverticulitis in a subcutaneous portion of colostomy with parastomal phlegmon.

Diagnoses: Initial computed tomography imaging demonstrated a significant submucosal parietal edema with local fat tissues infiltration in regard of 3 diverticula. Read More

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October 2017

Modified enhanced recovery after surgery (ERAS) protocols for patients with obstructive colorectal cancer.

BMC Surg 2017 Feb 16;17(1):18. Epub 2017 Feb 16.

Department of Surgery, Tokyo Metropolitan Bokutoh Hospital, 4-23-15 Koto-bashi, Sumida-ku, Tokyo, 1308575, Japan.

Background: Enhanced recovery after surgery (ERAS) protocols are now well-known to be useful for elective colorectal surgery, as they result in shorter hospital stays without adversely affecting morbidity. However, the efficacy and safety of ERAS protocols for patients with obstructive colorectal cancer have yet to be clarified.

Methods: We evaluated 122 consecutive resections for obstructive colorectal cancer performed between July 2008 and November 2012 at Tokyo Metropolitan Bokutoh Hospital. Read More

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February 2017

Transrectal Mesh Erosion Requiring Bowel Resection.

J Minim Invasive Gynecol 2017 Jul - Aug;24(5):717-721. Epub 2017 Jan 10.

Department of Obstetrics, Gynecology, and Reproductive Medicine, CHU Estaing, Clermont-Ferrand, France.

Study Objective: To report a case of a transrectal mesh erosion as complication of laparoscopic promontofixation with mesh repair, necessitating bowel resection and subsequent surgical interventions.

Introduction: Sacrocolpopexy has become a standard procedure for vaginal vault prolapse [1], and the laparoscopic approach has gained popularity owing to more rapid recovery and less morbidity [2,3]. Mesh erosion is a well-known complication of surgical treatment for prolapse as reported in several negative evaluations, including a report from the US Food and Drug Administration in 2011 [4]. Read More

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January 2018

HDR brachytherapy for anal cancer.

J Gastrointest Oncol 2014 Jun;5(3):218-22

1 Department of Radiotherapy (Radiooncology), Muncipal Hospital Cologne, University Witten-Herdecke, Germany ; 2 Interdisciplinary Brachytherapy Unit, University of Luebeck, Germany.

The challenge of treating anal cancer is to preserve the anal sphincter function while giving high doses to the tumor and sparing the organ at risk. For that reason there has been a shift from radical surgical treatment with colostomy to conservative treatment. Radiotherapy combined with chemotherapy has an important role in the treatment of anal cancer patients. Read More

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Experts reviews of the multidisciplinary consensus conference colon and rectal cancer 2012: science, opinions and experiences from the experts of surgery.

Eur J Surg Oncol 2014 Apr 8;40(4):454-68. Epub 2013 Nov 8.

Unviersita Cattolica S. Cuore, Radioterapia 1, Largo A. Gemelli, 8, 00168 Rome, Italy.

The first multidisciplinary consensus conference on colon and rectal cancer was held in December 2012, achieving a majority of consensus for diagnostic and treatment decisions using the Delphi Method. This article will give a critical appraisal of the topics discussed during the meeting and in the consensus document by well-known leaders in surgery that were involved in this multidisciplinary consensus process. Scientific evidence, experience and opinions are collected to support multidisciplinary teams (MDT) with arguments for medical decision-making in diagnosis, staging and treatment strategies for patients with colon or rectal cancer. Read More

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Knowledge of ancient Hindu surgeons on Hirschsprung disease: evidence from Sushruta Samhita of circa 1200-600 BC.

J Pediatr Surg 2011 Nov;46(11):2204-8

Sri Ramasamy Memorial (SRM) Medical College, SRM University, Kattankulathur, Chennai, Tamilnadu 603203, India.

Background: Congenital megacolon is eponymously named after Harold Hirschsprung, who accurately described the clinical features in 1886. Recent research revealed that this condition is perhaps well known for centuries before him.

Aim: This article is intended to examine if ancient Hindu surgeons knew about congenital megacolon. Read More

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November 2011

Novel use of glycopyrrolate (Robinul) in the treatment of anastomotic leak after repair of esophageal atresia and tracheoesophageal fistula.

J Pediatr Surg 2011 Mar;46(3):e29-32

Baylor College of Medicine, Michael E. DeBakey Department of Surgery, Houston, TX 77030, USA.

Anastomotic leak after tracheoesophageal fistula repair is a well-known complication and can represent a challenging clinical scenario. We present the case of an infant girl with VACTERL syndrome who underwent repair of a type C esophageal atresia and tracheoesophageal fistula repair, which was complicated by an anastomotic leak. Glycopyrrolate (Robinul), an anticholinergic agent, was successfully used to decrease copious salivary secretion and promote spontaneous closure of the leak. Read More

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[Laparoscopic recovery continuity after the Hartmann procedure].

Zentralbl Chir 2011 Jun 17;136(3):269-72. Epub 2011 Feb 17.

EuromedClinic, Fürth, Deutschland.

In the period from January 2003 to June 2009 923 complex laparoscopic colorectal procedures were performed by one surgeon. Data was as­sessed prospectively in a database including 152 variables. In 15 patients (10 f, 5 m), with a median age of 61 years (range: 35-83 years), discontinuity resection of the colon was performed including 3 patients with open discontinuity resection of the sigma and 12 patients with laparoscopic Hartmann procedures. Read More

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Iatrogenic urethral strictures following pull-through procedures: buccal mucosa inlay repair.

J Pediatr Urol 2005 Dec;1(6):389-93

Department of Pediatric Surgery, Paracelsus Medical University, Salzburger Landeskliniken, Salzburg, Austria.

Background: Damage to the male urethra following pelvic surgery for anorectal malformations (ARM) is a well known problem, usually seen in boys with rectourethral fistulas. Urethral strictures located in the posterior urethra are difficult to treat because surgical exposure of the posterior urethra is difficult and conventional reconstructive procedures do not consistently yield good results. Free buccal mucosa grafts placed either ventrally or dorsally have shown superior results to other techniques. Read More

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December 2005

[Endoscopy-assisted sigmoidostomy].

Ugeskr Laeger 2008 Jun;170(26-32):2331-3

Hvidovre Hospital, Gastroenheden.

Introduction: Formation of sigmoidostoma in order to establish temporary or permanent faecal diversion is a well-known procedure. In recent years an increasing number of centres have carried out laparoscopically-assisted stoma formation instead of the traditional laparotomy. Endoscopically-assisted sigmoidostoma formation is a less well-known and less technically challenging technique. Read More

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Rectal atresia.

J Paediatr Child Health 2005 Dec;41(12):691-3

Department of Pediatric Surgery, Rabat University Children's Hospital, Rabat, Morocco.

Rectal atresia is a rare condition, with a reported incidence of 1-2% of all anorectal anomalies. The extensive list of ingenious operative procedures used for the correction of this malformation is testimony to the great difficulty faced in treating this anomaly. Posterior sagittal anorectoplasty using end-to-end anastomosis is a safe, technically well known that achieves this goal. Read More

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December 2005

Paraneoplastic hypercalcemia with adenosquamous carcinoma of the colon.

Int J Clin Oncol 2005 Apr;10(2):144-7

Department of Cancer and Thoracic Surgery, Okayama University Graduate School of Medicine and Dentistry, Okayama 700-8558, Japan.

Hypercalcemia is a well-known manifestation of paraneoplastic syndromes associated with a variety of malignancies. However, colon cancer has only rarely been associated with hypercalcemia. Here we present the first case of adenosquamous carcinoma of the sigmoid colon in a patient who was found to have hypercalcemia associated with parathyroid hormone-related protein (PTHrP), with no radiological evidence of metastasis to other organs. Read More

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Hemicorporectomy for chronic pressure ulcer carcinoma: 7 years of follow-up.

Am Surg 2004 Jun;70(6):507-11

Department of Surgery, St. Agnes HealthCare, Baltimore, Maryland 21229, USA.

Development of squamous cell carcinoma (Marjolin's ulcer), a well-known and rare complication of chronic ulcers, sinuses, chronic osteomyelitis and burn scars, may complicate chronic pressure ulcers. For several years, reports have suggested these cancers (pressure sore carcinoma, PSC) are highly fatal and aggressive, unlike other Marjolin's ulcers. A 39-year-old male, paraparetic from spina bifida, with history of chronic pressure sores and osteomyelitis of the pelvic bones underwent multiple resections. Read More

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[PiCCO monitoring of 4 critically ill patients].

Rev Esp Anestesiol Reanim 2004 Mar;51(3):158-63

Servicio de Anestesiología y Cuidados Críticos, Hospital General Universitario de Albacete.

The PiCCO physiological monitor (Pulsion Medical Systems, Munich, Germany) was used for hemodynamic diagnosis and monitoring of 4 patients: a polytraumatized female patient with septic shock and ventilator-associated pneumonia; a man with congestive heart failure and cor pulmonale who developed acute heart failure while recovering from anterior resection of the rectum; a man with severe head injury and acute respiratory distress syndrome; and a polytraumatized male patient with a myocardial contusion. All were in a life-threatening situation, either immediately as in the case of the patient with myocardial contusion or eventually as in the patient with septic shock. The PiCCO monitor recorded hemodynamic parameters satisfactorily, facilitating adjustments to optimize treatment. Read More

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Unexpected mortality in pediatric patients with postoperative Hirschsprung's disease.

Pediatr Surg Int 2004 Jul 4;20(7):525-8. Epub 2004 Jun 4.

Department of Pediatrics, Kaohsiung Municipal United Hospital, Taiwan.

Hirschsprung's disease is characterized by lower intestinal obstruction. In this retrospective study, we investigated the postoperative complications and the causes of death in pediatric patients with Hirschsprung's disease. Between January 1981 and June 1998, 147 patients with Hirschsprung's disease underwent surgical intervention (129 with both colostomy and Soave's pull-through procedures) at Mackay Hospital. Read More

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[Anesthesia in Sebastian syndrome: a new hereditary macrothrombocytopenia].

Rev Esp Anestesiol Reanim 2003 Aug-Sep;50(7):364-9

Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Hospital Universitario Miguel Servet, Zaragoza.

The macrothrombocytopenias make up a heterogeneous group of disease involving thrombocytopenia and giant platelets; other clinical or laboratory findings, such as hereditary nephritis, sensorineural hearing loss, leukocyte inclusions, and cataracts, may also be present. The tendency to bleeding is highly variable and is due to decreased expression of the GP1b-V-IX complex on the surface of platelets, leading to altered platelet-vessel wall and platelet-platelet interactions. The 5 autosomal dominant giant-platelet disorders that are associated with macrothrombocytopenia are May-Hegglin anormaly, Epstein, Fechtner, and Sebastian syndromes, and Alport-like syndrome with macrothrombocytopenia. Read More

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December 2003

Cricoarytenoid arthritis: a cause of acute upper airway obstruction in rheumatoid arthritis.

Can J Anaesth 2002 Aug-Sep;49(7):729-32

Department of Anesthesia, Queen Elizabeth Health Centre, Dalhousie University, Halifax, Nova Scotia, Canada.

Purpose: To report acute upper airway obstruction due to cricoarytenoid arthritis, a well known but uncommon complication of rheumatoid arthritis.

Clinical Features: We report the case of a 70-yr-old female scheduled for a colostomy who had been suffering from rheumatoid arthritis for 17 years. Preoperative history and physical examination revealed no cardiopulmonary compromise. Read More

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Morphologic changes of the anal sphincter musculature during and after temporary stool deviation.

Langenbecks Arch Surg 2001 Apr;386(3):183-7

Department of Surgery, University School of Medicine Würzburg, Germany.

Background And Aims: Temporary stool deviation, using a stoma, is a well-known surgical principle to protect low colorectal or coloanal anastomoses. The purpose of this study was to evaluate any morphologic changes with regard to the anal sphincter muscles during and after temporary ileostomy.

Patients And Methods: Forty-four patients with rectal carcinomas were studied prospectively. Read More

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Imperforate anus, Hirschsprung's disease, and trisomy 21: a rare combination.

J Pediatr Surg 1999 Dec;34(12):1874

Royal Alexandra Hospital for Sick Children, Brighton, East Sussex, England.

Three well known pediatric problems, Hirschsprung's disease, anorectal anomaly, and trisomy 21, are presented in the same patient. The authors describe the problems encountered in making the final diagnosis and suggest management options when faced with this unusual situation. Read More

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December 1999

Primary repair for colonic gunshot wounds.

Aust N Z J Surg 1996 Jun;66(6):344-7

Department of Surgery, Baragwanath Hospital, University of the Witwatersrand, Johannesburg, South Africa.

Background: Penetrating injuries of the colon have been managed traditionally by diverting colostomy. Recently, a trend towards primary repair has been observed, particularly for knife injuries. The purpose of this study is to evaluate the safety of primary repair for colonic gunshot wounds in the presence of certain clinical risk factors. Read More

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Use of the pylorus for preventing ileostomy complications. An experimental canine study.

Dis Colon Rectum 1996 Mar;39(3):266-9

Athens University Medical School, First Department of Propedeutic Surgery, Athens, Greece.

Purpose: Conventional ileostomy, as it is well known, presents with persistent watery diarrhea, among other complications. The present-day modified methods of conventional ileostomy cannot effectively prevent these unpleasant consequences. The purpose of this study was to try to use the sphincter mechanism of the pylorus in ileostomy in dogs experimentally to prevent the above symptoms. Read More

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