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Published on Jan 6, 2016
This operative video shows the construction of a "wet colostomy" involving ureteric implantation into a sigmoid colostomy as part of a pelvic exenteration for a local advanced rectal cancer invading the prostate. The disease necessitated performance of a total pelvic exenteration with en bloc abdomino-perineal excision of the rectum and cystoprostatectomy. Rather then reconstructing the urinary tract with creation of an ileal conduit with a urinary stoma on the right side of the patient’s abdomen and a separate end colostomy, the potential morbidity from a second stoma was avoided by the use of a double-barrelled wet colostomy (DBWC) as a single stoma. Another advantage of a single site stoma is the possibility of creating a vertical rectus abdominis musculocutaneous (VRAM) flap for closure of the perineal defect. The video is associated with a manuscript that has been submitted for publication in Colorectal Disease (http://onlinelibrary.wiley.com/journa...). Click Subscribe to this channel for the most up-to-date content!
Authors: A.L.A. Bloemendaal MD PhD(1); N.C. Buchs MD(1); F.C. Hamdy MD FRCS FMedSci(2,4); R. Hompes MD(1); G. Thomas MD(3); R.J. Guy MD FRCS(1).
Departments of (1) Colorectal Surgery, (2) Urology, (3) Plastic and Reconstructive Surgery, Oxford University Hopitals NHS Foundation Trust and (4) Nuffield Department of Surgical Sciences, University of Oxford, United Kingdom
Corresponding author: A.L.A. Bloemendaal MD PhD Dept. of Colorectal Surgery Churchill Hospital, Surgical Administration (ground floor) Old Road, Headington Oxford, OX3 7LE United Kingdom +44 1865 35657 email@example.com
Video associated with Colorectal Disease Journal (published by Wiley and associated with the Association of Coloproctology Great Britain and Ireland (ACPGBI), European Society of Coloproctology (ESCP) and Spanish Society of Coloproctology (SSC).