BackgroundThe most common injury to indicate definitive stoma is rectal cancer. Despite
advances in surgical treatment, the abdominoperineal resection is still the most
effective operation in radical treatment of malignancies of the distal rectum
invading the sphincter and anal canal. Even with all the effort that surgeons have
to preserve anal sphincters, abdominoperineal amputation is still indicated, and a
definitive abdominal colostomy is necessary. This surgery requires patients to
live with a definitive abdominal colostomy, which is a condition that modify body
image, is not without morbidity and has great impact on the quality of life.AimTo evaluate the technique of abdominoperineal amputation with perineal colostomy
with irrigation as an alternative to permanent abdominal colostomy.MethodRetrospective analysis of medical records of 55 patients underwent
abdominoperineal resection of the rectum with perineal colostomy in the period
1989-2010.ResultsThe mean age was 58 years, 40 % men and 60 % women. In 94.5% of patients the
indication for surgery was for cancer of the rectum. In some patients were made
three valves, other two valves and in the remaining no valve at all. Complications
were: mucosal prolapse, necrosis of the lowered segment and stenosis.ConclusionThe abdominoperineal amputation with perineal colostomy is a good therapeutic
option in the armamentarium of the surgical treatment of rectal cancer.