Minimally Invasive, Endoscopically Assisted Colostomy Can Be Performed Without General Anesthesia or Laparotomy

Mattingly, Mark A.; Wasvary, Harry; Sacksner, Jordy; Deshmukh, Ganesh; Kadro, Omar

doi:10.1007/s10350-004-6534-0

Cited by 7 publications

(10 citation statements)

References 2 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In addition, there is a higher chance of wound infection and incisional hernia (1,16). Minimally invasive techniques like laparoscopy, gasless or trephine technique avoid large abdominal incisions and therefore reduce postoperative pain, ileus, and wound complications (3)(4)(5)(6). Other advantages may include shorter hospital stay, and earlier initiation of other treatment such as chemotherapy or radiation therapy in patients with locally advanced rectal or anal cancer.…”

Section: Discussionmentioning

confidence: 99%

“…Colorectal surgical procedures have been performed via minimally invasive techniques with increasing frequency (2). Although colostomy has traditionally required formal laparotomy, this procedure could be performed via an trephine, endoscopic or laparoscopic approach (3)(4)(5)(6)(7)(8).…”

Section: Introductionmentioning

confidence: 99%

“…Endoscopic-assisted colostomy without general anesthesia and laparotomy was first reported by Mattingly and Mukerjee (3). However, percutaneous colopexy facilitates fixation of the colon to the abdominal wall on its anti-mesenteric side, adding important benefits.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Endoscopic colostomy with percutaneous colopexy: an animal feasibility study

et al. 2017

View full text Add to dashboard Cite

Background: Indications for colostomy in colorectal diseases are obstruction of the large bowel, such as in cancer, diverticular disease in the acute phase, post-radiotherapy enteritis, complex perirectal fistulas, anorectal trauma and severe anal incontinence. Some critically ill patients cannot tolerate an exploratory laparotomy, and laparoscopic assisted colostomy also requires general anesthesia.Objective: To evaluate the feasibility, safety and efficacy of performing colostomy assisted by colonoscopy and percutaneous colopexy.Materials and methods: Five pigs underwent endoscopic assisted colostomy with percutaneous colopexy. Animals were evaluated in post-operative days 1, 2, 5 and 7 for feeding acceptance and colostomy characteristics. On day 7 full colonoscopy was performed on animals followed by exploratory laparotomy.Results: Average procedure time was 27 minutes (21-54 min). Postoperative mobility and feeding of animals were immediate after anesthesia recovery. Position of the colostomy, edges color, appearance of periostomal area, as well as its function was satisfactory in four animals. Retraction of colostomy was present in one pig. The colonoscopy and laparotomy control on the seventh day were considered as normal. A bladder perforation that was successfully repaired through the colostomy incision occurred in one pig. The main limitation of this study is its experimental nature.Conclusion: Endoscopic assisted colostomy with percutaneous colopexy proves to be a safe and effective method with low morbidity for performing colostomy in experimental animals, with possible clinical application in humans.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic colostomy with percutaneous colopexy: an animal feasibility study

et al. 2017

View full text Add to dashboard Cite

show abstract

“…2,3 Our modified technique allows the paediatric surgeon to assess the megarectum and rapidly identify the correct bowel loop, and avoids inadvertent maturation of the wrong end of the divided colon. …”

Section: Discussionmentioning

confidence: 99%

Colonoscopic assisted trephine stoma in children with chronic constipation

MacCormack¹,

McCallion²

2014

ann r coll surg engl

View full text Add to dashboard Cite

“…This minimally invasive technique has been used successfully in adults over the past decade. 2,3 Our modified technique allows the paediatric surgeon to assess the megarectum and rapidly identify the correct bowel loop, and avoids inadvertent maturation of the wrong end of the divided colon.…”

Section: Discussionmentioning

confidence: 99%