Single Institution Experience Comparing Double-barreled Wet Colostomy to Ileal Conduit for Urinary and Fecal Diversion

Kuhrt, Maureen P.; Schmidt, Carl; Arrese, David; Routt, Meghan; Parks, Lisa; Bahnson, Robert R.; Martin, Edward W.

doi:10.1016/j.urology.2011.06.030

Cited by 19 publications

(20 citation statements)

References 25 publications

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“…4 The dependence of (a) the reflectivity and (b) the refractive index on the temperature 633 nm, which is in consistence with reported experimental results (see, for instance Ref. [12]). Therefore, we think that the induced carrier contribution would be less significant in comparison with other effects.…”

Section: Explanationsupporting

confidence: 84%

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Giant optical nonlinearity of silver-doped silicon thin film at low power input: laser-triggered cluster resonance

2011

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Silver-doped silicon thin films were deposited on glass substrate in a co-sputtering procedure. Silver nanoparticles were segregatedly distributed. The nonlinear properties were extracted by z-scan measurements at low laser input power. For about 50% silver density, the nonlinear absorption and refraction coefficients peaked, respectively, at −8.086 × 10 −2 m/W and 1.47 × 10 −9 m 2 /W, which, with respect to the input intensity, are several orders higher than reported data. The sudden surge of nonlinear responses was explained satisfactorily based on a self-consistent microscopic model calculation for silver clusters. Resonances exist and depend apparently on the laser-modified local cluster concentration.

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Section: Explanationsupporting

confidence: 84%

“…This behavior indicates an apparent nonlinear refraction, and suggests that the thin film functioned as a convex lens under laser irradiation, i.e. we have a self-focus effect [12].…”

Section: Nonlinearity Measurementmentioning

confidence: 80%

Giant optical nonlinearity of silver-doped silicon thin film at low power input: laser-triggered cluster resonance

2011

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“…In our study, we found that enteral fistula occurred in one patient in DBWC group and in five patients in the IC + TC group, which is in accordance with Backes et al's (12) study (they found enteral fistula only in two patients in the IC + TC group). Chokshi et al (11) found that enteral fistula occurred in 13 patients in DBWC group and in 1 patient in IC + TC group.…”

Section: Discussionmentioning

confidence: 98%

“…review of the literature revealed two studies that compared these two methods, but only after pelvic exenteration (11,12). In contrast, our study investigated fecal and urinary diversion after total pelvic exenteration, in palliation of inoperable pelvic tumors, and in resolving enterovesicovaginal fistulae following radiation therapy.…”

Section: Discussionmentioning

confidence: 99%

Double-Barreled Wet Colostomy versus Ileal Conduit and Terminal Colostomy for Urinary and Fecal Diversion: A Single Institution Experience

et al. 2014

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Background and Aims: the aim of this study was to compare the feasibility and early postoperative outcomes between patients undergoing double-barreled wet colostomy and patients undergoing terminal colostomy and ileal conduit for simultaneous urinary and fecal diversion.Material and Methods: between 1995 and 2012, we had 181 patients in whom it was necessary to make simultaneous urinary and fecal diversion. this is a retrospective study and patients were divided into two groups, depending on the technique applied for the fecal and urinary diversion. the first group consisted of patients undergoing ileal conduit and terminal colostomy and the second group consisted of patients undergoing doublebarreled wet colostomy.Results: ileal conduit and terminal colostomy was performed in 77 (43%) cases, while wet colostomy was performed in 104 (57%) cases. median length of stay was shorter for double-barreled wet colostomy (13.1 vs 18.1, p < 0.0001). median operating times for urinary and fecal diversion were shorter for double-barreled wet colostomy (32 vs 64 min, p < 0.0001). the morbidity was lower for double-barreled wet colostomy (11.5% vs 23.4%, p = 0.0432), retrospectively. the mortality was 3.8% for double-barreled wet colostomy and 10.3% for ileal conduit and terminal colostomy group (p = 0.1282).Conclusions: Double-barreled wet colostomy is a safe, fast, and simple alternative to traditional ileal conduit and terminal colostomy diversion. the technique is relatively easy to learn, and it reduces the time for urinary and fecal diversion, length of stay, and morbidity rate.

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“…In contrast, one retrospective study on 53 patients by Chokshi et al [14] between 2004 and 2010 reported conflicting results to the 2 previously discussed studies. In particular, mean operating times and length of stay did not differ between the 2 groups.…”

Section: Resultsmentioning

confidence: 85%

Literature Review: Double-Barrelled Wet Colostomy (One Stoma) versus Ileal Conduit with Colostomy (Two Stomas)

Gan¹,

Hamid²

2016

Urol Int

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Introduction: The aim of this literature review was to analyse the advantages and disadvantages of a traditional ileal conduit (IC) with separate colostomy technique compared to the outcomes of a double-barrelled wet colostomy (DBWC) technique. The former technique results in the formation of two stomas, and the latter results in the formation of one stoma. Methods: PubMed was searched electronically for articles on DBWC. Fifteen articles were retrieved and of them 13 were included in the literature review (350 patients). Of the articles, 3 directly compared DBWC to IC with colostomy. Results: Review of 13 DBWC articles demonstrated perioperative mortality ranging between 0 and 11.1% and postoperative complications ranging from 0 to 100%. Three of the studies directly compared DBWC to IC with colostomy; median operating times and length of stay were shorter in DBWC patients (p < 0.001); 30-day morbidity was reported to either be lower in the DBWC group (p < 0.043) or to have no statistically significant difference. Rates of mortality, pyelonephritis, electrolyte disturbances and urinary anastomotic problems did not differ between the 2 groups. Conclusion: The DBWC technique inherently has a benefit over the IC with colostomy technique, as it requires only one stoma. This literature review supports the use of the technically less challenging DBWC technique as a viable alternative to the traditional IC with colostomy technique.

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Single Institution Experience Comparing Double-barreled Wet Colostomy to Ileal Conduit for Urinary and Fecal Diversion

Cited by 19 publications

References 25 publications

Giant optical nonlinearity of silver-doped silicon thin film at low power input: laser-triggered cluster resonance

Giant optical nonlinearity of silver-doped silicon thin film at low power input: laser-triggered cluster resonance

Double-Barreled Wet Colostomy versus Ileal Conduit and Terminal Colostomy for Urinary and Fecal Diversion: A Single Institution Experience

Literature Review: Double-Barrelled Wet Colostomy (One Stoma) versus Ileal Conduit with Colostomy (Two Stomas)

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