Standardized technique for single port laparoscopic ileostomy and colostomy

Abstract

Single incision stoma siting proves a ready, robust and reliable technique for diversion ileostomy and colostomy with a minimum of operative trauma for the patient.

Evaluation of postoperative pain at the stoma site in patients who underwent a single‐port Hartmann's procedure

“…Shah et al . reported that three patients who underwent laparoscopic loop colostomy had no postoperative pain in the first 24 h . However, SPH is a non‐scarring operation of the abdomen, similar to single‐port laparoscopic colostomy, but postoperative pain was induced because of stoma construction in our study.…”

“…We consider the SPH to be a non‐scarring operation of the abdomen, and it is associated with less postoperative pain than a multiport Hartmann's procedure (MPH). Previous reports have concluded that single‐incision laparoscopic colostomy is an effective technique . Nguyen et al .…”

“…In contrast, Shah et al . reported that three patients who underwent laparoscopic loop colostomy had no postoperative pain in the first 24 h postoperatively . Despite these reports, the pain at the stoma site is unknown, and no report has evaluated postoperative pain at this site in detail.…”

Safety and Efficacy of Single-Port Laparoscopic Ileostomy in Palliative Settings

“…However, compared with the conventional laparoscopic procedure, there is currently no consensus on the superiority of the single-port procedure. Some studies have observed no significant difference between single-port and conventional laparoscopic procedures [11,12], while other studies have shown benefits of the single-port procedure over the conventional procedure [13,14]. Some studies even expressed concern about the difficulty and time consumption of the surgical procedure, which can be taxing on the surgeon [15,16].…”

Trephine defunctioning loop ileostomy: a simple technique using an Alexis wound protector – a video vignette

“…The formation of a defunctioning loop ileostomy is a common colorectal and emergency surgical procedure. Different techniques exist, including a recent description of a single port laparoscopic ileostomy formation . We present a video of a 55‐year‐old man with an impeding obstructing rectal tumour who underwent a trephine defunctioning loop ileostomy prior to long course chemoradiotherapy with a novel method using an Alexis ® wound protector.…”