Double-barrelled wet colostomy formation after pelvic exenteration for locally advanced or recurrent rectal cancer

• Published in: Colorectal disease Vol. 18; no. 11; pp. O427 - O431
• Main Authors: Bloemendaal, A. L. A., Kraus, R., Buchs, N. C., Hamdy, F. C., Hompes, R., Cogswell, L., Guy, R. J.
• Format: Journal Article
• Language: English
• Published: England Blackwell Publishing Ltd 01.11.2016
• Subjects: Adult; Aged; Colostomy - methods; Double-barrelled (wet) colostomy; Female; Humans; Ileostomy - methods; Male; Middle Aged; Neoplasm Recurrence, Local - surgery; pelvic exenteration; Pelvic Exenteration - methods; Reconstructive Surgical Procedures - methods; rectal cancer; Rectal Neoplasms - pathology; Rectal Neoplasms - surgery; Surgical Flaps; Urinary Diversion - methods; Urinary Tract - surgery; Young Adult; Double-barrelled (wet) colostomy; pelvic exenteration; rectal cancer
• ISSN: 1462-8910; 1463-1318
• DOI: 10.1111/codi.13512

Aim In advanced pelvic cancer it may be necessary to perform a total pelvic exenteration. In such cases urinary tract reconstruction is usually achieved with the creation of an ileal conduit with a urinary stoma on the right side of the patient's abdomen and an end colostomy separately on the left. The potential morbidity from a second stoma may be avoided by the use of a double‐barrelled wet colostomy (DBWC), as a single stoma. Another advantage is the possibility of using a vertical rectus abdominis muscle flap for perineal reconstruction. Method All patients undergoing formation of a DBWC were included. Result A DBWC was formed in 10 patients. One patient underwent formation of a double‐barrelled wet ileostomy. Conclusions In this technical note we present our early experience in 11 cases and a video of DBWC formation in a male patient.