I've done continent perineal colostomy for long time, the technique we used is the confection of three valves 5 cm from each other, in which we do seromiotomies e then a seromuscular suture covering the incision. We select rigorously the patient since is necessary doing irrigation every two or three days do keep clean. Recently we did in a young woman with Chron's disease whose rectum was destroyed, fibrotic and stenotic but had a good colon and ileum. The outcome was great. Thank you.
I have experience with this type of stoma also in children. It is a good technique, despite to be honest we have to say is a "partial continent stoma". The full continence in children is very difficult to reach due to increase peristalsis.
Dear Dr. Ribeiro and Leva, I would like to have more information regarding this technique which I would like to try it. [email protected]
Best regards.
We perfom perineal colostomy. However we don't perform the seromiotomies like you but a musclar graft, easy to do. I was interested by your technique that i saw in an article. However the seromiotomies seems to me more complicate than my own technique.
- Badges
- Science topic
- Similar topics
- Geoscience
- Asia
- India