Aim: The aim of this study was to analyze the clinical and management aspect of congenital pouch colon. Materials and Methods: This retrospective study was carried out on 40 cases of congenital pouch colon managed in the department of paediatric surgery from 01, January 2000 to 31, December 2005. Results: The incidence of congenital pouch colon (CPC) in the present study was 11.29% (40 of 354) ...

BACKGROUND Despite the potential for morbidity and permanent lifestyle alteration, few reports exist examining traumatic injury to the anal canal, particularly among modern-day combatants. OBJECTIVE The aim of this study was to document the incidence, initial surgical management, and long-term outcomes of wartime anal trauma. DESIGN This study is a retrospective review. DATA SOURCES Data ...

AIM To determine the beneficial effects of Glutamine, Psyllium, Short Chain Fatty Acids (SCFA), and Maharishi Amrit Kalash (MAK), in preventing the histological changes after diversion colostomy. MATERIAL AND METHODS After ethical clearance, male wistar rats (n=40) underwent diversion colostomy. Rats were divided into five groups of 8 rats each. Each group was given, after diversion colostomy...

CONTEXT Recent studies have shown that local anesthesia for loop colostomy closure is as safe as spinal anesthesia for this procedure. OBJECTIVES Randomized clinical trial to compare the results from these two techniques. METHODS Fifty patients were randomized for loop colostomy closure using spinal anesthesia (n = 25) and using local anesthesia (n = 25). Preoperatively, the bowel was evalu...

BACKGROUND Parastomal hernia is a common complication of a colostomy. Ultimately, one-third of patients with a parastomal hernia will need surgical correction due to frequent leakage or life-threatening bowel obstruction or strangulation. However, treatment remains a challenge resulting in high recurrence rates. Two single center trials demonstrated that the frequency of parastomal hernias decr...

The aim of this study was to report our experience with the Soave pull-through procedure combined with a single-incision laparoscopic approach to treat Hirschsprung's disease after one-stage colostomy, in comparison with an open approach. A total of 37 children diagnosed with Hirschsprung's Disease after one-stage colostomy were evaluated in this study from June 2008 to May 2014. Nineteen patie...

INTRODUCTION We report a case of correction of an end colostomy prolapse with Delorme technique in an advanced stage oncologic patient to emphasize the clinical implications and advantages of this procedure. CASE REPORT A 51-year-old male patient with a stage IV rectal adenocarcinoma underwent laparoscopy for a palliative end colostomy at our institution. Approximately 6 months later, a prola...

We describe an extracorporeal staple technique used to treat severe colostomy stenosis under analgo-sedation, thus avoiding relaparotomy. The surgery is performed under short-term sedation. The orifice of the stoma is widened and overgrowing skin is excised. The volume and diameter of the stoma are assessed. The anvil of a circular stapler device is inserted into the lumen of the colostomy. Fir...

Reversal after Hartmann’s procedures is technically challenging and followed by high morbidity rate. One the main risk factors of complications need to dissect peritoneal adhesions for optimal access large bowel, which leads bowel deserosing, intestine lumen opening late perforation. Meanwhile, question remains unresolved: there a total adhesiolysis during operations end colostomy takedown, or ...