BACKGROUND Intestinal stomas (ostomies) have been associated negatively with multiple aspects of health-related quality of life. This article examines the relationship between employment status and psychological well-being (PWB) in veterans who underwent major bowel procedures with or without ostomy. METHODS Veterans from 3 Veterans Affairs (VA) medical centers were surveyed using the City of...

The American Society of Colon & Rectal Surgeons (ASCRS) collaborated with the Wound, Ostomy and Continence Nurses (WOCN) Society in 2007 to develop a position paper to establish that every person scheduled for a fecal diversion should be marked for a stoma preoperatively by a skilled health care provider. The WOCN Ostomy subcommittee chaired by Jane Carmel led this important activity. The genes...

Open surgery with common bile duct (CBD) exploration and T tube drainage are still traditionally performed in a large amount of selected patients with cholelithiasis and choledocholithiasis. Confirmation of CBD clearance via T tube cholangiography after surgery is a routine procedure before T tube removal. The present study aims at investigating potential risk factors associated with residual s...

A 33 years male presented with obstructive jaundice and was diagnosed as chronic cholecystitis choledochocystolithiasis. The gastroenterology team performed ERCP sphincterotomy to retrieve stone in common bile duct but failed. Open cholecystectomy exploration done after few days. T-tube placed duct. In the 8th post operative day, tube manipulation due reduced drain output pain abdomen. We chola...

The Montgomery T-tube poses a challenge to anesthesiologists because of loss of anesthetic gases through the open proximal end of the vertical limb and lack of standard anesthesia circuit connectors. Here, we present a case of a 25-year-old woman with a reported history of accidental strangulation 18 months previously. The patient had a metallic tracheostomy tube in situ due to the development ...

ABSTRACT Objective: to establish the epidemiological profile of ostomized patients treated at Health Care Service for Ostomy Patients in Juiz de Fora and region (SASPO/JF) quantify pathologies that led stoma as well ostomy-related complications. Method: a retrospective study was carried out with analysis 496 medical records registered HCSOP/JF over 30 years who remained service June 2018. The f...

Twenty-six patients showing peritonitis due to nontraumatic acute abdomen were submitted to ostomy. Mean age was 51 years (range 25-83), being 13 males and 13 females. Bowel obstruction (BO) was the most frequent cause of peritonitis (11 cases), followed by intestinal perforation (IP) (8 cases), acute mesenteric infarction (AMI) (5 cases), and acute abdomen of inflammatory/infectious origin (AA...

BACKGROUND Management of staple-line leak after laparoscopic sleeve gastrectomy (LSG) remains controversial and matter of debate. Transforming a leak into a controlled fistula by insertion of a T-tube is a viable option. To minimize surgical dissection, and to facilitate identification of the leak site and insertion of the T-tube, we have developed a combined endoscopic-laparoscopic T-tube (ELT...

INTRODUCTION Operations on the common bile duct may lead to potentially serious complications such as biliary peritonitis. T-tube insertion is performed to reduce the risk of this occurring postoperatively. Biliary leakage at the point of insertion into the common bile duct, or along the fistula, can sometimes occur after T-tube removal and this has been reported extensively in the literature. ...