The trephine stoma: formation of a stoma without laparotomy.
A trephine stoma may be an attractive alternative for those patients who require a stoma but not a laparotomy. Twenty-seven consecutive patients were candidates for formation of a trephine stoma. A loop ileostomy was successfully constructed in seven patients and an end sigmoid colostomy in 15, while conversion to a formal laparotomy was necessary in five patients mainly because the sigmoid colon was immobile or there were extensive adhesions. The absence of a major abdominal wound made the postoperative course simple with little pain, a quick recovery, and early discharge from hospital.
Nylund
G
G
Department of Surgery, Sahlgrenska University Hospital, Göteborg, Sweden.
Oresland
T
T
Hultén
L
L
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003125:Colostomy / Q000379:methods*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D007410:Intestinal Diseases / Q000175:diagnosis / Q000601:surgery*; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D011379:Prognosis; D016896:Treatment Outcome