title: The trephine stoma: formation of a stoma without laparotomy.
abstract: 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.
authors.affiliation: Department of Surgery, Sahlgrenska University Hospital, Göteborg, Sweden.
authors.forename: G
authors.initials: G
authors.lastname: Nylund
authors.forename: T
authors.initials: T
authors.lastname: Oresland
authors.forename: L
authors.initials: L
authors.lastname: Hultén
mesh_terms: 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