title: Colonoscopy-assisted 'trephine' sigmoid colostomy.
abstract: Fecal diversion is often required to treat complex traumatic, malignant or inflammatory anorectal conditions. In such circumstances, the formation of a proximal, 'trephine' sigmoid colostomy would avoid the need for, and the associated morbidity of, a formal laparotomy. We describe a technique which combines intraoperative colonoscopy with a diverting, 'trephine' sigmoid colostomy, thereby helping the surgeon to identify the correct loop of bowel, to avoid inadvertent maturing of the wrong end of the divided colon, and to exclude intracolonic lesions.
authors.affiliation: Department of Surgery, Bronx-Lebanon Hospital Center, Bronx, N.Y., USA.
authors.forename: V S
authors.initials: VS
authors.lastname: Parithivel
authors.forename: M
authors.initials: M
authors.lastname: Schein
authors.forename: P H
authors.initials: PH
authors.lastname: Gerst
mesh_terms: D000714:Anastomosis, Surgical; D003113:Colonoscopy / Q000379:methods; D003125:Colostomy / Q000379:methods*; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000379:methods; D012680:Sensitivity and Specificity; D012811:Sigmoid Neoplasms / Q000601:surgery; D012812:Sigmoidoscopy / Q000379:methods*