Double-barrelled wet colostomy formation after pelvic exenteration for locally advanced or recurrent rectal cancer.
OBJECTIVE
In advanced pelvic cancer it may be necessary to perform a total pelvic exenteration. In such cases urinary tract reconstruction is usually achieved with the creation of an ileal conduit with a urinary stoma on the right side of the patient's abdomen and an end colostomy separately on the left. The potential morbidity from a second stoma may be avoided by the use of a double-barrelled wet colostomy (DBWC), as a single stoma. Another advantage is the possibility of using a vertical rectus abdominis muscle flap for perineal reconstruction.


METHODS
All patients undergoing formation of a DBWC were included.


RESULTS
A DBWC was formed in 10 patients. One patient underwent formation of a double-barrelled wet ileostomy.


CONCLUSIONS
In this technical note we present our early experience in 11 cases and a video of DBWC formation in a male patient.
Department of Colorectal Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK. bobbloemendaal@gmail.com.
A L A
AL
Bloemendaal
Department of Colorectal Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
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R
Kraus
Department of Colorectal Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
N C
NC
Buchs
Department of Urology, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.|Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.
F C
FC
Hamdy
Department of Colorectal Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
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R
Hompes
Nuffield Department of Surgical Sciences, University of Oxford, Oxford, UK.|Department of Plastic and Reconstructive Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
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L
Cogswell
Department of Colorectal Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK.
R J
RJ
Guy
D000328:Adult; D000368:Aged; D003125:Colostomy / Q000379:methods*; D005260:Female; D006801:Humans; D007081:Ileostomy / Q000379:methods; D008297:Male; D008875:Middle Aged; D009364:Neoplasm Recurrence, Local / Q000601:surgery*; D010385:Pelvic Exenteration / Q000379:methods*; D019651:Plastic Surgery Procedures / Q000379:methods; D012004:Rectal Neoplasms / Q000473:pathology / Q000601:surgery*; D013524:Surgical Flaps; D014547:Urinary Diversion / Q000379:methods; D014551:Urinary Tract / Q000601:surgery; D055815:Young Adult
Double-barrelled (wet) colostomy; pelvic exenteration; rectal cancer