Trephine colostomy was first described to exteriorize the colon without necessitating laparotomy. With the advances in healthcare, we are increasingly operating on patients with complex co-morbidities who are at high risk for general anaesthesia. Here we describe a technique to perform trephine end ...
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....
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 ...
How to do a trephine colostomy under spinal anaesthesiaCOLOSTOMYSPINAL anesthesiaANAL fistulaRECTAL cancerABDOMINAL surgeryNo abstract is available for this article.doi:10.1111/ans.12776Yong, Yao PeyBhandal, NavrinderScholefield, JohnJohn Wiley & Sons, Ltd.Anz Journal of Surgery...
Trephine sigmoid colostomy is usually done under local or regional anesthesia in high-risk patients. It involves performing the operation via trephine incision through which the bowel is manipulated and brought up as colostomy. It has the advantage of avoidance of a laparotomy which significantly ...
COLOSTOMYENDOSCOPYRECTAL diseasesBLADDER cancerBONE metastasisThe conventional approach of trephine stoma creation is associated with various limitations, including poor elevation of the sigmoid colon, misidentification of the target organs, and poor visualization of the operative field, which may require ...
The primary aim of this study was to evaluate colostomy diameter by studying the rate of change of axial and sagittal trephine diameters, trephine area, and the ratio of the trephine over time. A secondary aim was to investigate variation in trephine area and variables affecting parasternal ...
Seventy-three (85.9%) had the colostomy created through the RAM, whilst 12 (14.1%) had it lateral to the RAM (LRAM). Median time to first post-operative CT imaging was at 9.2 (0.1–43.6) months in the RAM group compared to 3.9 (0.2–10.6) months in the LRAM group (p = 0.056)...