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The Scientific World Journal - Volume20142014, Article ID961409, 7 pages -

Clinical Study

Colorectal Surgery Unit, Vall dHebron University Hospital, Universitat Autonoma de Barcelona, Barcelona, Spain

Instituto de Ciruga Centro Mdico Zambrano Hellion-Tec Salud, Batalln de San Patricio 112, Real de San Agustn, 66278 San Pedro Garza Garca, NL, Mexico

School of Medicine and Health Sciences, Tecnolgico de Monterrey, Mexico

Received 30 July 2014; Revised 3 November 2014; Accepted 14 November 2014; Published 3 December 2014

Academic Editor: Mustafa GurhanUlusoy

Copyright 2014 Luis Salgado-Cruz et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Background. Pelvic exenteration and multivisceral resection in colorectal have been described as a curative and palliative intervention. Urinary tract reconstruction in a pelvic exenteration is achieved in most cases with an ileal conduit of Bricker, although different urinary reservoirs have been described. Methods. A retrospective and observational study of six patients who underwent a pelvic exenteration and urinary tract reconstruction with a double barreled wet colostomy DBWC was done, describing the preoperative diagnosis, the indication for the pelvic exenteration, the complications associated with the procedure, and the followup in a period of 5 years. A literature review of the case series reported of the technique was performed. Results. Six patients had a urinary tract reconstruction with the DBWC technique, 5 male patients and one female patient. Age range was from 20 to 77 years, with a medium age 53.6 years. The most frequent complication presented was a pelvic abscess in 3 patients 42.85%; all complications could be resolved with a conservative treatment. Conclusion. In the group of our patients with pelvic exenteration and urinary tract reconstruction with a DBWC, it is a safe procedure and well tolerated by the patients, and most of the complications can be resolved with conservative treatment.





Autor: Luis Salgado-Cruz,Eloy Espin-Basany,Francesc Vallribera-Valls,Jose Sanchez-Garcia,Luis Miguel Jimenez-Gomez,Marc Marti-Gallostra,a

Fuente: https://www.hindawi.com/



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