| Autor: |
Ahmed Farag Tarek Khairy, Mamdouh Mounir Mounir Aboul Ela, Mohamed Gamil Gamal Amira |
| Rok vydání: |
2019 |
| Předmět: |
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| Zdroj: |
The Medical Journal of Cairo University. 87:3649-3656 |
| ISSN: |
2536-9806 |
| DOI: |
10.21608/mjcu.2019.69911 |
| Popis: |
Background: Abdomino-perineal resection is still a pro-cedure of choice in the management of rectal cancer. A left iliac permanent colostomy has a great impact on the quality of life of the patients. Many procedures and techniques have been introduced for the creation of a perineal colostomy aiming at improving the QOL of these patients.Aim of Study: This work is a scientific practical contribu-tion to improve the quality of life of patients after APR for carcinoma of the rectum. To achieve this, a subjective evalu-ation of an innovative unprecedented technique for a continent perineal colostomy instead of the left iliac colostomy was done.Material and Methods: A prospective observational study included 20 patients with low rectal cancer treated surgically with APR followed by a perineal colostomy using an innovative technique of a circular smooth muscle cuff. An immediate (Synchronous) reconstruction after APR was done in 14. In 6 patients the operation as a delayed (Metachronous) step 2- 4 years after APR. Patients were subjectively evaluated using Kirwan's scoring system.Results: Thirteen patients (72%) were continent; 2 normal continence for gas and stool and 11 patients were continent only for stool. Four patients had minor soiling. Seventeen patients (94.5%) were satisfied. Only one patient suffered incontinence.Conclusion: This new technique proved to be valuable in improving the QOL of patients with rectal cancer after APR. The procedure achieved 94% patient satisfaction. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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