A Laparoscopic Experimental Model for Creating Left-Colon Stoma for Antegrade Enema
| Autor: | Flávio Iizuca, Gilmar Garrone, Augusto Yang, Valdemar Ortiz, Endric Hasegawa, Antonio Macedo |
|---|---|
| Rok vydání: | 2008 |
| Předmět: |
medicine.medical_specialty
Foley medicine.diagnostic_test business.industry Urology medicine.medical_treatment Catgut suture Enema Balloon digestive system diseases Appendix Surgery medicine.anatomical_structure Stoma (medicine) Suture (anatomy) Pediatrics Perinatology and Child Health medicine Laparoscopy business |
| Zdroj: | Journal of Pediatric Urology. 4:S78 |
| ISSN: | 1477-5131 |
| Popis: | Purpose Severe fecal incontinente is classicaly treated by the MACE procedure, using the appendix in situ as the preferred channel. We prefer to do wash-outs in the left-colon in a transverse-based flap previously described by the authors. We investigated experimentally feasibility of performing this technique with laparoscopy. Material and Methods A mini-pig was used in the experiment. The left-colon was identified, a Foley tube inserted in the colon through the anterior wall and the balloon insuflated for better exposition of the bowel. We defined a 3cm transverse flap having the meso medially and the distal part of the flap laterally. The bowel was closed by non-interrupted 3.0 catgut suture and the flap tubularized over a 12 fr. Foley tube by interrupted sutures. Finally the tube was embedded over a seromuscular suture and the distal tube anastomosed to a skin flap. Results The technique proved to be feasible and of medium complexity for an experienced laparoscopist. Conclusions We believe that the laparoscopic approach is a valid “minimal invasive” option for the left-colon stoma for antegrade wash-outs. |
| Databáze: | OpenAIRE |
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