There has been scant research into the prevention of parastomal hernia formation following stoma surgery, which is a common and distressing event. This study shows that the introduction of a prevention programme for a period of one year post surgery significantly reduces the incidence of hernia development. The programme is simple and involves education, abdominal exercises and advice on the us...

Intestinal loop stoma is a common surgical procedure performed for various benign and malignant abdominal problems, but it rarely undergoes spontaneous closure, without surgical intervention. Two male patients presented to our emergency surgical department with acute abdominal pain. One of them was diagnosed as having rectosigmoid perforation and underwent diversion sigmoid loop colostomy after...

The present study explored the benefit of preoperative chemoradiotherapy (PCRT) for sphincter preservation in locally advanced low-lying rectal cancer patients who underwent stapled anastomosis, especially in those with deep and narrow pelvises determined by magnetic resonance imaging.Patients with locally advanced low-lying rectal cancer (≤5 cm from the anal verge) who underwent stapled anasto...

Introduction A stoma (or ostomy) is the deliberate creation of an opening that communicates between the GIT and the exterior. The purpose could be for feeding, drug administration, bowel decompression, protecting distal anastomosis or other gut lesions, controlling faecal effluent in some cases of incontinence, or a combination of these indications. The basic types of stomas derive their names ...

PURPOSE The current study aims to analyze the risk factors for the failure of ileostomy reversal after laparoscopic low anterior resection for rectal cancer. METHODS All patients who underwent a laparoscopic low anterior resection for rectal cancer with a diverting ileostomy between 2007 and 2014 were abstracted. The patients who underwent and did not undergo a diverting ileostomy procedure w...

HYPOTHESIS This study was undertaken to evaluate factors contributing to hospital mortality and complications of stoma closure. DESIGN Retrospective cohort study. SETTING Department of Surgery of a 2500-bed university hospital. PATIENTS Consecutive eligible patients who underwent stoma closure were selected from a local registry containing 30 219 patients. The medical records of 587 adult...

The number of operative procedures involving the creation of an intestinal stoma is likely to increase as the population ages. Understanding the role of age on postoperative outcomes such as quality of life (QoL) and self-efficacy is critical to developing appropriate supportive strategies. A descriptive survey study was conducted among 18 patients (11 men seven women, age range 47 to 90 years)...

PURPOSE How to manage posthemorrhoidectomy secondary hemorrhage, a rare but serious complication, effectively remains controversial. This study evaluated the effectiveness of using rectal irrigation as an initial treatment for posthemorrhoidectomy secondary hemorrhage. METHODS Among 4,880 patients on whom elective closed hemorrhoidectomy for symptomatic hemorrhoidal disease was performed, 45 ...

Pontonema golfonuevensis sp. nov. from Chubut Province, Argentina is described and a description of the male of Pontonema incisum Wieser, 1953 from Chubut and Santa Cruz Provinces is provided. Pontonema golfonuevensis sp. nov. is characterized by having the slender sub-ventral teeth 25 µm long located at 24 % of stoma length, a short, broad dorsal tooth at 60 % of stoma length, excretory pore o...

Small bowel or colon loop stomy is performed in case of surgery, due to mechanical ileus or when there is risk of leakage below the anastomosis. Loop stomy is usually a temporary stoma, although in selected cases it might become definitive. It is assumed that each stoma should be supplied in stomy equipment during the surgical porocedure. In most centers, the most common method to maintain the ...