Double Barreled Wet Colostomy: Initial Experience and Literature Review

Abstract EN

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.