End Sigmoid Colostomy Reconstruction Using Purse-string Subcutaneous Suture via Extraperitoneal Route at the Site of a Previous Transperitoneal Loop Stoma

We previously experienced two cases of end sigmoid colostomy reconstruction via the extraperitoneal route at the same site as the transperitoneal loop stoma. For an anterior rectus fascia, the transperitoneal route used closed intraperitoneal interrupted sutures and continuous sutures with barbed su...

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Main Authors: Kazuhiko Yoshimatsu, Hironori Tanaka, Yoshitomo Ito, Seiya Kinoshita, Masaharu Higashida, Toshimasa Okada, Shuji Endo, Yoshinori Fujiwara, Tomio Ueno
Format: Article
Language:English
Published: The Japan Society of Coloproctology 2023-07-01
Series:Journal of the Anus, Rectum and Colon
Subjects:
Online Access:https://www.jstage.jst.go.jp/article/jarc/7/3/7_2023-005/_pdf/-char/en
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author Kazuhiko Yoshimatsu
Hironori Tanaka
Yoshitomo Ito
Seiya Kinoshita
Masaharu Higashida
Toshimasa Okada
Shuji Endo
Yoshinori Fujiwara
Tomio Ueno
author_facet Kazuhiko Yoshimatsu
Hironori Tanaka
Yoshitomo Ito
Seiya Kinoshita
Masaharu Higashida
Toshimasa Okada
Shuji Endo
Yoshinori Fujiwara
Tomio Ueno
author_sort Kazuhiko Yoshimatsu
collection DOAJ
description We previously experienced two cases of end sigmoid colostomy reconstruction via the extraperitoneal route at the same site as the transperitoneal loop stoma. For an anterior rectus fascia, the transperitoneal route used closed intraperitoneal interrupted sutures and continuous sutures with barbed sutures. A new extraperitoneal route was established through the sutured anterior rectus sheath. Before reconstructing the end stoma, a subcutaneous purse-string with monofilament absorbable sutures tied to create an approximately 2.5 cm diameter was used. There were no early complications associated with the stoma. One year after surgery, a parastomal hernia was not defined. Using the presented technique, two cases were successfully recreated extraperitoneally at the same site's end stoma.
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spelling doaj.art-133a51c196ea410a87a3e8beecded7f32023-07-25T02:32:48ZengThe Japan Society of ColoproctologyJournal of the Anus, Rectum and Colon2432-38532023-07-017322122310.23922/jarc.2023-0052023-005End Sigmoid Colostomy Reconstruction Using Purse-string Subcutaneous Suture via Extraperitoneal Route at the Site of a Previous Transperitoneal Loop StomaKazuhiko Yoshimatsu0Hironori Tanaka1Yoshitomo Ito2Seiya Kinoshita3Masaharu Higashida4Toshimasa Okada5Shuji Endo6Yoshinori Fujiwara7Tomio Ueno8Department of Digestive Surgery, Kawasaki Medical SchoolDepartment of Digestive Surgery, Kawasaki Medical SchoolDepartment of Digestive Surgery, Kawasaki Medical SchoolDepartment of Digestive Surgery, Kawasaki Medical SchoolDepartment of Digestive Surgery, Kawasaki Medical SchoolDepartment of Digestive Surgery, Kawasaki Medical SchoolDepartment of Digestive Surgery, Kawasaki Medical SchoolDepartment of Digestive Surgery, Kawasaki Medical SchoolDepartment of Digestive Surgery, Kawasaki Medical SchoolWe previously experienced two cases of end sigmoid colostomy reconstruction via the extraperitoneal route at the same site as the transperitoneal loop stoma. For an anterior rectus fascia, the transperitoneal route used closed intraperitoneal interrupted sutures and continuous sutures with barbed sutures. A new extraperitoneal route was established through the sutured anterior rectus sheath. Before reconstructing the end stoma, a subcutaneous purse-string with monofilament absorbable sutures tied to create an approximately 2.5 cm diameter was used. There were no early complications associated with the stoma. One year after surgery, a parastomal hernia was not defined. Using the presented technique, two cases were successfully recreated extraperitoneally at the same site's end stoma.https://www.jstage.jst.go.jp/article/jarc/7/3/7_2023-005/_pdf/-char/enstoma recreationextraperitoneal routea purse-string suture
spellingShingle Kazuhiko Yoshimatsu
Hironori Tanaka
Yoshitomo Ito
Seiya Kinoshita
Masaharu Higashida
Toshimasa Okada
Shuji Endo
Yoshinori Fujiwara
Tomio Ueno
End Sigmoid Colostomy Reconstruction Using Purse-string Subcutaneous Suture via Extraperitoneal Route at the Site of a Previous Transperitoneal Loop Stoma
Journal of the Anus, Rectum and Colon
stoma recreation
extraperitoneal route
a purse-string suture
title End Sigmoid Colostomy Reconstruction Using Purse-string Subcutaneous Suture via Extraperitoneal Route at the Site of a Previous Transperitoneal Loop Stoma
title_full End Sigmoid Colostomy Reconstruction Using Purse-string Subcutaneous Suture via Extraperitoneal Route at the Site of a Previous Transperitoneal Loop Stoma
title_fullStr End Sigmoid Colostomy Reconstruction Using Purse-string Subcutaneous Suture via Extraperitoneal Route at the Site of a Previous Transperitoneal Loop Stoma
title_full_unstemmed End Sigmoid Colostomy Reconstruction Using Purse-string Subcutaneous Suture via Extraperitoneal Route at the Site of a Previous Transperitoneal Loop Stoma
title_short End Sigmoid Colostomy Reconstruction Using Purse-string Subcutaneous Suture via Extraperitoneal Route at the Site of a Previous Transperitoneal Loop Stoma
title_sort end sigmoid colostomy reconstruction using purse string subcutaneous suture via extraperitoneal route at the site of a previous transperitoneal loop stoma
topic stoma recreation
extraperitoneal route
a purse-string suture
url https://www.jstage.jst.go.jp/article/jarc/7/3/7_2023-005/_pdf/-char/en
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