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...
Main Authors: | , , , , , , , , |
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Format: | Article |
Language: | English |
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The Japan Society of Coloproctology
2023-07-01
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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. |
first_indexed | 2024-03-12T22:02:44Z |
format | Article |
id | doaj.art-133a51c196ea410a87a3e8beecded7f3 |
institution | Directory Open Access Journal |
issn | 2432-3853 |
language | English |
last_indexed | 2024-03-12T22:02:44Z |
publishDate | 2023-07-01 |
publisher | The Japan Society of Coloproctology |
record_format | Article |
series | Journal of the Anus, Rectum and Colon |
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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