Modified technique of extraperitoneal colostomy without incision of the posterior rectus sheath

Abstract Extraperitoneal colostomy is a widely used technique during abdominoperineal resection (APR) operation for lower rectal cancer. This technique has been reported to be effective to prevent the postoperative parastomal hernia in some retrospective studies, however, there is still a certain in...

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Main Authors: Tao Zhang, Daye Yang, Gongping Sun, Dewei Zhang
Format: Article
Language:English
Published: Nature Portfolio 2021-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-021-82626-1
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author Tao Zhang
Daye Yang
Gongping Sun
Dewei Zhang
author_facet Tao Zhang
Daye Yang
Gongping Sun
Dewei Zhang
author_sort Tao Zhang
collection DOAJ
description Abstract Extraperitoneal colostomy is a widely used technique during abdominoperineal resection (APR) operation for lower rectal cancer. This technique has been reported to be effective to prevent the postoperative parastomal hernia in some retrospective studies, however, there is still a certain incidence of parastomal hernia. A modification of the extraperitoneal colostomy technique is described in this paper that keeps posterior rectal sheath intact instead of having a conventional incision, to further reduce the risk of parastomal hernia. Until now, this modified technique has been performed in 15 patients, no occurrence of parastomal hernia was observed.
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spelling doaj.art-67db0afcc8b6406cb168db260a5718f12022-12-21T23:00:34ZengNature PortfolioScientific Reports2045-23222021-02-011111510.1038/s41598-021-82626-1Modified technique of extraperitoneal colostomy without incision of the posterior rectus sheathTao Zhang0Daye Yang1Gongping Sun2Dewei Zhang3Department of Colorectal and Hernia Surgery, The Fourth Affiliated Hospital of China Medical UniversityDepartment of Colorectal and Hernia Surgery, The Fourth Affiliated Hospital of China Medical UniversityDepartment of Colorectal and Hernia Surgery, The Fourth Affiliated Hospital of China Medical UniversityDepartment of Colorectal and Hernia Surgery, The Fourth Affiliated Hospital of China Medical UniversityAbstract Extraperitoneal colostomy is a widely used technique during abdominoperineal resection (APR) operation for lower rectal cancer. This technique has been reported to be effective to prevent the postoperative parastomal hernia in some retrospective studies, however, there is still a certain incidence of parastomal hernia. A modification of the extraperitoneal colostomy technique is described in this paper that keeps posterior rectal sheath intact instead of having a conventional incision, to further reduce the risk of parastomal hernia. Until now, this modified technique has been performed in 15 patients, no occurrence of parastomal hernia was observed.https://doi.org/10.1038/s41598-021-82626-1
spellingShingle Tao Zhang
Daye Yang
Gongping Sun
Dewei Zhang
Modified technique of extraperitoneal colostomy without incision of the posterior rectus sheath
Scientific Reports
title Modified technique of extraperitoneal colostomy without incision of the posterior rectus sheath
title_full Modified technique of extraperitoneal colostomy without incision of the posterior rectus sheath
title_fullStr Modified technique of extraperitoneal colostomy without incision of the posterior rectus sheath
title_full_unstemmed Modified technique of extraperitoneal colostomy without incision of the posterior rectus sheath
title_short Modified technique of extraperitoneal colostomy without incision of the posterior rectus sheath
title_sort modified technique of extraperitoneal colostomy without incision of the posterior rectus sheath
url https://doi.org/10.1038/s41598-021-82626-1
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AT dayeyang modifiedtechniqueofextraperitonealcolostomywithoutincisionoftheposteriorrectussheath
AT gongpingsun modifiedtechniqueofextraperitonealcolostomywithoutincisionoftheposteriorrectussheath
AT deweizhang modifiedtechniqueofextraperitonealcolostomywithoutincisionoftheposteriorrectussheath