The Colostomy of Duret for the High Risk Patient. Issue 3 (16th March 2021)

• Record Type: Journal Article
• Authors: DiGiacomo, Jody C.; Lehman, Mark
• Is Part Of: Journal of investigative surgery. Volume 34:Issue 3(2021)
• Page Start: 257
• Page End: 261
• Publication Date: 2021-03-16
• Subjects: colostomy -- high risk -- fecal diversion -- minimally invasive -- perineal trauma; Surgery -- Research -- Periodicals; Research; Surgery; Surgical Procedures, Operative; 617.075
• DOI: 10.1080/08941939.2019.1623350
• Languages: English
• ISSNs: 0894-1939

Abstract

Abstract: Background : Heitzer and Duret described the surgical creation of colostomy in the 1700s, more than a century before the introduction of anesthesia. With the ever increasing degree of frailty in patients of advanced age who require surgical intervention, a simplified methodology for the creation of a colostomy based on their original reports is described and the advantages for use in high risk patients and the critical care setting is discussed. Methods : Eleven patients underwent simplified colostomy under local anesthesia, without complication. Results : All colostomies functioned normally within hours. There were no bleeding or infectious complications, nor peri-operative adverse events. Conclusions : Colostomy formation can be safely performed under local anesthesia when the patient is considered too high risk to undergo general anesthesia.