Colonoscopy-assisted 'trephine' sigmoid colostomy.


Journal Article

Fecal diversion is often required to treat complex traumatic, malignant or inflammatory anorectal conditions. In such circumstances, the formation of a proximal, 'trephine' sigmoid colostomy would avoid the need for, and the associated morbidity of, a formal laparotomy. We describe a technique which combines intraoperative colonoscopy with a diverting, 'trephine' sigmoid colostomy, thereby helping the surgeon to identify the correct loop of bowel, to avoid inadvertent maturing of the wrong end of the divided colon, and to exclude intracolonic lesions.

Full Text

Duke Authors

Cited Authors

  • Parithivel, VS; Schein, M; Gerst, PH

Published Date

  • 2003

Published In

Volume / Issue

  • 20 / 2

Start / End Page

  • 103 - 106

PubMed ID

  • 12686776

Pubmed Central ID

  • 12686776

International Standard Serial Number (ISSN)

  • 0253-4886

Digital Object Identifier (DOI)

  • 10.1159/000069380


  • eng

Conference Location

  • Switzerland