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Modified double-barrelled wet colostomy after total pelvic exenteration

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Abstract

Pelvic exenteration is a radical surgery that can require urinary and faecal diversions. Double-barreled wet colostomy, a viable alternative to the traditional ileal conduit with separate colostomy technique, is not always applicable due to the shortness of an ureter. To overcome this problem, I modified the original technique, replacing the two uretero-colic anastomoses with an ureteroureterostomy and an uretero-colic anastomosis.

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Acknowledgements

I want to thank Francesco Macrì for the line drawings.

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Correspondence to Antonio Macrì.

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All procedures performed in this study involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Macrì, A. Modified double-barrelled wet colostomy after total pelvic exenteration. Updates Surg 69, 545–548 (2017). https://doi.org/10.1007/s13304-017-0484-2

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