Surgical Film Library-Double-Barreled Wet Colostomy

Video Transcription

Video Summary

The speaker discusses double-barreled wet colostomy as a urinary and bowel diversion option following total pelvic exenteration. This technique, first introduced in 1989, separates urine and stool within the colon but combines them externally in one bag, reducing complications linked to older methods where urine and stool mixed internally. Their 10-year institutional experience shows comparable complication rates to traditional methods but with shorter operative times. The speaker demonstrates a robotic-assisted procedure, explaining ureteral implantation into the colon and stoma creation. Challenges include designing suitable pouching systems. Ongoing research aims to identify ideal candidates and improve patient outcomes, suggesting this as a viable alternative.

Asset Subtitle

Vance Broach, United States

Meta Tag

Procedure Type Pelvic exenteration

Route MIS-Robotic

Skill Level Expert

Surgical Location Pelvis

Keywords

MIS-Robotic

Pelvis

Expert

Pelvic exenteration

double-barreled wet colostomy

total pelvic exenteration

urinary and bowel diversion

robotic-assisted procedure

ureteral implantation