Parithivel V S, Schein M, Gerst P H
Department of Surgery, Bronx-Lebanon Hospital Center, Bronx, N.Y., USA.
Dig Surg. 2003;20(2):103-6. doi: 10.1159/000069380.
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.
