Journal of Investigative Surgery (Mar 2021)

The Colostomy of Duret for the High Risk Patient

  • Jody C. DiGiacomo,
  • Mark Lehman

DOI
https://doi.org/10.1080/08941939.2019.1623350
Journal volume & issue
Vol. 34, no. 3
pp. 257 – 261

Abstract

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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.

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