Laparoscopic Diverting Sigmoid Loop Colostomy for Rectovesical Fistüla: A Video Vignette

Abstract

Ileostomy and colostomy procedures are useful in treating patients suffering from complications associated with intra-abdominal diseases, complicated infections, faecal incontinence, rectovesical fistula, perianal fistula, perianal Crohn’s disease, radiation proctitis or advanced colorectal cancers. In recent decades, laparoscopic stoma formation is gaining popularity as an alternative to conventional open abdominal surgery. Conventional surgery is associated with a higher rate of morbidity and mortality. Trephine colostomy technique has the disadvantage that it does not allow exploration and is inadequate to detect proximal and distal bowel loops, and the immobilised sigmoid colon does not allow mobilisation of the bowel. Because of these disadvantages laparoscopic ostomy technique is a better choice in patients who are found to be suitable. In this video, we present a patient who underwent laparoscopic loop sigmoid colostomy for rectovesical fistula.

Keywords

• laparoscopic
• loop colostomy
• rectovesical fistula