Abstract
PURPOSE Severe fecal incontinente is classicaly treated by the MACE procedure, using the appendix in situ as the preferred channel. We prefer to do wash-outs in the left-colon in a transverse-based flap previously described by the authors. We investigated experimentally feasibility of performing this technique with laparoscopy. MATERIAL AND METHODS A mini-pig was used in the experiment. The left-colon was identified, a Foley tube inserted in the colon through the anterior wall and the balloon insuflated for better exposition of the bowel. We defined a 3cm transverse flap having the meso medially and the distal part of the flap laterally. The bowel was closed by non-interrupted 3.0 catgut suture and the flap tubularized over a 12 fr. Foley tube by interrupted sutures. Finally the tube was embedded over a seromuscular suture and the distal tube anastomosed to a skin flap. RESULTS The technique proved to be feasible and of medium complexity for an experienced laparoscopist. CONCLUSIONS We believe that the laparoscopic approach is a valid “minimal invasive” option for the left-colon stoma for antegrade wash-outs.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
