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1131 Carter double-barreled wet colostomy as a surgical reconstruction method after pelvic exenteration
  1. T Echim and
  2. Z Novák
  1. National Intitute of Oncology, Budapest, Hungary


Introduction/Background*Carter double-barreled wet colostomy (DBWC) is an innovative technique frequently used for pelvic exenteration. The main advantage of this surgical approach is that it keeps the fecal and urine streams separate, thus avoiding fecal reflux and subsequently reducing the risk of ascending pyelonephritis.

Methodology Our aim was to investigate the impact BDWC on quality of life (QOL) after total pelvic exenteration. In our prospective study, self-reported QOL was assessed with the EuroQol 5 Dimensions (EQ5D) QOL questionnaire.

Result(s)*In 2019, two patients underwent total pelvic exenteration involving BDWC in our Institution. Both patients reported an improved QOL after surgery.

Conclusion*Altogether, our findings support the use of the relatively simple and safe DBWC technique in pelvic tumors. Nevertheless, further large-scale studies are warranted to investigate the impact of DBWC on short- and long-term postoperative outcomes, QOL and survival.

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