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Clin Colon Rectal Surg 2008; 21(1): 053-061
DOI: 10.1055/s-2008-1055322
Published by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel: +1(212) 584-4662.

Minimally Invasive Stomas

Michael D. Hellinger1 , Abdullah Al Haddad2
  • 1Department of Surgery, Mount Sinai Medical Center, Miami Beach, Florida
  • 2Division of Colon and Rectal Surgery, DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine, Miami Beach, Florida
Further Information

Publication History

Publication Date:
28 February 2008 (online)

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ABSTRACT

Traditionally, stoma creation and end stoma reversal have been performed via a laparotomy incision. However, in many situations, stoma construction may be safely performed in a minimally invasive nature. This may include a trephine, laparoscopic, or combined approach. Furthermore, Hartmann's colostomy reversal, a procedure traditionally associated with substantial morbidity, may also be performed laparoscopically. The authors briefly review patient selection, preparation, and indications, and focus primarily on surgical techniques and results of minimally invasive stoma creation and Hartmann's reversal.

KEYWORDS

Laparoscopy - stomas - ileostomy - colostomy - Hartmann's - trephine

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Michael D HellingerM.D. 

Department of Surgery, Mount Sinai Medical Center

4300 Alton Rd., Miami Beach, FL 33140

Email: mhelling@msmc.com

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