%0 Journal Article
%T Colostom赤a perineal en el carcinoma recto vaginal Perineal colostomy in recto-vaginal carcinoma
%A Elpidio Barrial Garc赤a
%A Miguel Alexis Gonz芍lez Linares
%A Angel Miguel Sarmiento Vit車n
%A Dianelys Ferrer S芍nchez
%J Revista de Ciencias Mˋˋdicas de Pinar del Rˋ-o
%D 2005
%I Editorial Ciencias M谷dicas
%X Se realiz車 una variante quir迆rgica en una paciente con c芍ncer recto-vaginal, con infiltraci車n del tercio inferior y cara lateral derecha del recto, muy pr車ximo al esf赤nter del ano. La t谷cnica consisti車, previo diagn車stico por biopsia, en realizar exc谷recis del tumor que comprometi車 al parapeto derecho y el tercio inferior de vagina, terminando con una colostom赤a perineal, conservando algunas fibras del esf赤nter del ano. Se dej車 drenaje en ambos lados y se reconstruy車 resto de la vagina. Se logr車 buena continencia rectal del paciente, con buen estado de satisfacci車n. No hubo complicaciones y actualmente defeca sin dificultad. Ha tenido seguimiento por consulta de Oncoginecolog赤a del Hospital III Congreso de Pinar del R赤o. La intervenci車n se llev車 a cabo en una hora. A surgical alternative was performed in a patient suffering from rectovaginal cancer infiltrating the lower third and lateral right aspect of the rectum, so closed to anal sphincter. Operative technique consisted of a previous diagnosis by biopsy, besides, exceresis of the tumor that compromised right pararectum and lower third of vagina, ending in perineal colostomy preserving some fibers of anal sphincter. Drainage was performed in both sides and the rest of the vagina was reconstructed. A good rectal continence and well being were obtained, observing no complications, the patient defecates without difficulties, this case is followed up at "III Congreso Hospital" in Pinar del Rio. Operative procedures lasted an hour.
%K COLOSTOM赤A
%K uso terap谷utico
%K NEOPLASMAS DEL RECTO
%K cirug赤a
%K NEOPLASMAS VAGINALES
%K cirug赤a
%K T谷CNICAS QUIR迆RGICAS
%K COLOSTOMY
%K therapeutics
%K RECTAL NEOPLASMS
%K surgery
%K VAGINAL NEOPLASMS
%K surgery
%K SURGERU OPERATIVE
%U http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942005000100012