{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,20]],"date-time":"2026-09-20T02:31:59Z","timestamp":1789871519114,"version":"4.0.1"},"reference-count":26,"publisher":"FapUNIFESP (SciELO)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["ABCD, arq. bras. cir. dig."],"published-print":{"date-parts":[[2014,12]]},"abstract":"<jats:p> BACKGROUND: The most common injury to indicate definitive stoma is rectal cancer. Despite advances in surgical treatment, the abdominoperineal resection is still the most effective operation in radical treatment of malignancies of the distal rectum invading the sphincter and anal canal. Even with all the effort that surgeons have to preserve anal sphincters, abdominoperineal amputation is still indicated, and a definitive abdominal colostomy is necessary. This surgery requires patients to live with a definitive abdominal colostomy, which is a condition that modify body image, is not without morbidity and has great impact on the quality of life. AIM: To evaluate the technique of abdominoperineal amputation with perineal colostomy with irrigation as an alternative to permanent abdominal colostomy. METHOD: Retrospective analysis of medical records of 55 patients underwent abdominoperineal resection of the rectum with perineal colostomy in the period 1989-2010. RESULTS: The mean age was 58 years, 40 % men and 60 % women. In 94.5% of patients the indication for surgery was for cancer of the rectum. In some patients were made three valves, other two valves and in the remaining no valve at all. Complications were: mucosal prolapse, necrosis of the lowered segment and stenosis. CONCLUSION: The abdominoperineal amputation with perineal colostomy is a good therapeutic option in the armamentarium of the surgical treatment of rectal cancer.<\/jats:p>","DOI":"10.1590\/s0102-67202014000400004","type":"journal-article","created":{"date-parts":[[2015,1,24]],"date-time":"2015-01-24T20:43:42Z","timestamp":1422132222000},"page":"243-246","source":"Crossref","is-referenced-by-count":4,"title":["Perineal colostomy: an alternative to avoid permanent abdominal colostomy: operative technique, results and reflection"],"prefix":"10.1590","volume":"27","author":[{"given":"Alcino L\u00e1zaro da","family":"SILVA","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johnny","family":"HAYCK","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Beatriz","family":"DEOTI","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"issue":"6","key":"ref1","first-page":"572","article-title":"Perineal colostomy following Miles procedure: from reconstructive surgery to the artificial anal sphincter","volume":"6","author":"Altomare D F","year":"2000","journal-title":"Osp Ital Chir"},{"issue":"6","key":"ref2","doi-asserted-by":"crossref","first-page":"1131","DOI":"10.1054\/bjoc.1999.1052","article-title":"Sphincter-sparing surgery after preoperative radiotherapy for low rectal cancers: feasibility, oncologic results and quality of life outcomes","volume":"82","author":"Allal AS","year":"2000","journal-title":"Br J Cancer"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"61","DOI":"10.1046\/j.1463-1318.2002.00300.x","article-title":"Objective assessment of morbidity and quality of life after surgery for low rectal cancer","volume":"4","author":"Camilleri-Brennan J","year":"2002","journal-title":"Colorectal Dis"},{"issue":"1","key":"ref4","doi-asserted-by":"crossref","first-page":"16","DOI":"10.1590\/S0034-71672010000100003","article-title":"Qualidade de vida de pessoas colostomizadas com e sem uso de m\u00e9todos de controle instestinal","volume":"63","author":"Cesaretti IUR","year":"2010","journal-title":"Rev Bras Enferm, Bras\u00edlia"},{"issue":"4","key":"ref5","doi-asserted-by":"crossref","first-page":"272","DOI":"10.1590\/S0102-86502013000400007","article-title":"Morphology and immunohistochemistry of the myenteric plexus of valves constructed in the colon of rats submitted to abdominoperineal amputation and perineal colostomy","volume":"28","author":"Deoti B","year":"2013","journal-title":"Acta Cir Bras"},{"issue":"3","key":"ref6","first-page":"230","article-title":"Histological study of the left colon of rats after extra-mucosal seromyotomy (continent valves): evaluation of colonic emptying. Acta Cir","volume":"23","author":"Deoti B","year":"2008","journal-title":"Bras"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1007\/s10151-003-0017-5","article-title":"Fecal control following pyloric valve transposition after abdominoperineal resection","volume":"7","author":"Goldsmith HS","year":"2003","journal-title":"Tech Coloproctol"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1016\/j.ijsu.2005.07.004","article-title":"A review of contemporary surgical alternatives to permanent colostomy","volume":"3","author":"Gurusamy KS","year":"2005","journal-title":"International Journal of Surgery"},{"issue":"7","key":"ref9","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1007\/BF02055425","article-title":"Abdominoperineal Excision of the Rectum - An Endangered Operation","volume":"40","author":"Heald RJ","year":"1997","journal-title":"Dis Colon e Rectum"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"779","DOI":"10.1016\/S0039-6060(97)90087-8","article-title":"Chances of cure are not compromised with sphicter-saving procedures for cancer of the lower third of the rectum","volume":"122","author":"Lavery IC","year":"1997","journal-title":"Surg"},{"issue":"1","key":"ref11","first-page":"32","article-title":"Tentativa de tratamento do \"Dumping\" atrav\u00e9s de um \"esfincter\" ileal","volume":"25","author":"L\u00e1zaro da Silva A","year":"1974","journal-title":"Rev Assoc Med Minas Gerais"},{"issue":"3","key":"ref12","first-page":"105","article-title":"Amputa\u00e7\u00e3o abdominoperineal com colostomia perineal","volume":"11","author":"L\u00e1zaro da Silva A.","year":"1991","journal-title":"Rev Bras Coloproct"},{"key":"ref13","first-page":"800","article-title":"Amputacion Abdominoperineal com colostomia perineal","volume":"82","author":"L\u00e1zaro da Silva A","year":"1993","journal-title":"Pren Med Argent"},{"key":"ref14","first-page":"761","article-title":"Abdominoperineal excision of the rectum and anal canal with perineal colostomy","volume":"161","author":"L\u00e1zaro da Silva A","year":"1995","journal-title":"Eur J Surg"},{"issue":"3","key":"ref15","first-page":"22","article-title":"Amputa\u00e7\u00e3o abdominoperineal com colostomia perineal","volume":"2","author":"L\u00e1zaro da Silva A","year":"1997","journal-title":"Dia a Dia Gastroenterol"},{"key":"ref16","first-page":"1","article-title":"Tratamento do c\u00e2ncer reto-anal. 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