This 1976 lecture is given by Dorothy Rodriguez, Chief of Enterostomal Therapy at the M.D. Anderson Hospital and Tumor Institute in Texas. Rodriguez addresses the phenomenon of multiple stomas, which may be planned as part of a patient's original treatment, or they may be unplanned and are part of a sequela that follows the initial surgery. Examples of patients at Anderson Hospital with this condition are given, plus the reasons for its occurrence. These can include total pelvic exenteration following cancer, total cystectomy with surgical trauma to the rectum, cases where the patient was radiated preoperatively or post-op, two separate primary diseases that are either malignant or benign, perforated bowel, and fistulas. Slides are shown of patients who have received various types of treatment. The final part of the lecture addresses the psychological aspects of multiple stomas on patients and their emotional response.
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