[Stoma in Rectal Cancer] Temporary Vs Permanent Stoma: Which is good? | Dr Praveen Kammar

In this video, Dr. Praveen Kammar (Surgical GI & Gynec Cancer Oncologist, Mumbai) discusses the permanent & temporary stoma.

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0:00 Introduction

1:00 What is a temporary stoma?
A temporary stoma is a temporary opening in the abdomen that allows waste to leave when regular bowel or bladder function is temporarily impaired. It is designed to allow time for healing following surgery or injury and can be reversed later.

1:26 What is a permanent stoma?
A permanent stoma is a surgically constructed opening in the abdomen that permits biological waste, such as stool or urine, to leave the body when normal bowel or bladder function cannot be restored. It is typically used when there is a chronic disease or substantial damage that cannot be repaired.
and it cannot be reversed.

1:45 What circumstances lead to the formation of stomas?
Stomas are frequently formed in cases of rectal cancer when the afflicted area of the rectum must be surgically removed. This can happen when the disease has progressed too far for other treatments, or when conserving the rectum is impossible due to the tumor's location or size.

4:00 When is a temporary stoma created?
Temporary stoma is make in emergency cases, when we make stoma in emergency situations, they are mostly temporary stoma.

4:45 When is a permanent stoma created?
Rectal cancer in the last 5 cm can invade the sphincter complex, resulting in a permanent stoma.

6:30 Conclusion
In short, stomas are openings in the abdomen that help when normal bowel or bladder function isn't possible. Temporary ones give time to heal, while permanent ones are for long-term needs. They're vital in conditions like rectal cancer, ensuring patients get the right care for their situation.

Watch the video till the end!

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About Dr. Praveen Kammar
Dr Praveen Kammar is a surgical oncologist practising in the city of Mumbai.
He completed his MCh course in surgical oncology from the reputed Tata Memorial Centre, Mumbai, one of the premier cancer care centres in the country. He also holds a fellowship in Colorectal surgery from Yopnsei cancer centre, Seoul, South Korea. Dr Praveen’s main area of focus is colorectal and GI oncology, Gynecological cancers, minimal access surgeries for abdominal and thoracic malignancies, transanal surgeries, and sphincter-saving surgeries for rectal cancer, cytoreductive surgeries, and HIPEC for advanced abdominal cancers.

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