Prospective controlled trial comparing colostomy irrigation with "spontaneous-action" method.

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Williams, N S; Johnston, D

1980-07-12

Thirty randomly selected patients with permanent colostomies entered a prospective controlled trial comparing colostomy irrigation with spontaneous action. Each patient was interviewed and examined before irrigation was begun and again after the technique had been used for three months. Each then reverted to spontaneous action for a further three months and was then reassessed. Eight patients abandoned irrigation and 22 (73%) adhered to the protocol. Irrigation caused no mishaps or complications. The mean time spent managing the stoma was 45 +/- SEM 9 min/24 hours during spontaneous action and 53 +/- 9 min/24 hours during irrigation. This difference was not significant. The numbers of bowel actions weekly were 13 +/ SEM 2 during spontaneous action and 6 +/- 1 during irrigation (p Irrigation reduced odour and flatus in 20 patients and enabled 12 out of 18 to stop using drugs and seven to discard their appliance. Irrigation also improved the social life of 18 patients and the working conditions of eight out of 14. These finding show that some patients may not be suitable for irrigation but that for many it is better than the conventional British method of colostomy management. With modern apparatus the technique is safe.

Irrigation vs. natural evacuation of left colostomy: a comparative study of 340 patients.

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Terranova, O; Sandei, F; Rebuffat, C; Maruotti, R; Bortolozzi, E

1979-01-01

A comparative study of two methods of managing left colostomy (irrigation and natural evacuation) was carried out on 340 patients who were examined and interviewed at the Stoma Rehabilitation Clinic of the Institute of Surgical Pathology of the University of Padua. Ninety-two per cent of patients who irrigated their colostomies gained fecal continence. No patient who irrigated his colostomy had any cutaneous problem, and this group had significantly better results in preventing leakage of gas and odors compared with those patients using natural evacuation. For most patients who irrigated, the ability to predict or control bowel movements overcame fears of "being dirty" and related psychological problems. These patients also had more normal social and working lives than did those patients not irrigating their colostomies. Only one patient in our series had a colonic perforation, and any chance of a repeat incident will probably disappear with the cone-shaped catheters now available. The authors conclude that in properly selected patients, irrigation is the method of choice for management of left colostomy.

A controlled trial of colostomy management by natural evacuation, irrigation and foam enema.

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Doran, J; Hardcastle, J D

1981-10-01

Twenty patients entered a prospective controlled trial of colostomy management by three techniques--natural evacuation, colostomy irrigation and foam enema. Every patient spent 2 months using each technique. The mean number of colostomy actions weekly was 17 during natural evacuation, 6 during irrigation and 10 with the enema. There was no significant difference in the time taken to manage the colostomy by each technique. Eighteen patients considered that both irrigation and the foam enema improved the quality of their life, and opted to continue with irrigation on completion of the study. There were no major complications during the trial but leakage of foam and an increase in flatus were problems with the foam enema. It is concluded that patients should be made aware of the alternative methods available for colostomy management and be encouraged to use the method of their choice.

Irrigation practices in long-term survivors of colorectal cancer with colostomies.

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Grant, Marcia; McMullen, Carmit K; Altschuler, Andrea; Hornbrook, Mark C; Herrinton, Lisa J; Wendel, Christopher S; Baldwin, Carol M; Krouse, Robert S

2012-10-01

For some patients diagnosed with rectal cancer, surgery will involve the creation of a temporary or permanent ostomy. When the colostomy is located in the sigmoid or descending colon, regulation of fecal output can occur through irrigation, a procedure that involves instilling fluid into the bowel to flush out gas and fecal material. When successfully used, irrigation can prevent fecal output between irrigations, providing some control over colostomy output. The purpose of this article is to describe participants of a large, multisite, multi-investigator study of health-related quality of life in long-term colorectal cancer survivors who answered questions about colostomy irrigation and reported the potential advantages and disadvantages of the procedure. The article also will explore healthcare professionals' role in ensuring patients and family members are educated and well informed about their options regarding temporary or permanent ostomies.

IRRIGATION PRACTICES IN LONG-TERM SURVIVORS OF COLORECTAL CANCER (CRC) WITH COLOSTOMIES

Science.gov (United States)

Grant, Marcia; McMullen, Carmit K.; Altschuler, Andrea; Hornbrook, Mark C.; Herrinton, Lisa J.; Wendel, Christopher S.; Baldwin, Carol M.; Krouse, Robert S.

2014-01-01

Creation of a colostomy in colorectal (CRC) cancer patients results in a loss of control over bowel evacuation. The only way to re-establish some control is through irrigation, a procedure that involves instilling fluid into the bowel to allow for gas and fecal output. This article reports on irrigation practices of participants in a large, multi-site, multi-investigator study of health-related quality of life (HR-QOL) in long term CRC survivors. Questions about irrigation practices were identified in open-ended questions within a large HR-QOL survey and in focus groups of men and women with high and low HR-QOL. Descriptive data on survivors were combined with content analysis of irrigation knowledge and practices. Patient education and use of irrigation in the United States has decreased over the years, with no clear identification of why this change in practice has occurred. Those respondents who used irrigation had their surgery longer ago, and spent more time in colostomy care than those that did not irrigate. Reasons for the decrease in colostomy irrigation are unreported and present priorities for needed research. PMID:23022935

Colostomy irrigation: its role in improving the colostomate's quality of life.

Science.gov (United States)

Stuart, M

1976-11-20

The wider use of the irrigation technique for the management of the permanent colostomy has previously been advocated. The results of its use in a group of 10 colostomates followed more than two years is discussed. As more than half of these colostomates have been able to resume a normal life after beginning colostomy irrigation, a further plea is made for a better understanding of the technique and the advantages that it offers.

Thermal injury of the colon due to colostomy irrigation

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Jackson, F.R.; Ott, D.J.; Gelfand, D.W.

1981-07-15

A case of thermal burn and stricture of the colon following colostomy irrigation with hot water is described. The initial radiographic features on barium enema simulated nonspecific segmental colitis. Colonic stricture and enterolith formation developed subsequently. This case emphasizes that care should be taken in preparing irrigating and barium enema solutions.

Thermal injury of the colon due to colostomy irrigation

International Nuclear Information System (INIS)

Jackson, F.R.; Ott, D.J.; Gelfand, D.W.

1981-01-01

A case of thermal burn and stricture of the colon following colostomy irrigation with hot water is described. The initial radiographic features on barium enema simulated nonspecific segmental colitis. Colonic stricture and enterolith formation developed subsequently. This case emphasizes that care should be taken in preparing irrigating and barium enema solutions. (orig.)

Colostomy irrigation in the elderly. Effective recovery regardless of age.

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Venturini, M; Bertelli, G; Forno, G; Grandi, G; Dini, D

1990-12-01

One hundred forty elderly cancer outpatients with colostomy in the authors' rehabilitation department were included in an analysis of the feasibility, effectiveness, and safety of periodic irrigation of remaining colon with lukewarm tap water with the aim of regaining full continence. Sixteen patients did not have a sufficiently long remaining bowel (cecostomy, transverse colostomy) and 17 were considered unsuitable to learn the technique because of advanced neoplastic disease with poor life expectancy, intercurrent disease, or stomal problems. One hundred seven patients were proposed to perform the irrigation: 17 refused to do so with the remaining 90 able to learn the method without problems. Nearly all patients achieved full continence for at least 24 hours. Three patients refused to continue, and nine interrupted for minor complications. The median duration of irrigation in the whole group is 257 days (range, 1 to 2669 days): 32 patients have been irrigating from one to five years, and 9 patients for more than 5 years. Based on these results, we recommend irrigation as standard rehabilitative treatment for elderly patients.

Intraoperative bowel irrigation improves anastomotic collagen metabolism in the left-sided colonic obstruction but not covering colostomy.

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Duraker, N; Bender, O; Memişoğlu, K; Yalçiner, A

1998-01-01

This study investigated the effects of intraoperative colonic irrigation and proximal diverting end colostomy after segmental bowel resection in experimental left-colonic obstruction on anastomotic healing. Simple obstruction of descending colon was performed in male Sprague-Dawley rats. After 24 h we performed segmental colonic resection and anastomosis in the control group (n = 15); resection, anastomosis, and covering colostomy in the colostomy group (n = 14); resection and anastomosis after antegrade colonic lavage through cecum by using isotonic saline solution in the irrigation group (n = 13). In rats that were killed 7 days later anastomotic dehiscence and bursting pressure and tissue hydroxyproline concentration at the anastomosis were measured. No significant differences were observed between groups in terms of anastomotic dehiscence, bursting site, or pressure. The hydroxyproline concentration was significantly higher in the irrigation group than the control group (P = 0.025) and the colostomy group (P = 0.029), but no difference was noted between the control group and the colostomy group. These findings suggest that intraoperative antegrade colonic irrigation in the acute left-sided colonic obstruction positively affects collagen metabolism at the anastomotic site; if the anastomosis is performed without bowel cleansing, covering colostomy does not improve collagen metabolism.

A simplified technique for a totally diverting transverse loop colostomy and distal irrigation.

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Rose, D; Koniges, F; Frazier, T G

1985-12-01

This technique of totally diverting loop colostomy may be performed as an independent procedure or with exploratory laparotomy and surgical treatment on the distal part of the colon. Either a transverse or sigmoid loop colostomy can be used for diversion without the risk of fecal contamination of the peritoneal cavity, particularly when working with unprepared intestine. When distal irrigation is desired to purge the intestine of fecal material, either intraoperatively or as part of a subsequent intestinal preparation, it can easily be accomplished by placing an irrigating catheter distal to the staple line. In addition, the use of a small rubber suspension bar facilitates application of standard colostomy appliances for the stoma.

Effect of different infusion regimens on colonic motility and efficacy of colostomy irrigation.

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Gattuso, J M; Kamm, M A; Myers, C; Saunders, B; Roy, A

1996-10-01

The colonic motility response and short-term clinical effectiveness of colonic irrigation was studied in five patients with an end-colostomy, each of whom was studied on up to six occasions, using volumes of 500 and 1500 ml water infused under gravity and over a period of 2.5 and 5 min with a pump. The median baseline colonic luminal pressure was 14 cmH2O and rose to 42 cmH2O with a 500-ml infusion, and to 74 cmH2O with a 1500-ml infusion. Irrigation induced high-pressure (over 200 cmH2O) propagated waves which caused the efflux of colonic contents. These were more numerous after a 1500- than a 500-ml infusion (median 4.5 versus 2.0 respectively). There was no difference between the two volumes infused in the incidence of colostomy break-through before subsequent irrigation. Colostomy irrigation with 500-1500 ml water appears to produce intracolonic pressure rises that are safe. These volumes can be infused rapidly under gravity alone.

Colostomy irrigation: an important issue for Muslim individuals.

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Karadag, Ayise; Baykara, Zehra Göçmen

2009-01-01

Colostomy irrigation (CI) is a bowel management method in individuals with permanent colostomy, as an alternative to pouch use, which may provide continence. CI helps the individuals with an artificial stoma to adjust to the stoma and may increase their quality of life (QOL). An uncontrolled intestinal gas discharge invalidates ablution, and noisy gas discharge and smell prevents congregational prayers, which cause problems to Muslims with stomas. Therefore, CI may be an appropriate solution for this patient group. Using the example of one affected individual we discuss how the praying problem can be resolved with teaching to self-perform CI and emphasize the beneficial effects on QOL.

[Implementation and evaluation of a teaching plan for the auto-irrigation of colostomy: a case study].

Science.gov (United States)

Costa, Idevânia Geraldina; Maruyama, Sônia Ayako Tao

2004-01-01

With a view to describing and evaluating the implementation of a teaching plan for the auto-irrigation of colostomy and reporting on the perceptions of colostomized patients related to auto-irrigation, this case study was developed at the colostomy out-patient clinic of the Júlio Müller University Hospital, Cuiabá, Brazil, from February to March 1997. The teaching plan helped the patients to learn about the irrigation technique and social rehabilitation.

Randomized cross-over trial of polyethylene glycol electrolyte solution and water for colostomy irrigation.

Science.gov (United States)

O'Bichere, Austin; Green, Colin; Phillips, Robin K S

2004-09-01

Water for colostomy irrigation is largely absorbed by the colon, which may result in less efficient expulsion of stool. This study compared the outcome of colonic cleansing with water and polyethylene glycol solution. In a cross-over study, 41 colostomy irrigators were randomly assigned to water or polyethylene glycol solution irrigation first and then the other regimen, each for one week. Patients recorded fluid inflow time, total washout time, cramps, leakage episodes, number of stoma pouches used, and satisfaction scores (Visual Analog Scale, 1-10: 1 = poor, and 10 = excellent). The median and interquartile range for each variable was calculated, and the two treatments were compared (Wilcoxon's test). Eight patients failed to complete the study. Thirty-three patients (20 females; mean age, 55 (range, 39-73) years) provided 352 irrigation sessions: water (n = 176), and polyethylene glycol solution (n = 176). Irrigation was performed every 24, 48, and 72 hours by 17, 9, and 7 patients respectively, using 500 ml (n = 1), 750 ml (n = 2), 1,000 ml (n = 16), 1,500 ml (n = 11), 2,000 ml (n = 2), and 3,500 ml (n = 1) of fluid. The median and interquartile range for water vs. polyethylene glycol solution were: fluid inflow time (6 (range, 4.4-10.8) vs. 6.3 (range, 4.1-11) minutes; P = 0.48), total washout time (53 (range, 33-69) vs. 38 (range, 28-55) minutes; P = 0.01), leakage episodes (2.3 (range, 1.7-3.8) vs. 0.7 (range, 0.2-1); P colostomy irrigation.

IRRIGATION PRACTICES IN LONG-TERM SURVIVORS OF COLORECTAL CANCER (CRC) WITH COLOSTOMIES

OpenAIRE

Grant, Marcia; McMullen, Carmit K.; Altschuler, Andrea; Hornbrook, Mark C.; Herrinton, Lisa J.; Wendel, Christopher S.; Baldwin, Carol M.; Krouse, Robert S.

2012-01-01

Creation of a colostomy in colorectal (CRC) cancer patients results in a loss of control over bowel evacuation. The only way to re-establish some control is through irrigation, a procedure that involves instilling fluid into the bowel to allow for gas and fecal output. This article reports on irrigation practices of participants in a large, multi-site, multi-investigator study of health-related quality of life (HR-QOL) in long term CRC survivors. Questions about irrigation practices were iden...

Colon irrigation and quality of life in patients with colostomy

Directory of Open Access Journals (Sweden)

Francisco Javier Barbero Juárez

2004-07-01

Full Text Available One of the most important problems that a patient with a colostomy has to face after surgery is the intestinal continence. This lead these patients to experience not only a series of physical changes but also hygienic, dietetic, social, etc. As nurses, we must learn how to detect the needs of these patients in order to offer them an appropriate attention to improve their quality of life. Our aim is to assess if the irrigation technique (IT as a method for intestinal continence improves the quality of life in these patients. Methodology: A Pretest-postest study without control group was carried out in order to evaluate the usefulness of IT to improve the quality of life in patients with colostomy. Following a normalized protocol, the technique was taught to patients whose quality of life was evaluated before and after the application of IT. Results: Quality of life rate before intervention was 54,2% and reached 77,3% (statistically significant once the patient has used IT for two months. Conclusions: IT is associated with a remarkable improvement in the quality of life of patientes with colostomy. This improvement is reflected in the eight dimensions analysed: psychological welfare, physical welfare, body image, pain, sexual activity, nutrition, social preoccupations and device handling.

[Quality of life of post-colostomy patients].

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Bartha, I; Hajdu, J; Bokor, L; Kanyári, Z; Damjanovich, L

1995-09-10

The psychosomatic care of patients after surgical treatment must comprise the analysis of quality of life with colostomy. Five different parameters were assessed of 100 colostomy patients. Sixty-one percent of our patients had skin irritation problems. Twenty-eight patients applied regular irrigation. Seventy-two percent of these had daily motions, 20% had bidaily, the remaining 8% had irregular bowel movements. Seventeen percent of the nonirrigating patients observed very irritating fecal discharge around the stoma. Embarrassing noises concomittant with bowel movements were observed by 42% and 45% struggled with bad odors. Irrigating patients had hardly any of these problems. For 65% of the patients the idea of having a colostoma meant the greatest psychological burden before the operation. The stress situation culminated in the immediate postoperative period in 10%. Forty percent of those asked were seriously worried about the reaction of their social environment. In 65% a significant decrease of social relations could be observed. Sixteen percent reported an increased social activity after colostomy had been performed. Sixty percent admitted considering the option of suicide at least once. Thirty-five percent revealed to have any kind of sexual problems after colostomy. Eight of our 100 colostomy patients experienced serious adverse reactions from their family members. In eighty percent of the cases family members showed great sympathy although they acted naively. The quality of life of colostomy patients may be best taken care of by qualified stomatherapists, out-patient proctology departments and the ileo-colostomy movement (ILCO).

Positive and negative aspects of colostomy irrigation: a patient and WOC nurse perspective.

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Carlsson, Eva; Gylin, Meta; Nilsson, Laila; Svensson, Katarina; Alverslid, Ingrid; Persson, Eva

2010-01-01

Colostomy irrigation (CI) is an effective method to achieve fecal continence in selected persons with a colostomy. The primary aims of the study were to find out to what extent the WOC nurses used CI in their practice and what kind of information the WOC nurses gave patients if they provided explanations and potential solutions when irrigation was not successful in preserving continence. A further aim was to find out, from a patients' perspective, the positive and negative aspects of practicing CI and how they perform CI. The study employed a mixed quantitative and qualitative approach. Data from WOC nurses were obtained by means of a structured questionnaire and by means of structured telephone interviews with patients who performed CI. Questionnaires were sent out to 89 WOC nurses in Sweden, and 61 (69%) questionnaires were returned. Thirty-nine patients, median age 67 years, from 5 hospitals participated in the interview study. Sixty-four percent of the WOC nurse respondent always informed patients about CI. Forty-four percent of patients did not remember all the information they had been given by the WOC nurse regarding CI before starting with the procedure. Eighty-seven percent reported changing routines from how they initially performed CI over the years. Almost all (97%) of the respondents described positive aspects of CI. The 2 primary positive aspects described by participants were (1) feeling secure and (2) having an empty pouch. Persons living with a colostomy who regularly performed CI reported positive benefits associated with the procedure including a feeling of security and having an empty pouch. Despite these potential benefits, not all patients with a colostomy who are appropriate candidates for CI are offered information about the method from the WOC nurses.

Colon irrigation and quality of life in patients with colostomy

OpenAIRE

Francisco Javier Barbero Juárez; Francisco José Martín Cañete; Vicenta Galbis Valero; Josefa García López

2004-01-01

One of the most important problems that a patient with a colostomy has to face after surgery is the intestinal continence. This lead these patients to experience not only a series of physical changes but also hygienic, dietetic, social, etc. As nurses, we must learn how to detect the needs of these patients in order to offer them an appropriate attention to improve their quality of life. Our aim is to assess if the irrigation technique (IT) as a method for intestinal continence improves the q...

A scintigraphic analysis of colonic movement in patients with colostomy: changes of colonic transit time after acquaintance with irrigation.

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Yasuda, S; Fujii, H; Yamamoto, K; Nakagawa, M; Watanabe, I; Nakano, H

1992-01-01

For the purpose of making a functional assessment of colostomy irrigation, eight patients were examined. Group A was composed of four patients whose experience of irrigation was less than one year. Group B was composed of four patients who had undergone irrigation for more than two years. The capacity of the remnant colon was determined by a barium enema. Next, 74 MBq of milking technetium 99 diethylene triamine penta-acetic acid (99mTc-DTPA) was instilled with a predetermined amount of water (37 degrees C). A dynamic scan was performed for 45 min. The mean evacuation time of Groups A and B were 6 min 56 s +/- 2 min 33 s and 13 min 27 s +/- 10 min 50 s, respectively. The mean half emptying time of Groups A and B were 142.5 s +/- 7.9 s and 309.0 s +/- 181.9 s. The results suggest that the remnant colon may be habituated with irrigation. Colostomy irrigation which uses a single instillation of a measured volume of tepid water is recommended.

[Pseudo-continent perineal colostomy. Results and techniques].

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Lasser, P; Dubé, P; Guillot, J M; Elias, D

1997-09-01

This prospective study was conducted to assess functional results obtained after pseudo-continent perineal colostomy using the Schmidt procedure. Functional outcome was assessed in 40 patients who had undergone amputation of the rectum for cancer and pseudo-continent perineal colostomy reconstruction between 1989 and 1995 in our institution. The cancer pathology, operative procedure and post-operative care were noted. Morbidity, functional outcome and degree of patient satisfaction were recorded. Mean follow-up was 45 months (18-87) in 100% of the patients. There were no operative deaths. Twenty patients had post-operative complications and 2 patients required early conversion to definitive abdominal colostomy due to severe perineal complications. Function outcome showed normal continence in 4 patients, air incontinence in 23, occasional minimal leakage in 9 and incontinence requiring iliac colostomy in 2. Eighty-six percent of the patients were highly satisfied or satisfied with their continence capacity. Pseudo-continent perineal colostomy is a reliable technique which can be proposed as an alternative to left iliac colostomy after amputation of the rectum for cancer if a rigorous procedure is applied: careful patient selection, informed consent, rigorous surgical procedure, daily life-long irrigation of the colon.

The application of percutaneous endoscopic colostomy to the management of obstructed defecation.

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Heriot, A G; Tilney, H S; Simson, J N L

2002-05-01

We describe the case of a 52-year woman with a 17-year history of obstructed defecation in whom all other standard treatments had failed and the patient had refused a colostomy. Her symptoms were controlled by percutaneous endoscopic colostomy with antegrade colonic irrigation. A percutaneous endoscopic colostomy tube was placed in the sigmoid colon endoscopically using a colonoscope and the patient irrigated two liters of water through the percutaneous endoscopic colostomy twice each day and was able to successfully evacuate her rectum without excess straining or discomfort. Percutaneous endoscopic colostomy is an alternative option to colostomy in the management of obstructed defecation.

Colostomy irrigation: current knowledge and practice of WOC nurses.

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Cobb, Martha D; Grant, Marcia; Tallman, Nancy J; Wendel, Christopher S; Colwell, Janice; McCorkle, Ruth; Krouse, Robert S

2015-01-01

This study builds on the authors' previous studies that demonstrate that persons living with a colostomy who practice colostomy irrigation (CI) experience quality-of-life benefits. Studies also reveal that patients may not be taught about CI. The purpose of this study was to determine current knowledge, attitudes, and practices of WOC nurses on CI. The target population was ostomy nurses who were members of the Wound, Ostomy and Continence Nurse's Society. Nine hundred eighty-five nurses out of a possible pool of 4191 members responded, providing a response rate of 24%. Their average age was 53 years (range, 25-79 years). Respondents averaged 12 years' experience as a WOC nurse (range, 1-40 years) and 90% (n = 875) were certified. Participants practiced in a variety of settings, including acute and long-term care facilities, home health, and ambulatory clinics. They saw an average of 37 ± 60.5 (mean ± SD) ostomy patients per year (range, 0-1100). A 1-time online survey (SurveyMonkey) of members of the Wound, Ostomy and Continence Nurses (WOCN) Society was conducted. In addition to demographic and educational information, questions also included (1) CI advantages and disadvantages; (2) CI content routinely taught; (3) challenges in assisting patients to learn CI; and (4) where preparation was received for teaching this procedure. Nurses were asked whether they believe CI is evidence-based. More than half identified irrigation as an evidence-based practice (59%), but half indicated they do not routinely teach CI. Multiple factors correlated with nurses' decisions to teach CI, including years of experience (P = .03), specific CI education (P < .001), and considering the intervention evidence-based (P < .001). Factors influencing CI instruction are multifactorial; they include nurses' attitudes, experience base, education, medical indications, setting characteristics, and patient interest and physical abilities. Education on this procedure is urgently needed for

Colostomy Irrigation: Issues Most Important to Wound, Ostomy and Continence Nurses.

Science.gov (United States)

Tallman, Nancy J; Cobb, Martha D; Grant, Marcia; Wendel, Christopher S; Colwell, Janice; Ercolano, Elizabeth; Krouse, Robert

2015-01-01

The purpose of this study was to describe issues that WOC nurses find most important related to colostomy irrigation (CI). This is an additional analysis of a study focusing on qualitative responses to a survey querying WOC nurses about CI practices. The target population was members of the Wound, Ostomy and Continence Nurses Society. Of the 985 nurses who responded to the survey, 338 (34.3%) answered the optional open-ended question asking for additional comments. A 1-time online survey was conducted. In addition to demographic, educational information, and forced-choice questions about CI, an open-ended question asked for any additional comments about their experience with irrigation and WOC practice. Content analysis was used to identify common themes identified by WOC nurses. Three hundred thirty-eight out of 985 WOC nurses (34.3%) answered the optional open-ended question asking for additional comments; analysis for this study is based on these responses. WOC nurses who responded to the open-ended question had similar characteristics to those who responded to the entire survey but were significantly more experienced (15.1 vs 11.0 years; P irrigation techniques are recommended.

Innovative technology for colostomy irrigation: assessing the impact on patients.

Science.gov (United States)

Pace, S; Manuini, F; Maculotti, D

2015-10-01

The main purpose of the trial was to evaluate the opinions expressed by a sample of subjects with permanent colostomy, as a result of the use of a new device designed for the execution of transtomal intestinal irrigation; their feedback was analyzed in relation to the concept of Quality of Life. The device was tested on a sample of 14 colostomized patients (10 men and 4 women, aged between 42 and 77 years) who were used to perform intestinal irrigation procedures independently and routinely, with standard technique. After testing the new device, the patients included in the study were asked to fill out a questionnaire built ad hoc for their situation. The analysis of the data collected led to the following conclusions: 93% of the patients described the new irrigation method as simpler than the standard procedure; the majority of the patients assessed bowel emptying as good; 64% of patients reported excellent comfort experienced during the procedure; the presence of a regulator to adjust the instillation speed of water into the intestinal lumen was considered useful to control the flow of the incoming fluid The use of the device guaranteed: psychological tranquility, minimum manual intervention, full achievement of the expected results and decrease in the issues normally encountered with the standard irrigation method. The practical features of the new device ensure easy and straightforward carrying out of the procedure; this ease of use affects the stomized patient's everyday life by reducing the time of procedure completion, thus positively influencing the perception of the patients' Quality of Life.

When all seems lost: management of refractory constipation-Surgery, rectal irrigation, percutaneous endoscopic colostomy, and more.

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Wilkinson-Smith, V; Bharucha, A E; Emmanuel, A; Knowles, C; Yiannakou, Y; Corsetti, M

2018-05-01

While the pharmacological armamentarium for chronic constipation has expanded over the past few years, a substantial proportion of constipated patients do not respond to these medications. This review summarizes the pharmacological and behavioral options for managing constipation and details the management of refractory constipation. Refractory constipation is defined as an inadequate improvement in constipation symptoms evaluated with an objective scale despite adequate therapy (ie, pharmacological and/or behavioral) that is based on the underlying pathophysiology of constipation. Minimally invasive (ie, rectal irrigation and percutaneous endoscopic colostomy) and surgical therapies are used to manage refractory constipation. This review appraises these options, and in particular, percutaneous endoscopic colostomy, which as detailed by an article in this issue, is a less invasive option for managing refractory constipation than surgery. While these options benefit some patients, the evidence of the risk: benefit profile for these therapies is limited. © 2018 John Wiley & Sons Ltd.

Perineal colostomy: an alternative to avoid permanent abdominal colostomy: operative technique, results and reflection.

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da Silva, Alcino Lázaro; Hayck, Johnny; Deoti, Beatriz

2014-01-01

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. To evaluate the technique of abdominoperineal amputation with perineal colostomy with irrigation as an alternative to permanent abdominal colostomy. Retrospective analysis of medical records of 55 patients underwent abdominoperineal resection of the rectum with perineal colostomy in the period 1989-2010. 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. The abdominoperineal amputation with perineal colostomy is a good therapeutic option in the armamentarium of the surgical treatment of rectal cancer.

Percutaneous endoscopic sigmoid colostomy for irrigation in the management of bowel dysfunction of adults with central neurologic disease.

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Ramwell, A; Rice-Oxley, M; Bond, A; Simson, J N L

2011-10-01

Bowel dysfunction results in a major lifestyle disruption for many patients with severe central neurologic disease. Percutaneous endoscopic sigmoid colostomy for irrigation (PESCI) allows antegrade irrigation of the distal large bowel for the management of both incontinence and constipation. This study prospectively assessed the safety and efficacy of PESCI. A PESCI tube was placed endoscopically in the sigmoid colon of 25 patients to allow antegrade irrigation. Control of constipation and fecal incontinence was improved for 21 (84%) of the 25 patients. These patients were followed up for 6-83 months (mean, 43 months), with long-term success for 19 (90%) of the patients. No PESCI had to be removed for technical reasons or for PESCI complications. Late removal of the PESCI was necessary for 2 of the 21 patients. A modified St. Marks Fecal Incontinence Score to assess bowel function before and after PESCI showed a highly significant improvement (P irrigation in the management bowel dysfunction for selected patients with central neurologic disease. A successful PESCI is very likely to continue functioning satisfactorily for a long time without technical problems or local complications.

Colostomy closure: how to avoid complications

Science.gov (United States)

Levitt, Marc A.; Lawal, Taiwo A.; Peña, Alberto

2010-01-01

Purpose Colostomy is an operation frequently performed in pediatric surgery. Despite its benefits, it can produce significant morbidity. In a previous publication we presented our experience with the errors and complications that occurred during cases of colostomy creation. We now have focused in the morbidity related to the colostomy closure. The technical details that might have contributed to the minimal morbidity we experienced are described. Methods The medical records of 649 patients who underwent colostomy closure over a 28-year period were retrospectively reviewed looking for complications following these procedures. Our perioperative protocol for colostomy closure consisted in: clear fluids by mouth and repeated proximal stoma irrigations 24 h prior to the operation. Administration of IV antibiotics during anesthesia induction and continued for 48 h. Meticulous surgical technique that included: packing of the proximal stoma, plastic drape to immobilize the surgical field, careful hemostasis, emphasis in avoiding contamination, cleaning the edge of the stomas to allow a good 2-layer, end-to-end anastomosis with separated long-term absorbable sutures, generous irrigation of the peritoneal cavity and subsequent layers with saline solution, closure by layers to avoid dead space, and avoidance of hematomas. No drains and no nasogastric tubes were used. Oral fluids were started the day after surgery and patients were discharged 48–72 h after the operation. Results The original diagnoses of the patients were: anorectal malformation (583), Hirschsprung’s disease (53), and others (13). 10 patients (1.5%) had complications: 6 had intestinal obstruction (5 due to small bowel adhesions, 1 had temporary delay of the function of the anastomosis due to a severe size discrepancy between proximal and distal stoma with a distal microcolon) and 4 incisional hernias. There were no anastomotic dehiscences or wound infection. There was no bleeding, no anastomotic

Colostomy closure: how to avoid complications.

Science.gov (United States)

Bischoff, Andrea; Levitt, Marc A; Lawal, Taiwo A; Peña, Alberto

2010-11-01

Colostomy is an operation frequently performed in pediatric surgery. Despite its benefits, it can produce significant morbidity. In a previous publication we presented our experience with the errors and complications that occurred during cases of colostomy creation. We now have focused in the morbidity related to the colostomy closure. The technical details that might have contributed to the minimal morbidity we experienced are described. The medical records of 649 patients who underwent colostomy closure over a 28-year period were retrospectively reviewed looking for complications following these procedures. Our perioperative protocol for colostomy closure consisted in: clear fluids by mouth and repeated proximal stoma irrigations 24 h prior to the operation. Administration of IV antibiotics during anesthesia induction and continued for 48 h. Meticulous surgical technique that included: packing of the proximal stoma, plastic drape to immobilize the surgical field, careful hemostasis, emphasis in avoiding contamination, cleaning the edge of the stomas to allow a good 2-layer, end-to-end anastomosis with separated long-term absorbable sutures, generous irrigation of the peritoneal cavity and subsequent layers with saline solution, closure by layers to avoid dead space, and avoidance of hematomas. No drains and no nasogastric tubes were used. Oral fluids were started the day after surgery and patients were discharged 48-72 h after the operation. The original diagnoses of the patients were: anorectal malformation (583), Hirschsprung's disease (53), and others (13). 10 patients (1.5%) had complications: 6 had intestinal obstruction (5 due to small bowel adhesions, 1 had temporary delay of the function of the anastomosis due to a severe size discrepancy between proximal and distal stoma with a distal microcolon) and 4 incisional hernias. There were no anastomotic dehiscences or wound infection. There was no bleeding, no anastomotic stricture and no mortality. Based on

[Pseudocontinent perineal colostomy].

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Berrada, S; Khaiz, D; Alloubi, I

2005-01-01

This prospective study was designed to evaluate functional results of a pseudocontinent perineal colostomy (PCPC) using Schmidt's technique. Functional results in eight patients whose rectum were resected due to cancer or anal epidermoid carcinoma and reconstructed by PCPC between January 1995 and July 2002 in our institution were evaluated. Surgical technique and post-operative care were described. Morbidity, functional results and degree of patient satisfaction were reported. Median follow-up was 40 months (18-70 months) and was completed in 100% of patients. There were no operative deaths. Four patients had post-operative complications, whose two patients had partial disunion of sutures, and two patients had urinary infection that was treated by adequate antibiotherapy. No conversion to a definitive abdominal colostomy was performed. On a functional level, one patient has normal continence, six had gas incontinence, and one has occasional minimal soiling. Seventy-five percent of patients were either highly satisfied with their continence. PCPC is a reliable technique, which can be proposed as an alternative to a left iliac colostomy following amputation of the rectum due to cancer, provided that certain requirements are met: careful selection of patients, informed consent, flawless surgical technique and lifetime daily colic irrigation.

Selected problems associated with the treatment and care for patients with colostomy – part 2

OpenAIRE

Muzyczka, Katarzyna; Kachaniuk, Hanna; Szadowska-Szlachetka, Zdzisława; Charzyńska-Gula, Marianna; Kocka, Katarzyna; Bartoszek, Agnieszka; Celej-Szuster, Jolanta

2013-01-01

Generally, ostomy is a purposeful connection of the lumen of the intestine with abdominal integuments by surgery. The study presents practical solutions related to care for the colostomy patient, i.e. an ostomy on the large intestine. The following issues will be discussed: regulating the defecation cycle, risk connected with improper selection of ostomy equipment, instruction on colostomy irrigation with practical advice and irrigation equipment supply. The knowledge of these rules and maste...

Economic analysis of medical management applied for left colostomy.

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Savlovschi, C; Serban, D; Andreescu, Cv; Dascalu, Am; Pantu, H

2013-01-01

This paper presents an analysis of surgical treatment costs for left colostomy, aiming to calculate a medium cost per procedure and to identify the means to maximize the economic management of this type of surgicale procedure. A retrospective study was conducted on a group of 8 patients hospitalized in the 4th Surgery Department,Emergency University Hospital Bucharest, during the year 2012 for left colic neoplasms with obstruction signs that were operated on with a left colostomy. The followed parameters in the studied group of patients were represented by medical expenses, divided in: preoperative, intra-operative and immediate postoperative (postop. hospitalization). Two major types of colostomy were performed: left loop colostomy with intact tumour for 6 patients and left end colostomy and tumour resection (Hartmann's procedure) for 2 patients. The medium cost of this type of surgical intervention was 4396.807 RON, representing 1068.742 euro. Statistic data analysis didn't reveal average costs to vary with the type of procedure. The age of the study subjects was between 49 and 88, with an average of 61 years, without it being possible to establish a correlation between patient age and the level of medical spendings. Reducing the costs involved by left colostomy can be efficiently done by decreasing the number of days of hospitalisation in the following ways: preoperative preparation and assessment of the subject in an outpatient regimen; the accuracy of the surgical procedure with the decrease of early postoperative complications and antibiotherapy- the second major cause of increased postoperative costs. Celsius.

Intraluminal irrigation with fibers improves mucosal inflammation and atrophy in diversion colitis.

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de Oliveira-Neto, Joaquim P; de Aguilar-Nascimento, José E

2004-02-01

We investigated the effect of irrigating the colorectal mucosa of patients with a colostomy using a solution of fibers. Eleven patients (10 male and 1 female; mean age, 34 y; age range, 16-49 y) with loop colostomy due to trauma underwent endoscopic evaluation of the rectum and the proximal and distal mucosa from the colostomy. An endoscopic score (range, 0-10) was used to quantify the intensity of the inflammation at the mucosa. Biopsies were taken from the colostomy border and from the rectum. The mean crypt depth of the five best-oriented glands was registered. Then the diverted colorectal segment was irrigated with a solution containing 5% fibers (10 g/d) for 7 d. The patients underwent repeated endoscopic and biopsy procedures, and then the colostomy was closed. The endoscopic score was higher (P Irrigation with fibers improves inflammation at the defunctionalized colon.

Limited utility of preoperative studies in preparation for colostomy closure.

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Pokorny, R M; Heniford, T; Allen, J W; Tuckson, W B; Galandiuk, S

1999-04-01

Numerous diagnostic and therapeutic practices are used in an attempt to reduce the morbidity of colostomy closures. Our principal aim was to evaluate the role of preoperative studies, specifically barium enemas and endoscopic examinations, performed before colostomy closures. Additionally, we wished to identify other practices involved in the perioperative management of patients undergoing colostomy closure that influenced morbidity. The records of 100 consecutive patients who underwent elective colostomy closure at University of Louisville Hospital between January 1989 and July 1995 were reviewed. Wound infection was the most common complication (12%). Various bowel preparations were equivalent in efficacy and did not influence the complication rate. Intermittent wound irrigation with antibiotics for 3 days postoperatively, via subcutaneous drains, was associated with a low incidence of incision infection. Preoperative barium enema or sigmoidoscopy were often performed but rarely useful. Performing these examinations merely increased hospital cost without a corresponding decline in morbidity.

Colostomy irrigation: are we offering it enough?

Science.gov (United States)

Woodhouse, Fran

This article discusses the use of irrigation for suitable colostomists and reasons why it can have a very positive effect on lifestyle. While it is evidence-based it also includes anecdotal tips from patients who irrigate. The suitability of patients to irrigate and ways to 'get started' with irrigation are discussed.

Selected problems associated with the treatment and care for patients with colostomy - part 2.

Science.gov (United States)

Muzyczka, Katarzyna; Kachaniuk, Hanna; Szadowska-Szlachetka, Zdzisława; Charzyńska-Gula, Marianna; Kocka, Katarzyna; Bartoszek, Agnieszka; Celej-Szuster, Jolanta

2013-01-01

Generally, ostomy is a purposeful connection of the lumen of the intestine with abdominal integuments by surgery. The study presents practical solutions related to care for the colostomy patient, i.e. an ostomy on the large intestine. The following issues will be discussed: regulating the defecation cycle, risk connected with improper selection of ostomy equipment, instruction on colostomy irrigation with practical advice and irrigation equipment supply. The knowledge of these rules and mastering them in practice is to provide ostomy patients not only with highest-standard care and help but also to prepare them for dealing with problems independently, i.e. for self-care.

Selected problems associated with the treatment and care for patients with colostomy – part 2

Science.gov (United States)

Kachaniuk, Hanna; Szadowska-Szlachetka, Zdzisława; Charzyńska-Gula, Marianna; Kocka, Katarzyna; Bartoszek, Agnieszka; Celej-Szuster, Jolanta

2013-01-01

Generally, ostomy is a purposeful connection of the lumen of the intestine with abdominal integuments by surgery. The study presents practical solutions related to care for the colostomy patient, i.e. an ostomy on the large intestine. The following issues will be discussed: regulating the defecation cycle, risk connected with improper selection of ostomy equipment, instruction on colostomy irrigation with practical advice and irrigation equipment supply. The knowledge of these rules and mastering them in practice is to provide ostomy patients not only with highest-standard care and help but also to prepare them for dealing with problems independently, i.e. for self-care. PMID:24596509

Colostomies and the use of colostomy appliances.

Science.gov (United States)

Cronin, Elaine

The surgical formation of a colostomy is indicated as part of the treatment of various conditions, primarily colon cancer, requiring the patient (ostomist) to wear a colostomy pouch. Today's stoma appliances bear no resemblance to those worn three or four decades ago when colostomy, ileostomy and urostomy bags were made entirely from rubber. The patient, who would have two to three bags in circulation at a time, would interchange them allowing for the washing and drying of the previous one, thus minimizing odour and potential perishing of the rubber. The design of these appliances was simple, but they were large and bulky and the outlet resembled that of a hot-water bottle stopper or a cap from an old soda bottle that required the insertion of coinage (2p) to open it. This article explores the range of colostomy appliances and management options available to the nurse when caring for patients with a colostomy.

Colostomy and drainage for civilian rectal injuries: is that all?

Science.gov (United States)

Burch, J M; Feliciano, D V; Mattox, K L

1989-01-01

One hundred consecutive patients with injuries to the extraperitoneal rectum were treated over a ten-year period at an urban trauma center. The mechanisms of injury included firearms in 82 patients, stab wounds in 3 patients, a variety of other penetrating injuries in 10 patients, and in 5 patients the injuries resulted from blunt trauma. Treatment of the rectal injury was determined by the bias of the operating surgeon, the condition of the patient, and the magnitude of the rectal injury. Proximal loop colostomies were performed in 44 patients, diverting colostomies in 51 patients, Hartmann's procedure in 4 patients, and an abdominoperineal resection in 1 patient. Extraperitoneal rectal perforations were closed in 21 patients and the rectum was irrigated free of feces in 46 patients. Transperineal, presacral drainage was used in 93 patients. Infectious complications potentially related to the management of the rectal wound occurred in 11 patients (11%) and included abdominal or pelvic abscesses (4 patients), wound infections (6 patients), rectocutaneous fistulas (3 patients), and missile tract infections (2 patients). Four patients (4%) died as a result of their injuries. Of the therapeutic options available, statistical analysis revealed that only the failure to drain the presacral space increased the likelihood of infectious complications (p = 0.03); however, as it could not be determined with certainty that the use of, or failure to use, any particular therapeutic option had an effect on the risk of death. It is concluded that colostomy and drainage are the foundations of the successful treatment of civilian injuries to the extraperitoneal rectum. The use of adjuncts such as diverting colostomies, repair of the rectal wound, and irrigation of the rectum has little effect on mortality and morbidity. PMID:2705824

[Stricture of the colon induced by hyperthermia--in connection with irrigation via sigmoidostomy].

Science.gov (United States)

Søholm, L M; Bonde, C T; Balleby, L; Meisner, S

1999-08-23

A case of thermal injury following the introduction of excessively hot tap water into the colon during irrigation of a sigmoid colostomy is described. The radiological proof of a subsequently developed colon stricture made it necessary to remove the injured part and reconstruct the colostomy. Only two other cases of this kind have been reported in English literature. The case emphasizes that care must be taken in selecting the right temperature of the water for irrigation.

Simple Device for Treating Prolapsing Loop Colostomy

Directory of Open Access Journals (Sweden)

Ming-Yu Hsieh

2006-03-01

Full Text Available Stoma prolapse is a common complication of intestinal stoma. Although various surgical methods yield satisfactory results, nonsurgical treatment may be better for a temporary stoma. We report a case of a patient with a distal limb prolapse of a right transverse colostomy who received nonsurgical treatment with satisfactory results. For the treatment of a temporary transverse loop colostomy with distal limb prolapse, we designed a simple device consisting of a pediatric plastic medicine cup, which was rolled into a towel to shape the bottom of the cup into a compressor. The towel was put on the stoma outside of the colostomy bag with the compressor above the prolapsing limb of the colostomy. An abdominal binder was applied to fix the towel.

[Surgical complications of colostomies].

Science.gov (United States)

Ben Ameur, Hazem; Affes, Nejmeddine; Rejab, Haitham; Abid, Bassem; Boujelbene, Salah; Mzali, Rafik; Beyrouti, Mohamed Issam

2014-07-01

The colostomy may be terminal or lateral, temporary or permanent. It may have psychological, medical or surgical complications. reporting the incidence of surgical complications of colostomies, their therapeutic management and trying to identify risk factors for their occurrence. A retrospective study for a period of 5 years in general surgery department, Habib Bourguiba hospital, Sfax, including all patients operated with confection of a colostomy. Were then studied patients reoperated for stoma complication. Among the 268 patients who have had a colostomy, 19 patients (7%) developed surgical stoma complications. They had a mean age of 59 years, a sex ratio of 5.3 and a 1-ASA score in 42% of cases. It was a prolapse in 9 cases (reconfection of the colostomy: 6 cases, restoration of digestive continuity: 3 cases), a necrosis in 5 cases (reconfection of the colostomy), a plicature in 2 cases (reconfection of the colostomy) a peristomal abscess in 2 cases (reconfection of the colostomy: 1 case, restoration of digestive continuity: 1 case) and a strangulated parastomal hernia in 1 case (herniorrhaphy). The elective incision and the perineal disease were risk factors for the occurrence of prolapse stomial. Surgical complications of colostomies remain a rare event. Prolapse is the most common complication, and it is mainly related to elective approach. Reoperation is often required especially in cases of early complications, with usually uneventful postoperative course.

Pseudocontinent perineal colostomy following abdominoperineal resection: technique and findings in 49 patients.

Science.gov (United States)

Lasser, P; Dubé, P; Guillot, J M; Elias, D

2001-02-01

This prospective study was designed to evaluate functional results following the creation of a pseudocontinent perineal colostomy (PCPC) using Schmidt's technique. Functional results in 40 patients whose rectum was resected due to cancer and reconstructed by PCPC between 1989 and 1995 in our institution were evaluated. Anatomical and pathological features of cancers, surgical technique and post-operative care are described. Morbidity, functional results and degree of patient satisfaction are reported. Median follow-up was 45 months (18--87 months) and was completed in 100% of patients. There were no operative deaths. Twenty patients had post-operative complications and two patients had an early conversion to a definitive abdominal colostomy due to serious perineal complications. On a functional level, four patients had normal continence, 23 had gas incontinence, nine had occasional minimal soiling and two had incontinence requiring iliac colostomy. Eighty-six per cent of patients were either highly satisfied or satisfied with their continence. PCPC is a reliable technique that can be suggested as an alternative to a left iliac colostomy following amputation of the rectum due to cancer, provided that certain requirements are met: careful selection of patients, informed consent, flawless surgical technique and lifetime daily colic irrigation. Copyright Harcourt Publishers Limited.

Inflammatory fibroid polyp of the ileum with the appearance of a Borrmann type II lesion, caused by colostomy irrigation: report of a case.

Science.gov (United States)

Ojima, Y; Okajima, M; Asahara, T; Arita, M; Kobayashi, R; Nakahara, M; Masaoka, Y; Toyota, K; Fujitaka, T; Kawahori, K; Shimamoto, F; Dohi, K

1997-01-01

Inflammatory fibroid polyps (IFPs) are rarely found in the gastrointestinal tract. The majority of IFPs are sessile-pedunculated or pedunculated polypoid lesions, whereas a polyp presenting like a Borrmann type II lesion is extremely unusual. This report describes the case of a 74-year-old man with a history of intussusception, in whom a preoperative diagnosis of a cecal tumor of the ileocecal valve was made. A laparotomy subsequently revealed a lesion similar to a Borrmann type II tumor located 15 cm above the ileocecal valve, but not at the valve. The lesion was diagnosed as an IFP which had been caused by repeated colostomy irrigation. The aim of the present report is to draw attention to this entity, which should be included in the differential diagnosis of intussusception and small bowel obstruction.

Percutaneous endoscopic colostomy: a useful technique when surgery is not an option

OpenAIRE

Tun, Gloria; Bullas, Dominic; Bannaga, Ayman; Said, Elmuhtady M.

2016-01-01

Percutaneous endoscopic colostomy (PEC) is a minimally invasive endoscopic procedure that offers an alternative treatment for high-risk patients with sigmoid volvulus or intestinal pseudo-obstruction who have tried conventional treatment options without success or those who are unfit for surgery. The procedure acts as an irrigation or decompressing channel and provides colonic ?fixation? to the anterior abdominal wall. The risk of complications highlights the importance of informed consent fo...

Observations on early and delayed colostomy closure.

Science.gov (United States)

Tade, A O; Salami, B A; Ayoade, B A

2011-06-01

Traditional treatment of a variety of colorectal pathologies had included a diverting colostomy that was closed eight or more weeks later during a readmission. The aim of this retrospective study was to determine the outcomes of early colostomy closure and delayed colostomy closure in patients with temporary colostomies following traumatic and non-traumatic colorectal pathologies. In this study early colostomy closure was the closure of a colostomy within three weeks of its construction, while delayed colostomy closure referred to closure after 3 weeks. Complete records of the 37 adult patients who had temporary colostomy constructed and closed between Jan. 1997 December 2003 for various colorectal pathologies were studied. Fourteen patients had early colostomy closure while 23 had delayed closure. In the early colostomy closure group there were 10 men and 4 women. The mean age of the patients was 28yr with a range of 18-65yr. Colostomies were closed 9-18 days after initial colostomy construction. There was no mortality. Morbidity rate 28.6% (4 out of 14). There were two faecal fistulas (14.3%). Twenty-three patients had delayed colostomy closure 8 weeks to 18 months after initial colostomy construction. These were patients unfit for early surgery after initial colostomy construction because of carcinoma, significant weight loss, or sepsis. There was no mortality. Morbidity rate was 26.1%. There were 3 faecal fistulas (13.2%). Outcomes following early colostomy closure and delayed closure were comparable. Patients fit for surgery should have early closure whilst patients who may have compromised health should have delayed closure.

The modified Altemeier procedure for a loop colostomy prolapse.

Science.gov (United States)

Watanabe, Makoto; Murakami, Masahiko; Ozawa, Yoshiaki; Uchida, Marie; Yamazaki, Kimiyasu; Fujimori, Akira; Otsuka, Koji; Aoki, Takeshi

2015-11-01

Loop colostomy prolapse is associated with an impaired quality of life. Surgical treatment may sometimes be required for cases that cannot be closed by colon colostomy because of high-risk morbidities or advanced disease. We applied the Altimeter operation for patients with transverse loop colostomy. The Altemeier operation is therefore indicated for rectal prolapse. This technique involves a simple operation, which includes a circumferential incision through the full thickness of the outer and inner cylinder of the prolapsed limb, without incising the abdominal wall, and anastomosis with sutures using absorbable thread. We performed the Altemeier operation for three cases of loop stomal prolapse. Those patients demonstrated no postoperative complications (including obstruction, prolapse recurrence, or hernia). Our findings suggest that this procedure is useful as an optional surgical treatment for cases of transverse loop colostomy prolapse as a permanent measure in patients with high-risk morbidities or advanced disease.

[Perineal colostomy with antegrade continence enemas as an alternative after abdominoperineal resection for low rectal cancer].

Science.gov (United States)

Penninckx, F; D'Hoore, A; Vanden Bosch, A

2005-06-01

Some young and active patients requiring abdominoperineal resection for rectum cancer ask for an alternative of an abdominal colostomy. We analysed the results after a combination of a perineal colostomy and antegrade continence enemas (ACE). Fifteen patients have been operated between 1999 and 2004. Follow-up was >six months in 12 patients with a mean of two years and with a maximum of 55 months. The QLQ-C30 (version 3) and CR 38 questionnaires of the EORTC have been used to evaluate quality of life aspects. Five out of 15 patients presented complications: infection of the caecal conduit (2), small bowel obstruction (1), prolapse of the perineal colostomy (1), eventration (1), urologic complications (2). ACE are still used by all patients. The volume needed was 400 ml and duration of irrigation was 30 minutes (15-45 minutes). The median score for faecal incontinence was 0 ; faecal pseudocontinence was obtained by 7/12 patients. The scores for all aspects of functioning were excellent, as well as the score for body image. The general health status and quality of life were estimated at 75% from normal value. The procedure is simple and can be performed in one operative session. A perineal colostomy with ACE seems to be a valuable and less expensive alternative for an abdominal colostomy, and certainly for total anorectal reconstruction.

Percutaneous endoscopic colostomy: a useful technique when surgery is not an option.

Science.gov (United States)

Tun, Gloria; Bullas, Dominic; Bannaga, Ayman; Said, Elmuhtady M

2016-01-01

Percutaneous endoscopic colostomy (PEC) is a minimally invasive endoscopic procedure that offers an alternative treatment for high-risk patients with sigmoid volvulus or intestinal pseudo-obstruction who have tried conventional treatment options without success or those who are unfit for surgery. The procedure acts as an irrigation or decompressing channel and provides colonic 'fixation' to the anterior abdominal wall. The risk of complications highlights the importance of informed consent for patients and relatives.

21 CFR 876.4270 - Colostomy rod.

Science.gov (United States)

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Colostomy rod. 876.4270 Section 876.4270 Food and... GASTROENTEROLOGY-UROLOGY DEVICES Surgical Devices § 876.4270 Colostomy rod. (a) Identification. A colostomy rod is a device used during the loop colostomy procedure. A loop of colon is surgically brought out through...

Transverse colon cancer occurring at a colostomy site 35 years after colostomy: a case report.

Science.gov (United States)

Maeda, Chiyo; Hidaka, Eiji; Shimada, Mari; Shimada, Shoji; Nakahara, Kenta; Takayanagi, Daisuke; Takehara, Yusuke; Mukai, Shumpei; Sawada, Naruhiko; Ishida, Fumio; Kudo, Shin-ei

2015-05-06

Carcinomas occurring at colostomy sites are rare, and most of these are metachronous colorectal cancers. The median time between colostomy and development of a carcinoma at a colostomy site is 22 years, which exceeds the length of the recommended follow-up period. We report a rare case of a carcinoma of the transverse colon occurring at a colostomy site in a patient without a history of colorectal cancer. An 89-year-old woman presented with a tumor occurring at a colostomy site. Thirty-five years previously, she had undergone a transverse loop colostomy for an iatrogenic colon perforation that occurred during left ureteral lithotomy. Upon physical examination, the patient had a hard nodule measuring 3 cm at the colostomy site. A biopsy of the nodule suggested adenocarcinoma, and the preoperative diagnosis was transverse colon cancer. A laparotomy was performed via a peristomal incision with 5-mm skin margins, and the tumor was covered by a surgical glove to avoid any tumor seeding. The colon was separated from the tumor by 5-cm margins, and the specimen was removed en bloc. An end colostomy was constructed to a new site on the right side of the abdomen. The deficit in the abdominal wall was repaired, and the skin was closed via a purse-string suture. The final diagnosis of the stoma tumor was transverse colon cancer (T2, N0, M0, stage I). One year and five months after surgery, there was no evidence of recurrence. The occurrence of carcinomas at colostomy sites in patients without a history of colorectal cancer is rare. It is important to train ostomates to monitor the stoma for possible tumor recurrence.

Evaluation of the expert patient program in a Chinese population with permanent colostomy.

Science.gov (United States)

Cheng, Fang; Xu, Qin; Dai, Xiao-dong; Yang, Lin-li

2012-01-01

A colostomy can negatively impact patients' quality of life. Recent research findings suggest that self-efficacy and psychosocial adjustment are positively associated with quality of life, but there are few research reports about the self-efficacy and psychosocial adjustment of patients with a permanent colostomy. The objective of the study was to evaluate the effect of a 3-week Expert Patient Program (EPP) on colostomy knowledge, stoma care self-efficacy, self-management, and psychosocial adjustment in Chinese patients who had a permanent colostomy. Eleven patients with permanent colostomy volunteered to be trained to be expert patients. Eighty-one patients with permanent colostomy were recruited and participated in the 3-week EPP courses. Questionnaires with items about knowledge on colostomy, stoma care self efficacy, self-management, and psychosocial adjustment were administered before and at 4 weeks following the EPP courses. Each EPP participant also completed a verbal interview at the end of the program. The EPP participants demonstrated statistically significant improvement (P colostomy (mean [SD]: 51.89 [11.45] vs 89.22 [19.90], 71.56 [5.93] vs 85.61 [14.32], 125.44 [19.27] vs 140.78 [15.34], 47.59 [9.64] vs 53.37 [10.68], respectively). Most participants gave positive ratings to the EPP. This study showed that the EPP was applied effectively in patients with permanent colostomy. This study highlights the importance of psychosocial support for patients with permanent colostomy. It offers a model of self-help practice in colostomy patients, supported by community that can benefit more patients with permanent colostomy.

Literature Review: Double-Barrelled Wet Colostomy (One Stoma) versus Ileal Conduit with Colostomy (Two Stomas).

Science.gov (United States)

Gan, Jason; Hamid, Rizwan

2017-01-01

The aim of this literature review was to analyse the advantages and disadvantages of a traditional ileal conduit (IC) with separate colostomy technique compared to the outcomes of a double-barrelled wet colostomy (DBWC) technique. The former technique results in the formation of two stomas, and the latter results in the formation of one stoma. PubMed was searched electronically for articles on DBWC. Fifteen articles were retrieved and of them 13 were included in the literature review (350 patients). Of the articles, 3 directly compared DBWC to IC with colostomy. Review of 13 DBWC articles demonstrated perioperative mortality ranging between 0 and 11.1% and postoperative complications ranging from 0 to 100%. Three of the studies directly compared DBWC to IC with colostomy; median operating times and length of stay were shorter in DBWC patients (p colostomy technique, as it requires only one stoma. This literature review supports the use of the technically less challenging DBWC technique as a viable alternative to the traditional IC with colostomy technique. © 2016 S. Karger AG, Basel.

Two-Port Laparoscopic Descending Colostomy with Separated Stomas for Anorectal Malformations in Newborns.

Science.gov (United States)

Gine, Carlos; Santiago, Saioa; Lara, Alba; Laín, Ana; Lane, Victoria Alison; Wood, Richard J; Levitt, Marc

2016-10-01

Introduction  We describe a two-port laparoscopic technique to create a colostomy in the descending colon with separated stomas for newborns with anorectal malformations. Material and Methods  Six patients with an anorectal malformation underwent this procedure in the early-neonatal period. The surgical technique was performed with two ports, which allows for an accurate inspection of the abdominal contents. The first loop of the sigmoid colon is grasped through the first port and exteriorized while the attachments to the left retroperitoneum and direction of the loop are checked with the scope introduced in the second port. The division of the colon is performed extracorporally, the colon irrigated of meconium, and the distal colon moved to the second port incision. Both stomas are then fixed to the abdominal wall. Results  The time of the procedure ranged from 50 to 90 minutes. A Mullerian duplication was noted in one case. Oral intake was started during the first 12 to 24 hours. No complications were seen during or after the procedure. Conclusions  This technique allows for the precise localization of the colostomy with direct visualization, provides for the inspection of the internal genitalia, eliminates the incision between the two stomas and its complications, allows for painless stoma bag changes immediately after surgery, avoids twisting of the colostomy, and permits a cosmetically pleasing incision at the colostomy closure. Georg Thieme Verlag KG Stuttgart · New York.

Loop versus end colostomy reversal: has anything changed?

Science.gov (United States)

Bruns, B R; DuBose, J; Pasley, J; Kheirbek, T; Chouliaras, K; Riggle, A; Frank, M K; Phelan, H A; Holena, D; Inaba, K; Diaz, J; Scalea, T M

2015-10-01

Though primary repair of colon injuries is preferred, certain injury patterns require colostomy creation. Colostomy reversal is associated with significant morbidity and healthcare cost. Complication rates may be influenced by technique of diversion (loop vs. end colostomy), though this remains ill-defined. We hypothesized that reversal of loop colostomies is associated with fewer complications than end colostomies. This is a retrospective, multi-institutional study (four, level-1 trauma centers) of patients undergoing colostomy takedown for trauma during the time period 1/2006-12/2012. Data were collected from index trauma admission and subsequent admission for reversal and included demographics and complications of reversal. Student's t test was used to compare continuous variables against loop versus end colostomy. Discrete variables were compared against both groups using Chi-squared tests. Over the 6-year study period, 218 patients underwent colostomy takedown after trauma with a mean age of 30; 190 (87%) were male, 162 (74%) had penetrating injury as their indication for colostomy, and 98 (45%) experienced at least one complication. Patients in the end colostomy group (n = 160) were more likely to require midline laparotomy (145 vs. 18, p colostomy (n = 58). Local takedown of a loop colostomy is safe and leads to shorter hospital stays, less intra-operative blood loss, and fewer complications when compared to end colostomy.

Complications / problems of colostomy in infants and children

International Nuclear Information System (INIS)

Sheikh, M.A.; Akhtar, J.; Ahmed, S.

2006-01-01

To determine the frequency of complications/problems occurring with construction of colostomy in infants and children. All the patients admitted in the unit who required colostomy as part of their management were included in the study. The patients who were operated upon previously or operated elsewhere and referred after having colostomy, were excluded. Problems associated with colostomy construction like skin excoriation and chronic blood loss were also recorded. Chi-square test of proportion was used to determine the p-value. There were 121 patients. Most of the patients were operated due to anorectal malformations (n=71) and Hirschsprung's disease (41). Complications/problems related to colostomy occurred in 67.7% patients. The most common problem was skin excoriation. Second in rating was chronic blood loss from stoma. Prolapse of stoma was more common in transverse loop colostomies. Divided colostomies had higher number of complications as compared to loop colostomies, similarly, transverse colostomies had high number of complications but in both the cases difference was not statistically significant. Four (3.3%) patients died. (author)

Early elective colostomy following spinal cord injury.

Science.gov (United States)

Boucher, Michelle

Elective colostomy is an accepted method of bowel management for patients who have had a spinal cord injury (SCI). Approximately 2.4% of patients with SCI have a colostomy, and traditionally it is performed as a last resort several years after injury, and only if bowel complications persist when all other methods have failed. This is despite evidence that patients find a colostomy easier to manage and frequently report wishing it had been performed earlier. It was noticed in the author's spinal unit that increasing numbers of patients were requesting colostomy formation during inpatient rehabilitation following SCI. No supporting literature was found for this; it appears to be an emerging and untested practice. This article explores colostomy formation as a method of bowel management in patients with SCI, considers the optimal time for colostomy formation after injury and examines issues for health professionals.

Primary anorectoplasty in females with common anorectal malformations without colostomy.

Science.gov (United States)

Menon, Prema; Rao, Katragadda Lakshmi Narashima

2007-06-01

The objective of this study is to assess the feasibility of primary posterior sagittal anorectoplasty in vestibular fistula without a covering colostomy. Girls presenting from July 1997 to July 2005 with vestibular fistula were included prospectively in the study, in a nonrandomized manner, after excluding those with megarectosigmoid and pouch colon. All underwent primary posterior sagittal anorectoplasty after total gut irrigation with normal saline. They were kept nil per oral until the fifth postoperative day. No patient was started on anal dilatation. Patients were assessed for immediate and delayed complications as well as voluntary bowel movements and continence. A total of 72 patients with an age range of 1.5 months to 8 years (median, 9 months) were studied after excluding 7 with pouch colon and 3 with megarectosigmoid. Of the 72, 3 had undergone previous surgery. Follow-up ranged from 7 months to 8 years. No wound dehiscence or recurrence of fistula was noted. There were 5 mild wound infections. At 1 month postoperative, all patients had 1 to 3 stools per day with no episodes of soiling. None required anal dilatations, laxatives, or enemas. Primary posterior sagittal anorectoplasty in vestibular fistula can be performed without a covering colostomy provided fecal contamination of the wound can be kept to the minimum in the first postoperative week. We achieve this by thorough total gut irrigation preoperatively and keeping the child nil per oral for the first 5 postoperative days. Continence rates are excellent and postoperative constipation is unlikely if megarectosigmoid and pouch colon are ruled out before surgery. Anal dilatation is not required after surgery.

Risk factors of poor functional results at 1-year after pseudocontinent perineal colostomy for ultralow rectal adenocarcinoma.

Science.gov (United States)

Souadka, Amine; Majbar, Mohammed Anass; Bougutab, Abdeslam; El Othmany, Azzedine; Jalil, Abdelouahed; Ahyoud, Fatema Zahra; El Malki, Hadj Omar; Souadka, Abdelilah

2013-10-01

Pseudocontinent perineal colostomy is one of the techniques that helps recover the body image of patients undergoing abdominoperineal resection. This technique is rarely used internationally given its unknown functional results. The study aimed to evaluate 1-year functional outcomes of perineal pseudocontinent colostomy and to determine the risk factors for "poor" functional results. This study is a retrospective interventional case series. This study was conducted at a tertiary care university hospital and oncological center in Morocco. From January 1993 to December 2007, 149 patients underwent pseudocontinent perineal colostomy after abdominoperineal resection for low rectal adenocarcinoma. Pseudocontinent perineal colostomy was performed with the use of the Schmidt technique after abdominoperineal resection. One-year functional results were assessed according to the Kirwan classification system. Functional results were considered "poor" when the Kirwan score was C, D, or E. Univariable and multivariable analyses were used to evaluate the impact of age, sex, type of surgery, irrigation frequency, palpable muscular ring, concomitant chemoradiotherapy, stage, and perineal complications on functional results. One hundred forty-six patients were analyzed. According to the Kirwan system, the scores showed that 100 (68.5%) patients had "good" continence results (stage A-B) and 46 (31.5%) patients had altered functional results (stage C-D-E). With the exception of pelvic recurrences, no conversions from a perineal colostomy to an abdominal colostomy were performed for dissatisfactory functional results. In multivariate analysis, the only independent predictive factors of poor functional results were the occurrence of perineal complications (OR, 3.923; 95% CI, 1.461-10.35; p = 0.007) and extended resection (OR, 3.03; 95% CI, 1.183-7.750; p = 0.021) LIMITATION OF THE STUDY:: This study is an observational retrospective study on selected patients (mainly a young population

Childhood colostomy and its complications in Lagos

African Journals Online (AJOL)

... loop colostomy was the most commonly performed procedure as recorded in 55 (83.3%) of these children, followed by the sigmoid loop type done for 5 (7.6%) patients. Transverse double-barrel. TABLE 1. Complication of colostomy [n=801. Complications. Frequency. Yo. Skin excoriation. 22. 33.3. Colostomy Diarrhea. 20.

Optimal Colostomy Placement in Spinal Cord Injury Patients.

Science.gov (United States)

Xu, Jiashou; Dharmarajan, Sekhar; Johnson, Frank E

2016-03-01

Barring unusual circumstances, sigmoid colostomy is the optimal technique for management of defecation in spinal cord injury (SCI) patients. We sought to provide evidence that a sigmoid colostomy is not difficult to perform in SCI patients and has better long-term results. The St. Louis Department of Veterans Affairs has a Commission on Accreditation of Rehabilitation Facilities (CARF)-approved SCI Unit. We reviewed the operative notes on all SCI patients who received a colostomy for fecal management by three ASCRS-certified colorectal surgeons at the St. Louis Department of Veterans Affairs from January 1, 2007 to November 26, 2012. There were 27 operations for which the recorded indication for surgery suggested that the primary disorder was SCI. Fourteen had traumatic SCI of the thoracic and/or lumbar spine and were evaluable. Of these 14 patients, 12 had laparoscopic sigmoid colostomy and two had open sigmoid colostomy. We encountered one evaluable patient with a remarkably large amount of retroperitoneal bony debris who successfully underwent laparoscopic sigmoid colostomy. In conclusion, sigmoid colostomy is the consensus optimal procedure for fecal management in SCI patients. Laparoscopic procedures are preferred. Care providers should specify sigmoid colostomy when contacting a surgeon.

Endoscopic colostomy with percutaneous colopexy: an animal feasibility study.

Science.gov (United States)

Bustamante-Lopez, Leonardo Alfonso; Sulbaran, Marianny; Nahas, Sergio Carlos; de Moura, Eduardo Guimaraes Horneaux; Nahas, Caio Sergio; Marques, Carlos Frederico; Sakai, Christiano; Cecconello, Ivan; Sakai, Paulo

2017-04-01

Indications for colostomy in colorectal diseases are obstruction of the large bowel, such as in cancer, diverticular disease in the acute phase, post-radiotherapy enteritis, complex perirectal fistulas, anorectal trauma and severe anal incontinence. Some critically ill patients cannot tolerate an exploratory laparotomy, and laparoscopic assisted colostomy also requires general anesthesia. To evaluate the feasibility, safety and efficacy of performing colostomy assisted by colonoscopy and percutaneous colopexy. Five pigs underwent endoscopic assisted colostomy with percutaneous colopexy. Animals were evaluated in post-operative days 1, 2, 5 and 7 for feeding acceptance and colostomy characteristics. On day 7 full colonoscopy was performed on animals followed by exploratory laparotomy. Average procedure time was 27 minutes (21-54 min). Postoperative mobility and feeding of animals were immediate after anesthesia recovery. Position of the colostomy, edges color, appearance of periostomal area, as well as its function was satisfactory in four animals. Retraction of colostomy was present in one pig. The colonoscopy and laparotomy control on the seventh day were considered as normal. A bladder perforation that was successfully repaired through the colostomy incision occurred in one pig. The main limitation of this study is its experimental nature. Endoscopic assisted colostomy with percutaneous colopexy proves to be a safe and effective method with low morbidity for performing colostomy in experimental animals, with possible clinical application in humans.

A totally diverting loop colostomy.

Science.gov (United States)

Merrett, N. D.; Gartell, P. C.

1993-01-01

A technique is described where the distal limb of a loop colostomy is tied with nylon or polydioxanone. This ensures total faecal diversion and dispenses with the supporting rod, enabling early application of stoma appliances. The technique does not interfere with the traditional transverse closure of a loop colostomy. PMID:8379632

Laparoscopic correction of right transverse colostomy prolapse.

Science.gov (United States)

Gundogdu, Gokhan; Topuz, Ufuk; Umutoglu, Tarik

2013-08-01

Colostomy prolapse is a frequently seen complication of transverse colostomy. In one child with recurrent stoma prolapse, we performed a loop-to-loop fixation and peritoneal tethering laparoscopically. No prolapse had recurred at follow-up. Laparoscopic repair of transverse colostomy prolapse seems to be a less invasive method than other techniques. © 2013 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.

Outcome of loop versus divided colostomy in the management of anorectal malformations.

Science.gov (United States)

Almosallam, Osama Ibrahim; Aseeri, Ali; Shanafey, Saud Al

2016-01-01

Colostomy is a common part of the management of high anorectal malformation (ARM) in the pediatric population. To evaluate whether the type of colostomy (loop vs divided) has an impact on outcome in patients with ARM. A retrospective study. King Faisal Specialist Hospital and Research Center, a tertiary care center. All patients who were managed with colostomy for ARM and had definitive repair during the period of January 2000 to December 2014. Outcomes relative to the type of the colostomy were compared. Morbidities associated with each type of colostomy. There were 104 patients managed for ARM with colostomy as staged procedures, 63 males and 41 females. Patients had a colostomy at a median age of 6 days and were closed at a median of 11 months. Definitive repair was at a median age of 17 months. Type of fistula was 8 perineal, 21 rectovestibular, 35 rectourethral, 11 rectovesical and there were 16 without fistula and 13 cloaca anomalies. There were 55 loop and 49 divided colostomies. There were 91 descending/sigmoid and 13 transverse colostomies. Operative time for loop colostomy closure was shorter than with divided colo6stomy (76 minutes vs 94 minutes, P=.002). Three patients among the divided group had reversed orientation of the colostomy that had affected bowel preparations negatively prior to its repair. There was no differences in complications of creation and closure of loop and divided colostomies except in occurrence of skin excoriation. There was more skin excoriation with divided colostomy compared to loop colostomy (17 vs 10, P=.04). Loop colostomy has a shorter closure operative time and relatively fewer complications compared to the divided colostomy. Our data suggests that loop colostomy may be more favorable than divided colostomy for ARM patients. Retrospective nature of the study and some colostomies performed at other hospitals.

Transverse loop colostomy and colonic motility.

Science.gov (United States)

Pucciani, F; Ringressi, M N; Maltinti, G; Bechi, P

2014-11-01

The motility of the defunctionalized colon, distal to transverse loop colostomy, has never been studied "in vivo." The aim of our study was to evaluate the influence of transverse loop colostomy on colonic motility. Thirteen patients were examined before stoma closure by means of clinical evaluation and colonic manometry; we studied both the right and distal colon in both fasting and fed patients in order to detect motor activity. Quantitative and qualitative manometric analyses showed that the diverted colon had motor activity even if no regular colonic motor pattern was observed. The spreading of aboral propagated contractions (PCs) was sometimes recorded from the right colon to the distal colon. The response of the proximal and distal colon to a standard meal, when compared to fasting values, increased more than 40 and 35 %, respectively. Stool and gas ejections from the colostomy were never related to a particular type of colonic motility: Motor quiescence such as PCs was chaotically related to stool escape. In conclusion, motility of the defunctionalized colon is preserved in patients with transverse loop colostomy.

Colostomy in neonates under local anaesthesia: indications, technique and outcome.

Science.gov (United States)

Lukong, Christopher Suiye; Jabo, Basheer Abdullahi; Mfuh, Anita Yafeh

2012-01-01

Colostomy is a resuscitative procedure in paediatric surgical practice. In critical patients, mortality may be high, if general anaesthesia is used. Local anaesthesia may be an alternative in this group of neonates. The aim of this article was to evaluate the indications, the technique and outcome of colostomy in neonates under local anaesthesia. A prospective analysis of 38 neonates who had colostomy under local anaesthesia, from July 2008 to September 2011, in our centre. There were 34 boys and 4 girls. The median age was 4 days (range 2-11 days),and all presented in a critical state. The indication for colostomy was anorectal malformation 37 (97.4%) and colonic atresia 1 (2.6%). COLOSTOMY: sigmoid 7 (18.4%), descending 29 (76.3%), transverse 2 (5.3%). The median duration of the procedure was 45 minutes (range 30-60 minutes). The hospital stay was 7-15 days (median 7 days) and cost of treatment 7000-7500 Naira (median 7500 Naira = $50). There were 5 (13.2%) early complications, namely, skin excoriation 2, superficial site infection 2, and bowel evisceration 1; mortality was 2 (5.3%). The late complications were stomal stenosis 1 (2.6%), colostomy diarrhoea 2 (5.3%), and parastomal hernia 2 (5.3%). 25 (65.7%) had colostomy takedown and 13 (34%) were yet to have colostomy takedown. Follow-up was for 1-2 years. None of the patients had a permanent colostomy. Colostomy in neonates under local anaesthesia is feasible, safe and cost-effective. The outcome is good and may be used when neonatal anaesthetic expertise and intensive care facilities are lacking.

Magnetic compression ostomy for simple tube colostomy in rats--magnacolostomy.

Science.gov (United States)

Uygun, Ibrahim; Okur, Mehmet H; Arayici, Yilmaz; Keles, Aysenur; Ozturk, Hayrettin; Otcu, Selcuk

2012-01-01

Magnetic compression anastomoses (magnamosis) have been previously described for gastrointestinal, biliary, urinary, and vascular anastomoses. Objectives. Herein, the authors report the creation of a magnetic compression colostomy (magnacolostomy) using a simple technique in rats. Animals were randomized into two groups (n = 8, each): a magnetic colostomy (MC) group and a control surgical tube colostomy (SC) group. In the MC group, the first magnetic ball (3 mm) was rectally introduced into the rat colon. The second magnetic ball (4 mm) was placed subcutaneously into the left quadrant, and the two magnetic balls strongly coupled. On postoperative day 20 for the MC group and postoperative day 10 in the SC group, the rats were sacrificed and the colostomies evaluated macroscopically, histopathologically, and for mechanical burst testing. From the macroscopic evaluation, two rats failed to form the colostomy canal due to colostomy catheter and magnetic ball removal. In the remaining rats, evidence of complications were not observed. Two rats in the MC group displayed mild adhesion and all rats in the SC group displayed moderate adhesion. No significant differences between the burst pressures were observed. However, a significant difference (p colostomy procedures such as antegrade continence enemas, percutaneous endoscopic, and colostomy/cecostomy in humans.

Blowhole colostomy for the urgent management of distal large bowel obstruction.

Science.gov (United States)

Kasten, Kevin R; Midura, Emily F; Davis, Bradley R; Rafferty, Janice F; Paquette, Ian M

2014-05-01

Complete obstruction of the distal colon or rectum often presents as a surgical emergency. This study evaluated the efficacy of blowhole colostomy versus transverse loop colostomy for the emergent management of distal large intestinal obstruction. Retrospective chart review of all colostomy procedures (CPT 44320) performed for complete distal large bowel obstruction during the past 6 y in a university hospital practice was undertaken. Blowhole was compared with loop colostomy with a primary endpoint of successful colonic decompression. One hundred forty-one patients underwent colostomy creation during the study period. Of these, 61 were completed for acute obstruction of the distal colon or rectum (19 blowhole versus 42 loop colostomy). No differences between study groups were seen in age, gender, body mass index, malnutrition, American Society of Anesthesiology class, time to liquid or regular diet, 30-d or inhospital mortality, or rates of complications. Patients undergoing blowhole colostomy had significantly higher cecal diameters at diagnosis (9.14 versus 7.31 cm, P = 0.0035). Operative time was shorter in blowhole procedures (43 versus 51 min, P = 0.017). Postoperative length of stay was significantly shorter for blowhole colostomy (6 versus 8 d, P = 0.014). The primary endpoint of successful colonic decompression was met in all colostomy patients. Diverting blowhole colostomy is a safe, quick, and effective procedure for the urgent management of distal colonic obstruction associated with obstipation and massive distention. Copyright © 2014 Elsevier Inc. All rights reserved.

Skin bridge versus rod colostomy in children - comparison between complications.

Science.gov (United States)

Askarpour, Shahnam; Peyvasteh, Mehran; Changai, Bahram; Javaherizadeh, Hazhir

2012-10-01

Due to economic problems, sigmoid loop colostomy using glass rod may cause problems for our patients for finding glass rod and several visits. The aim of the study was to compare rod versus skin bridge colostomy. In this study, 42 cases who are candidate for colostomy were included. Cases were randomly placed in skin bridge and rod colostomy group. Independent sample t-test and Chi-square were used for comparison. SPSS version 16.0 (SPSS Inc, Chicago, IL, USA) was used for analysis. Of 42 cases, 20 were male and 22 were female. Hirschsprung's disease was the indication of colostomy in 33 cases. In nine cases, imperforate anus was the indication of colostomy. Mean time of surgery was 79.4 and 82.5 minute for the rod and skin bridge group respectively (P>0.05). Retraction was seen in 2 case of rod group, and no case of skin bridge group. Prolapse was seen in 2 (9.5%) case of rod group and 1(4.7%) case in skin bridge. There were no reports of necrosis, stenosis, and hernia in both groups. In the skin bridge group the rates of complications were lower but the groups are too small for statistical analysis. Colostomy with a skin bridge method may decrease number of revision and expenses and may be appropriate option. Sigmoid loop colostomy using skin bridge flap may be appropriate choice in developing country. Another study with more samples is recommended to better comparison of Skin Bridge versus rod colostomy.

[Manufacture and application of laparoscopic extraperitoneal sigmoid colostomy].

Science.gov (United States)

Jin, Hei-ying; DU, Yong-hong; Wang, Xiao-feng; Yao, Hang; Wu, Kun-lan; Zhang, Bei; Zhang, Jin-hao

2013-10-01

To investigate the safety and feasibility of laparoscopic extraperitoneal sigmoid colostomy. Thirty-six patients with low rectal cancer undergoing laproscopic abdominoperineal resection from July 2011 to July 2012 were prospectively enrolled in the study and randomly divided into extraperitoneal colostomy group(EPC, n=18) and internal peritoneal colostomy group(IPC, n=18). Follow-up period was 4-16 (median, 7) months and postoperative complications were compared between two groups. One case in EPC group was converted to IPC because of poor blood supply of the proximal sigmoid, who was eliminated from the subsequent analysis. Compared with the IPC group, the surgery time was longer in EPC group [(25.3±8.5) min vs. (14.7±6.4) min], while the difference was not statistically significant(P>0.05). Each group had 1 case of stoma ischemia, who both received the colostomy reconstructive surgery. The incidence of stoma edema was significantly higher in EPC group[35.3%(6/17) vs. 0, P0.05]. The late postoperative complications rate was 22.2%(4/18) in IPC group, including 1 case of stoma prolapse, 1 case of stoma stenosis and 2 cases of parastomal hernia. No later postoperative complication occurred in EPC group. Extraperitoneal sigmoid colostomy is an easy and safe procedure with lower late complications as compared to internal peritoneal sigmoid colostomy.

End-colostomy diverticulitis with parastomal phlegmon

Science.gov (United States)

Muradbegovic, Mirza; St-Amour, Pénélope; Martin, David; Petermann, David; Benabidallah, Samir; Di Mare, Luca

2017-01-01

Abstract Rationale: Acute colonic diverticulitis is a well-known surgical emergency, which occurs in about 10 percent of patients known for diverticulosis. Patient concerns: The case of a 77-year-old woman is reported, with past history of abdominoperineal resection with end-colostomy for low rectal adenocarcinoma, and who developed an acute colonic diverticulitis in a subcutaneous portion of colostomy with parastomal phlegmon. Diagnoses: Initial computed tomography imaging demonstrated a significant submucosal parietal edema with local fat tissues infiltration in regard of 3 diverticula. Interventions: A two-step treatment was decided: first a nonoperative treatment was initiated with 2 weeks antibiotics administration, followed by, 6 weeks after, a segmental resection of the terminal portion of the colon with redo of a new colostomy by direct open approach. Outcomes: Patient was discharged on the second postoperative day without complications. Follow-up at 2 weeks revealed centimetric dehiscence of the stoma, which was managed conservatively until sixth postoperative week by stomatherapists. Lessons subsections: Treatment of acute diverticulitis with parastomal phlegmon in a patient with end-colostomy could primary be nonoperative. Delayed surgical treatment with segmental colonic resection was proposed to avoid recurrence and potential associated complications. PMID:29069019

Trephine Transverse Colostomy Is Effective for Patients Who Have Previously Undergone Rectal Surgery

Science.gov (United States)

Yeom, Seung-Seop; Jung, Sung Woo; Oh, Se Heon; Lee, Jong Lyul; Yoon, Yong Sik; Park, In Ja; Lim, Seok-Byung; Yu, Chang Sik; Kim, Jin Cheon

2018-01-01

Purpose Colostomy creation is an essential procedure for colorectal surgeons, but the preferred method of colostomy varies by surgeon. We compared the outcomes of trephine colostomy creation with open those for the (laparotomy) and laparoscopic methods and evaluated appropriate indications for a trephine colostomy and the advantages of the technique. Methods We retrospectively evaluated 263 patients who had undergone colostomy creation by trephine, open and laparoscopic approaches between April 2006 and March 2016. We compared the clinical features and the operative and postoperative outcomes according to the approach used for stoma creation. Results One hundred sixty-three patients (62%) underwent colostomy surgery for obstructive causes and 100 (38%) for fistulous problems. The mean operative time was significantly shorter with the trephine approach (trephine, 46.0 ± 1.9 minutes; open, 78.7 ± 3.9 minutes; laparoscopic, 63.5 ± 5.0 minutes; P colostomy was feasible for a diversion colostomy (P colostomy is safe and can be implemented quickly in various situations, and compared to other colostomy procedures, the patient’s recovery is faster. Previous laparotomy history was not a contraindication for a trephine colostomy, and a trephine transverse colostomy is feasible for patients who have undergone previous rectal surgery. PMID:29742862

Abdominal rectus muscle atrophy and midline shift after colostomy creation.

Science.gov (United States)

Timmermans, Lucas; Deerenberg, Eva B; van Dijk, Sven M; Lamme, Bas; Koning, Anton H; Kleinrensink, Gert-Jan; Jeekel, Johannes; Lange, Johan F

2014-04-01

Incisional hernia (IH) can be attributed to multiple factors. The presence of a parastomal hernia has shown to be a risk factor for IH after midline laparotomy. Our hypothesis is that this increased risk of IH may be caused by changes in biomechanical forces, such as midline shift to the contralateral side of the colostomy owing to decreased restraining forces at the site of the colostomy, and left abdominal rectus muscle (ARM) atrophy owing to intercostal nerve damage. Patients were selected if they underwent end-colostomy via open operation between 2004 and 2011. Patients were eligible if computed tomography (CT) had been performed postoperatively. If available, preoperative CTs were collected for case-control analyses. Midline shift was measured using V-scope application in the I-space, a CAVE-like virtual reality system. For the ARM atrophy hypothesis, measurements of ARM were performed at the level of colostomy, and 3 and 8 cm cranial and caudal of the colostomy. Postoperative CT were available for 77 patients; of these patients, 30 also had a preoperative CT. Median follow-up was 19 months. A mean shift to the right side was identified after preoperative and postoperative comparison; from -1.3 ± 4.6 to 2.1 ± 9.3 (P = .043). Furthermore, during rectus muscle measurements, a thinner left ARM was observed below the level of colostomy. Creation of a colostomy alters the abdominal wall. Atrophy of the left ARM was seen caudal to the level of the colostomy, and a midline shift to the right side was evident on CT. These changes may explain the increased rate of IH after colostomy creation. Copyright © 2014 Mosby, Inc. All rights reserved.

Loop versus divided colostomy for the management of anorectal malformations.

Science.gov (United States)

Oda, Omar; Davies, Dafydd; Colapinto, Kimberly; Gerstle, J Ted

2014-01-01

The purpose of this study was to compare the clinical outcomes of loop and divided colostomies in patients with anorectal malformations (ARM). We performed a retrospective cohort study reviewing the medical records of all patients with ARM managed with diverting colostomies between 2000 and 2010 at our institution. Independent variables and outcomes of stoma complications were analyzed by parametric measures and logistic regression. One hundred forty-four patients managed with a colostomy for ARM were evaluated (37.5% females, 50.7% loop, 49.3% divided). The incidence of patients with loop and divided colostomies who developed stoma-related complications was 31.5 and 15.5%, respectively (p=0.031). The incidence of prolapse was 17.8 and 2.8%, respectively (p=0.005). Multivariable-logistic regression controlling for other significant independent variables found loop colostomies to be positively associated with the development of a stoma complication (OR 3.13, 95%CI (1.09, 8.96), p=0.033). When individual complications were evaluated, it was only stoma prolapse that was more likely in patients with loop colostomies (OR 8.75, 95%CI (1.74, 44.16), p=0.009). Because of the higher incidence of prolapse, loop colostomies were found to be associated with a higher total incidence of complications than divided stomas. The development of other complications, including urinary tract infections (UTIs) and megarectum, were independent of the type of colostomy performed. © 2014.

Comparison of Diverting Colostomy and Bowel Management Catheter Applications in Fournier Gangrene Cases Requiring Fecal Diversion.

Science.gov (United States)

Eray, Ismail Cem; Alabaz, Omer; Akcam, Atilgan Tolga; Ulku, Abdullah; Parsak, Cem Kaan; Sakman, Gurhan; Seydaoglu, Gulsah

2015-12-01

In some patients of Fournier gangrene originated from perianal region, it is important to prevent fecal contamination in order to provide healing without wound infection. For this purposes, diverting colostomy or bowel management catheter methods were performed. In this study, it is aimed to carry out a comparison of prognosis and cost efficiency between diverting colostomy and bowel management catheter methods applied for preventing fecal contamination in Fournier's gangrene patients. Fourty-eight patients with diagnosis of Fournier's gangrene, serious perianal infections, and preserved sphincters and without rectum injury after debridement were included in the study. The cases were divided into two groups as patients who were subjected to colostomy for fecal diversion and who were subjected to bowel management catheter without colostomy. Then, the groups were compared in terms of age, predisposing factors, duration of hospital stay, mortality, additional surgery requirements, and cost. Fourty-eight patients were included the study. Sixteen patients were treated without colostomy. Decreased duration of total hospital stay, additional surgery requirements, and hospital expense in bowel management catheter group has determined. It is thought that preferring bowel management catheter method instead of colostomy in patients without rectum injury, who require diverting colostomy and have undamaged anal sphincters, can relieve patients, patients' relatives, healthcare organizations, and the national economy of a serious burden. In addition, although patients' satisfaction and workforce loss factors are not taken into consideration in this study, the bowel management catheter method is thought to have positive effects also on these parameters.

Comparative bioavailability of a morphine suppository given rectally and in a colostomy

DEFF Research Database (Denmark)

Højsted, J; Rubeck-Petersen, K; Rask, H

1990-01-01

In eight patients with a colostomy, plasma morphine levels were followed for 8 h after administration of 20 mg morphine chloride as a suppository, first rectally and after at least 48 h via the colostomy. The bioavailability after administration in the colostomy showed very great variation......; the mean value compared to rectal bioavailability was only 43% (range 0.1-127%). In four patients the plasma concentrations of morphine after colostomy administration were lower at all times than after rectal administration, and in three only small amounts of morphine were detectable. One patient showed...... higher plasma concentrations after colostomy application than after rectal administration. It is concluded that administration of morphine suppositories in a colostomy cannot be recommended....

Extraperitoneal vs. intraperitoneal route for permanent colostomy: a meta-analysis of 1,071 patients.

Science.gov (United States)

Lian, Lei; Wu, Xian-Rui; He, Xiao-Sheng; Zou, Yi-Feng; Wu, Xiao-Jian; Lan, Ping; Wang, Jian-Ping

2012-01-01

Parastomal hernia is a common complication after colostomy construction. Whether an extraperitoneal route for colostomy creation can reduce the risk of parastomal hernia remains controversial. A meta-analysis was performed to evaluate the value of extraperitoneal route in the prevention of parastomal hernia and other postoperative complications related to colostomy. A literature search of Medline, Embase, Ovid, and Cochrane databases from the years 1966 to 2010 was performed. Studies comparing extraperitoneal colostomy with intraperitoneal colostomy were identified. Extraperitoneal colostomy was performed to prevent colostomy-related complications. Data on the following outcomes were sought: incidence of postoperative colostomy complications including parastomal hernia, prolapse, and bowel obstruction. Seven retrospective studies with a combined total of 1,071 patients (250 extraperitoneal colostomy and 821 intraperitoneal colostomy) were identified. There was a significantly lower rate of parastomal hernia (odds ratio, 0.41; 95% confidence interval, 0.23-0.73, p = 0.002) in the extraperitoneal colostomy group. However, the occurrences of bowel obstruction and prolapse were not significantly different between the two groups. A limitation of the study lies on the meta-analysis of observational studies. Extraperitoneal colostomy is associated with a lower rate of postoperative parastomal hernia as compared to intraperitoneal colostomy. Prospective randomized controlled trial is warranted to further determine the role of extraperitoneal route in the prevention of parastomal hernia.

Intestinal diversion (colostomy or ileostomy) in patients with severe bowel dysfunction following spinal cord injury.

Science.gov (United States)

Hocevar, Barbara; Gray, Mikel

2008-01-01

functional, clinical, or QOL outcomes associated with colostomy are compared to those seen in SCI patients undergoing ileostomy. 1. The WOC nurse plays a pivotal role in both conservative bowel management and the decision to undergo ostomy surgery. 2. Preoperative stoma site marking is vital for the best surgical outcome. 3. The system best suited to an individual is based on a variety of factors including but not limited to stoma location, type of effluent, peristomal plane and contours, and the individual's capabilities and preferences. 4. Some individuals with a sigmoid or descending colostomy may benefit from colostomy irrigation as a management method. 5. Postoperatively, assessment of pressure points for signs of tissue breakdown, evaluation of treatment methods for existing pressure ulcers with suitable modification, and support surface assessment should be included in ongoing annual follow-up visits.

Clinical evaluation of extraperitoneal colostomy without damaging the muscle layer of the abdominal wall.

Science.gov (United States)

Dong, L-R; Zhu, Y-M; Xu, Q; Cao, C-X; Zhang, B-Z

2012-01-01

This study investigated whether extraperitoneal colostomy without damaging the muscle layer of the abdominal wall is an improved surgical procedure compared with conventional sigmoid colostomy in patients undergoing abdominoperineal resection. Patients with rectal cancer undergoing abdominoperineal resection were selected and randomly divided into two groups: the study group received extraperitoneal colostomy without damaging the muscle layer of the abdominal wall and the control group received conventional colostomy. Clinical data from both groups were analysed. A total of 128 patients were included: 66 received extraperitoneal colostomy without damaging the muscle layer of the abdominal wall and 62 received conventional colostomy. Significant differences between the two groups were found in relation to colostomy operating time, defaecation sensation, bowel control and overall stoma-related complications. Duration of postoperative hospital stay was also significantly different between the study groups. Extraperitoneal colostomy without damaging the muscle layer of the abdominal wall was found to be an improved procedure compared with conventional sigmoid colostomy in abdominoperineal resection, and may reduce colostomy-related complications, shorten operating time and postoperative hospital stay, and potentially improve patients' quality of life.

An unusual complication of stenosis of a colostomy.

Science.gov (United States)

Haiart, D. C.

1985-01-01

A patient is reported in whom stenosis of the colostomy was responsible for perforation of the colostomy by a bone. Necrotizing gangrene of the abdominal wall developed. The management of the resulting full thickness defect of the abdominal wall is described. Images Figure 1 Figure 2 PMID:4011545

Quality of life in rectal cancer patients with permanent colostomy in ...

African Journals Online (AJOL)

Purposes: The aim of this study was to observe the quality of life (QOL) in rectal cancer patients with permanent colostomy in different periods after operation. Methods: A 1-,3-,6-month prospective study of QOL in 51 rectal cancer patients with permanent colostomy and 50 ones without permanent colostomy was assessed ...

Cause-specific colostomy rates after radiotherapy for anal cancer: a Danish multicentre cohort study.

Science.gov (United States)

Sunesen, Kåre G; Nørgaard, Mette; Lundby, Lilli; Havsteen, Hanne; Buntzen, Steen; Thorlacius-Ussing, Ole; Laurberg, Søren

2011-09-10

In anal cancer, colostomy-free survival is a measure of anal sphincter preservation after treatment with radiotherapy or chemoradiotherapy. Failure to control anal cancer and complications of treatment are alternative indications for colostomy. However, no data exist on cause-specific colostomy rates. We examined this in a cohort study. Through national registries and review of medical records, we identified patients with anal cancer diagnosed from 1995 to 2003 who had curative-intent radiotherapy or chemoradiotherapy in four Danish centers. We computed cumulative incidence of tumor-related colostomy and therapy-related colostomy, treating colostomy and death as competing events. Follow-up started at completion of radiotherapy and continued throughout 2008. We used competing risk regression to compute hazard ratios (HRs) to compare the cumulative incidence of cause-specific colostomies between age, sex, tumor size, chemotherapy, and local excision before radiotherapy. We included 235 patients with anal cancer. The 5-year cumulative incidences of tumor-related and therapy-related colostomy were 26% (95% CI, 21% to 32%) and 8% (95% CI, 5% to 12%), respectively. Tumor size greater than 6 cm versus less than 4 cm was a risk factor for tumor-related colostomy (adjusted HR, 3.8; 95% CI, 1.7 to 8.1), and local excision before radiotherapy was a risk factor for therapy-related colostomy (adjusted HR, 4.5; 95% CI, 1.5 to 13.5). After curative-intent radiotherapy or chemoradiotherapy, one third of patients had a colostomy, of which one third were related to therapy. Large tumor size was associated with a higher risk of tumor-related colostomy, whereas history of prior excision was associated with an increased incidence of therapy-related colostomy.

A population-based study of rectal cancer: permanent colostomy as an outcome

International Nuclear Information System (INIS)

Paszat, Lawrence F.; Brundage, Michael D.; Groome, Patti A.; Schulze, Karleen; Mackillop, William J.

1999-01-01

Purpose: The objectives of this study are to describe the utilization of surgery and of radiotherapy in the treatment of newly diagnosed rectal cancer in Ontario between 1982 and 1994, and to describe the probability of permanent colostomy at any time after the diagnosis of rectal cancer, as an outcome of the treatment of newly diagnosed rectal cancer. Methods and Materials: Electronic records of rectal cancer (International Classification of Diseases code 154) from the Ontario Cancer Registry (n = 18,695, excluding squamous, basaloid, cloacogenic, and carcinoid histology) were linked to surgical records from all Ontario hospitals, and radiotherapy (RT) records from Ontario cancer centers. Procedures occurring within 4 months of diagnosis, or within 4 months of another procedure for rectal cancer, were considered part of initial treatment. Multivariate analyses controlled for age, sex, and year of diagnosis. Results: Resection plus permanent colostomy was performed in 33.1% of cases, whereas local excision or resection without permanent colostomy was performed in 38.2%. Multivariate logistic regression demonstrated higher odds ratios (OR) for resection plus permanent colostomy in all regions of Ontario relative to Toronto. The OR for postoperative RT following local excision or resection without permanent colostomy varied among the regions relative to Toronto (e.g., OR Ottawa = 0.59, OR Hamilton 0.76, OR London = 1.25). The relative risk (RR) of colostomy conditional upon survival within 5 years from diagnosis varied among regions relative to Toronto (e.g., RR Ottawa = 1.21, RR Hamilton = 1.20). Conclusions: There is regional variation in the utilization of resection with permanent colostomy, and in the utilization of postoperative RT among cases not undergoing permanent colostomy. Regions with higher initial rates of resection plus permanent colostomy continue to experience higher probability of permanent colostomy 5 years after diagnosis of rectal cancer. Higher

Colostomy in children - an evaluation of acceptance among mothers ...

African Journals Online (AJOL)

Thirteen (23%) found the colostomy unacceptable, mainly because of a feeling of social isolation. Problems the respondents complained of included disturbing smell (17, 30%), frequent change of the cloth napkin used as colostomy appliance (15, 26%) and intermittent bleeding from the stoma (4, 7%). Conclusions.

Umbilical site for temporary colostomy in anorectal malformations: is ...

African Journals Online (AJOL)

Umbilical site for temporary colostomy in anorectal malformations: is it cosmetically preferable? Taha Alkhatrawi, Radi Elsherbini and Djamal Ouslimane. Purpose In an attempt to minimize the scars and improve the cosmetic outcome in children, the umbilical site has been chosen for colostomy formation in patients with.

Supportive Communication to Facilitate Chinese Patients' Adaptation to a Permanent Colostomy: A Qualitative Case Study Approach.

Science.gov (United States)

Tao, Hui; Songwathana, Praneed; Isaramalai, Sang-Arun; Wang, Qingxi

2016-01-01

This study, which is a part of action research, aims to explore how supportive communication can impact individuals' adaptation to a permanent colostomy in a Chinese cultural context. Two Chinese rectal cancer patients with complexity and difficulty in living with a permanent colostomy were selected using a qualitative case study approach. The researcher (H.T.) interacted with the participants along their journey from the preoperative period until the third postoperative month after discharge via face-to-face or telephone interviews. Content analysis was applied. Supportive communication was characterized by "communication as a supportive tool," which consisted of 4 elements: respect, description, empathy, and empowerment. The nursing strategies included (1) developing a collaborative relationship with patients and families; (2) understanding patients' concerns and problems; (3) discussing potential solutions; (4) encouraging patients to take action; (5) bringing out emotional expression; (6) normalizing negative emotions; and (7) protecting hope. The findings of this study informed that supportive communication is a valuable tool for nurses to provide informational and emotional support to Chinese patients in order to enhance their adaptation to living with a permanent colostomy. Developing an operational manual to enhance supportive communication for patients with colostomy is suggested.

Colostomy is a simple and effective procedure for severe chronic radiation proctitis.

Science.gov (United States)

Yuan, Zi-Xu; Ma, Teng-Hui; Wang, Huai-Ming; Zhong, Qing-Hua; Yu, Xi-Hu; Qin, Qi-Yuan; Wang, Jian-Ping; Wang, Lei

2016-06-28

To assess the efficacy and safety of diverting colostomy in treating severe hemorrhagic chronic radiation proctitis (CRP). Patients with severe hemorrhagic CRP who were admitted from 2008 to 2014 were enrolled into this study. All CRP patients were diagnosed by a combination of pelvic radiation history, clinical rectal bleeding, and endoscopic findings. Inclusion criteria were CRP patients with refractory bleeding with moderate to severe anemia with a hemoglobin level colostomy, while the control group included patients who received conservative treatment. The remission of bleeding was defined as complete cessation or only occasional bleeding that needed no further treatment. The primary outcome was bleeding remission at 6 mo after treatment. Quality of life before treatment and at follow-up was evaluated according to EORTC QLQ C30. Severe CRP complications were recorded during follow-up. Forty-seven consecutive patients were enrolled, including 22 in the colostomy group and 27 in the conservative treatment group. When compared to conservative treatment, colostomy obtained a higher rate of bleeding remission (94% vs 12%), especially in control of transfusion-dependent bleeding (100% vs 0%), and offered a better control of refractory perianal pain (100% vs 0%), and a lower score of bleeding (P colostomy achieved better remission of both moderate bleeding (100% vs 21.5%, P = 0.002) and severe bleeding (100% vs 0%, P colostomy, which included global health, function, and symptoms, but it was not improved in the control group. Pathological evaluation after colostomy found diffused chronic inflammation cells, and massive fibrosis collagen depositions under the rectal wall, which revealed potential fibrosis formation. Diverting colostomy is a simple, effective and safe procedure for severe hemorrhagic CRP. Colostomy can improve quality of life and reduce serious complications secondary to radiotherapy.

Combination of pseudocontinent perineal colostomy and appendicostomy: a new approach in the treatment of low rectal cancer.

Science.gov (United States)

Azizi, Rasoul; Alvandipour, Mina; Shoar, Saeed; Mahjoubi, Bahar

2013-10-01

Abdominal perineal resection (APR) with applied colostomy remains the standard treatment for low rectal cancer; however, to date, a very high morbidity rate has been reported. The aims of this study were to assess fecal continence, persistence of disease-related symptoms, and quality of life in patients with low rectal cancer after APR and pseudocontinent perineal colostomy and concomitant appendicostomy. We included 17 patients with low rectal cancer who underwent APR at our hospital in this cross-sectional study. Following APR, pseudocontinent perineal colostomy and concomitant appendicostomy were performed. Patients then underwent antegrade colonic enema with tap water. Patients' symptoms, fecal continence, and quality of life were evaluated at regular time intervals. After a median follow-up of 12 months, 15 of 17 patients completed the study period. All patients were able to perform an antegrade enema by themselves. Mean continence score was 7 (out of 20) based on the Wexner Scale scoring system. Mean global health status score was 78, physical function was 93, and emotional function was 88. Minor morbidity was observed in 6 patients (40%). Pseudocontinent perineal colostomy with appendicostomy provides an acceptable level of continence and functional and emotional improvement in patients with low rectal cancer undergoing APR. Hence, this combinative method could be considered as an alternative for abdominal colostomy in selected patients.

Colonic irrigation for defecation disorders after dynamic graciloplasty.

Science.gov (United States)

Koch, Sacha M; Uludağ, Ozenç; El Naggar, Kadri; van Gemert, Wim G; Baeten, Cor G

2008-02-01

Dynamic graciloplasty (DGP) improves anal continence and quality of life for most patients. However, in some patients, DGP fails and fecal incontinence is unsolved or only partially improved. Constipation is also a significant problem after DGP, occurring in 13-90%. Colonic irrigation can be considered as an additional or salvage treatment for defecation disorders after unsuccessful or partially successful DGP. In this study, the effectiveness of colonic irrigation for the treatment of persistent fecal incontinence and/or constipation after DGP is investigated. Patients with defecation disorders after DGP visiting the outpatient clinic of the University Hospital Maastricht were selected for colonic irrigation as additional therapy or salvage therapy in the period between January 1999 and June 2003. The Biotrol(R) Irrimatic pump or the irrigation bag was used for colonic irrigation. Relevant physical and medical history was collected. The patients were asked to fill out a detailed questionnaire about colonic irrigation. Forty-six patients were included in the study with a mean age of 59.3 +/- 12.4 years (80% female). On average, the patients started the irrigation 21.39 +/- 38.77 months after the DGP. Eight patients started irrigation before the DGP. Fifty-two percent of the patients used the irrigation as additional therapy for fecal incontinence, 24% for constipation, and 24% for both. Irrigation was usually performed in the morning. The mean frequency of irrigation was 0.90 +/- 0.40 times per day. The mean amount of water used for the irrigation was 2.27 +/- 1.75 l with a mean duration of 39 +/- 23 min. Four patients performed antegrade irrigation through a colostomy or appendicostomy, with good results. Overall, 81% of the patients were satisfied with the irrigation. Thirty-seven percent of the patients with fecal incontinence reached (pseudo-)continence, and in 30% of the patients, the constipation completely resolved. Side effects of the irrigation were

Bowel function and quality of life after colostomy in individuals with spinal cord injury.

Science.gov (United States)

Bølling Hansen, Rikke; Staun, Michael; Kalhauge, Anna; Langholz, Ebbe; Biering-Sørensen, Fin

2016-05-01

To evaluate the effect of colostomy on bowel function and quality of life (QoL) in individuals with spinal cord injury (SCI). Cross-sectional descriptive study. Department for Spinal Cord Injuries and Departments of Gastroenterology and Radiology, Rigshospitalet. Eighteen individuals with SCI and a colostomy performed post injury, 12 males, 6 females, 8 with tetraplegia and 10 with paraplegia. Median age at time of study was 49.9 years, years since lesion was 3-56 years, and time since colostomy was performed 0.5 to 20 years. Questionnaires and measurement of gastrointestinal transit time (GITT). Retrospective data collection from patient records, a questionnaire on bowel management pre and post colostomy, quality of life (QoL) by SF-36, and GITT. Seventy-two percent significantly reduced their use of time on bowel emptying after the colostomy. All but one reported being content with the colostomy. Thirty-nine percent reported one or more problems related to the colostomy. Seventy-five percent had a GITT within normal range for able-bodied populations. When disregarding the physical component, QoL was not significantly lower in the total study group compared to a Danish norm group, but significantly lower when compared the subgroup of persons with tetraplegia. A colostomy reduces the time necessary for bowel management. The majority of individuals with SCI and a colostomy did not perceive bowel management as being a problem. The results indicate that colostomy is a favourable option for individuals with SCI, who spend long hours on bowel management and for whom non-invasive procedures did not improve the situation enough.

The impact of colostomy on the patient's life

OpenAIRE

Campos, Karis de; Bot, Luiz Henrique Benites; Petroianu, Andy; Rebelo, Priscila Argento; Souza, Angela Alves Correia de; Panhoca, Ivone

2017-01-01

Abstract Purpose To evaluate the emotional, psychological, sexual, social, and professional impact, before and after surgery, on individuals submitted to a colostomy. Methods The study was carried out in two stages, with the participation of 15 individuals. First, we evaluated the emotional, psychic, sexual, social, and professional aspects of their lives, in the preoperative period of colostomy surgery. After that, the same aspects were evaluated six months after the surgery. This evaluati...

The impact of colostomy on the patient's life

OpenAIRE

Karis de Campos; Luiz Henrique Benites Bot; Andy Petroianu; Priscila Argento Rebelo; Angela Alves Correia de Souza; Ivone Panhoca

2017-01-01

Purpose: To evaluate the emotional, psychological, sexual, social, and professional impact, before and after surgery, on individuals submitted to a colostomy. Methods: The study was carried out in two stages, with the participation of 15 individuals. First, we evaluated the emotional, psychic, sexual, social, and professional aspects of their lives, in the preoperative period of colostomy surgery. After that, the same aspects were evaluated six months after the surgery. This evaluation was ba...

Outcomes of Colostomy Reversal in a Public Safety Net Hospital: The End or Beginning of a New Problem?

Science.gov (United States)

Adam, Nadir; Rahbar, Shahrzad; Skinner, Ruby

2015-10-01

Colostomy reversals can be technically challenging and linked to significant morbidity. There is sparse evidence that evaluates outcomes after colostomy reversals performed by acute care surgeons. We performed a review of 61 colostomy reversals from January 2011 to January 2014. Colostomies for acute diverticulitis were predominate, n = 32 (52%). Traumatic colorectal injuries were n = 15, 25 per cent. Colorectal cancer was n = 8, 13 per cent. Sigmoid volvulus accounted for n = 2 cases. Abdominal sepsis from adhesions was n = 3. A rectal foreign body was for n = 1 case. The time to reversal was 360 ± 506 days. Completion of reversals was successful in 90 per cent of cases and protecting stoma use was in n = 12, (22%). Surgical site infections occurred in n = 20, patients (32%). Surgical site infections were prevalent in obese patients, (55%). Anastomotic leaks (ALs) occurred at 12 per cent, and were prevalent in obese, [obese (22%) vs nonobese (8%), P = 0.1]. The majority of AL n = 6, (85%) were in acute diverticulitis and trauma. There were no ALs in cases with protective diversion. No deaths occurred. The elective nature of colostomy reversals does not imply low morbidity. Obesity and major inflammatory processes were associated with major surgical complications. These data suggest that protective stomas should be applied liberally, particularly in high-risk cases.

A case of adenocarcinoma occurred at site of radiated double-barrel sigmoid colostomy

Energy Technology Data Exchange (ETDEWEB)

Ogawa, Hideaki; Kondo, Yukifumi; Takahashi, Masatoshi [Sapporo-Kosei General Hospital (Japan)] [and others

1996-10-01

A 60-year-old female developed an adenocarcinoma at the site of double-barrel sigmoid colostomy. She underwent a total hysterectomy and the subsequent radiation therapy due to carcinoma uteri when she was 34 years old. She had rectal stenosis one year later and underwent sigmoid colostomy. She had been healthy thereafter, however, when she was 58 years old, she noticed an elevated lesion at the site of colostomy. Biopsy revealed well-differentiated adenocarcinoma, so surgery was recommended but she refused it. Two years later, the entire stoma became a carcinoma, which directly invaded the abdominal wall on MRI images. A bow-shaped skin incision was made and en bloc resection of the tumor, colostomy and the surrounding tissues was performed. Finally, descending colostomy in the left upper quadrant of the abdomen was reconstructed. Primary adenocarcinoma occurring at a double-barrel colostomy is very rare, and such a case may never have been reported, although there were some reports of carcinoma occurring at an end colostomy. Since the site of the present carcinoma was radiated, the radiation may contribute to this carcinogenesis, suspecting its late effect. Our surgical procedure enabled simultaneously operation of combined resection and intraabdominal manipulation, and the reconstruction site of the stoma was easily selected. (author)

A case of adenocarcinoma occurred at site of radiated double-barrel sigmoid colostomy

International Nuclear Information System (INIS)

Ogawa, Hideaki; Kondo, Yukifumi; Takahashi, Masatoshi

1996-01-01

A 60-year-old female developed an adenocarcinoma at the site of double-barrel sigmoid colostomy. She underwent a total hysterectomy and the subsequent radiation therapy due to carcinoma uteri when she was 34 years old. She had rectal stenosis one year later and underwent sigmoid colostomy. She had been healthy thereafter, however, when she was 58 years old, she noticed an elevated lesion at the site of colostomy. Biopsy revealed well-differentiated adenocarcinoma, so surgery was recommended but she refused it. Two years later, the entire stoma became a carcinoma, which directly invaded the abdominal wall on MRI images. A bow-shaped skin incision was made and en bloc resection of the tumor, colostomy and the surrounding tissues was performed. Finally, descending colostomy in the left upper quadrant of the abdomen was reconstructed. Primary adenocarcinoma occurring at a double-barrel colostomy is very rare, and such a case may never have been reported, although there were some reports of carcinoma occurring at an end colostomy. Since the site of the present carcinoma was radiated, the radiation may contribute to this carcinogenesis, suspecting its late effect. Our surgical procedure enabled simultaneously operation of combined resection and intraabdominal manipulation, and the reconstruction site of the stoma was easily selected. (author)

Late Laparoscopic Management of Traumatic Rectal Injury Without Protective Colostomy

NARCIS (Netherlands)

Travassos, Daisy V.; Chrzan, Rafal; van der Zee, David

2009-01-01

The gold standard of treatment in the case of fecal peritonitis in association with traumatic rectal perforation is closure of the perforation in combination with a diverting colostomy. In this paper, we report the successful laparoscopic management of such a trauma without colostomy 24 hours after

Cause-Specific Colostomy Rates After Radiotherapy for Anal Cancer: A Danish Multicentre Cohort Study

DEFF Research Database (Denmark)

Sunesen, Kåre G; Nørgaard, Mette; Lundby, Lilli

2011-01-01

In anal cancer, colostomy-free survival is a measure of anal sphincter preservation after treatment with radiotherapy or chemoradiotherapy. Failure to control anal cancer and complications of treatment are alternative indications for colostomy. However, no data exist on cause-specific colostomy...

The trephine colostomy: a permanent left iliac fossa end colostomy without recourse to laparotomy.

Science.gov (United States)

Senapati, A.; Phillips, R. K.

1991-01-01

An operative technique for performing a permanent end sigmoid colostomy without recourse to laparotomy is presented. The results from 16 patients have shown a very low morbidity. The technique was unsuccessful in three patients, each needing a formal laparotomy. PMID:1929133

Extraperitoneal colostomy in laparoscopic abdominoperineal resection using a hand inserted from the perineal side.

Science.gov (United States)

Shiraishi, Takuya; Tomizawa, Naoki; Ando, Tatsumasa; Arakawa, Kazuhisa; Kobayashi, Katsumi; Muroya, Ken; Kurosaki, Ryo; Sato, Hiroaki; Suto, Yuji; Kato, Ryuji; Ozawa, Naoya; Sunose, Yutaka; Takeyoshi, Izumi

2014-01-01

Extraperitoneal colostomy is considered to be more effective at preventing post-colostomy complications than intraperitoneal colostomy. However, this operation is difficult via laparoscopic surgery alone. We present an extraperitoneal colostomy technique using a hand inserted from the perineal side. Extraperitoneal colostomy was performed in five patients. After the rectum was resected, a hand was inserted into the abdominal cavity from the perineal side, and pneumoperitoneum was created. The peritoneum was dissected to make the extraperitoneal route, and the proximal colon was passed along this route with fingers and laparoscopic manipulation. All procedures were completed without tissue damage or hemorrhage. No patient developed a hernia or ileus postoperatively. Laparoscopic abdominoperineal resection for an extraperitoneal colostomy is difficult via laparoscopic ports only. It can be simplified by operating with manual assistance via the perineal wound. © 2014 Japan Society for Endoscopic Surgery, Asia Endosurgery Task Force and Wiley Publishing Asia Pty Ltd.

US Intergroup Anal Carcinoma Trial: Tumor Diameter Predicts for Colostomy

Science.gov (United States)

Ajani, Jaffer A.; Winter, Kathryn A.; Gunderson, Leonard L.; Pedersen, John; Benson, Al B.; Thomas, Charles R.; Mayer, Robert J.; Haddock, Michael G.; Rich, Tyvin A.; Willett, Christopher G.

2009-01-01

Purpose The US Gastrointestinal Intergroup Radiation Therapy Oncology Group 98-11 anal carcinoma trial showed that cisplatin-based concurrent chemoradiotherapy resulted in a significantly higher rate of colostomy compared with mitomycin-based therapy. Established prognostic variables for patients with anal carcinoma include tumor diameter, clinical nodal status, and sex, but pretreatment variables that would predict the likelihood of colostomy are unknown. Methods A secondary analysis was performed by combining patients in the two treatment arms to evaluate whether new predictive and prognostic variables would emerge. Univariate and multivariate analyses were carried out to correlate overall survival (OS), disease-free survival, and time to colostomy (TTC) with pretreatment and treatment variables. Results Of 682 patients enrolled, 644 patients were assessable and analyzed. In the multivariate analysis, tumor-related prognosticators for poorer OS included node-positive cancer (P ≤ .0001), large (> 5 cm) tumor diameter (P = .01), and male sex (P = .016). In the treatment-related categories, cisplatin-based therapy was statistically significantly associated with a higher rate of colostomy (P = .03) than was mitomycin-based therapy. In the pretreatment variables category, only large tumor diameter independently predicted for TTC (P = .008). Similarly, the cumulative 5-year colostomy rate was statistically significantly higher for large tumor diameter than for small tumor diameter (Gray's test; P = .0074). Clinical nodal status and sex were not predictive of TTC. Conclusion The combined analysis of the two arms of RTOG 98-11, representing the largest prospective database, reveals that tumor diameter (irrespective of the nodal status) is the only independent pretreatment variable that predicts TTC and 5-year colostomy rate in patients with anal carcinoma. PMID:19139424

Efficacy of loop colostomy construction for acute left-sided colonic obstructions: a cohort analysis.

Science.gov (United States)

Amelung, Femke J; Mulder, Charlotte L J; Broeders, Ivo A M J; Consten, Esther C J; Draaisma, Werner A

2017-03-01

Acute primary resection as treatment for left-sided colonic obstruction (LSCO) is notorious for its high morbidity and mortality rates. Both stenting and loop colostomy construction can serve as a bridge to surgery, hereby avoiding the high morbidity and mortality rates associated with emergency resections. This study aims to investigate the safety of a loop colostomy in patients presenting with acute LSCO. Retrospective analysis of all patients that received a loop colostomy for LSCO between 2003 and 2015 was performed. Primary outcomes were mortality, major morbidity (Clavien-Dindo grades III-IV) and minor morbidity (Clavien-Dindo grades I-II). One hundred forty-six patients presenting with acute LSCO received a diverting colostomy. After colostomy construction, mortality occurred in four patients (2.7%) and major complications were reported in 20 patients (13.7%). In 61 patients, the diverting colostomy served as a palliative measure, because of metastatic disease or unfitness for major surgery. The remaining 85 patients all underwent delayed resection, resulting in an overall mortality, major morbidity and minor morbidity of 6.9% (n = 6), 14.0% (n = 12) and 26.7% (n = 23), respectively. Diverting colostomy construction is a minimally invasive and safe treatment option for LSCO. It can serve as a definite palliative measure, as well as a bridge to elective surgery. A diverting colostomy as a bridge to surgery might even be a valid alternative for emergency resections, since mortality and morbidity rates following colostomy construction and delayed resection appear lower than reported outcomes following primary resection.

Blowhole Colostomy for Clostridium difficile-Associated Toxic Megacolon

Directory of Open Access Journals (Sweden)

Jeroen Kerstens

2016-01-01

Full Text Available We present the case of a 58-year-old man who underwent urgent blowhole colostomy for toxic megacolon (TM secondary to Clostridium difficile infection (CDI. This infection occurred under antibiotic coverage with amoxicillin-clavulanic acid, four days after laparoscopic sigmoidectomy in our hospital. Although prospective clinical research regarding the surgical management of TM is lacking, decompressive procedures like blowhole colostomy are reported to carry a high risk of postoperative morbidity and mortality and are widely regarded as obsolete. Subtotal or total colectomy with end ileostomy is currently considered the procedure of choice. After presenting our case, we discuss the literature available on the subject to argue that the scarce evidence on the optimal surgical treatment for TM is primarily based on TM associated with inflammatory bowel diseases (IBD and that there might be a rationale for considering minimally invasive procedures like blowhole colostomy for CDI-associated TM.

End-colostomy diverticulitis with parastomal phlegmon: A case report.

Science.gov (United States)

Muradbegovic, Mirza; St-Amour, Pénélope; Martin, David; Petermann, David; Benabidallah, Samir; Di Mare, Luca

2017-10-01

Acute colonic diverticulitis is a well-known surgical emergency, which occurs in about 10 percent of patients known for diverticulosis. The case of a 77-year-old woman is reported, with past history of abdominoperineal resection with end-colostomy for low rectal adenocarcinoma, and who developed an acute colonic diverticulitis in a subcutaneous portion of colostomy with parastomal phlegmon. Initial computed tomography imaging demonstrated a significant submucosal parietal edema with local fat tissues infiltration in regard of 3 diverticula. A two-step treatment was decided: first a nonoperative treatment was initiated with 2 weeks antibiotics administration, followed by, 6 weeks after, a segmental resection of the terminal portion of the colon with redo of a new colostomy by direct open approach. Patient was discharged on the second postoperative day without complications. Follow-up at 2 weeks revealed centimetric dehiscence of the stoma, which was managed conservatively until sixth postoperative week by stomatherapists. Treatment of acute diverticulitis with parastomal phlegmon in a patient with end-colostomy could primary be nonoperative. Delayed surgical treatment with segmental colonic resection was proposed to avoid recurrence and potential associated complications.

Colostomy for anorectal malformation in a tertiary center in Nigeria ...

African Journals Online (AJOL)

Background: Anorectal malformations constitute a wide spectrum of congenital anorectal abnormalities ranging from absent anus to anal membranes and fistulae. It is one major indication for the creation of colostomy in early neonatal life. This study was aimed at o describe and highlight the place of colostomy in the ...

Types and Indications of Colostomy and Determinants of Outcomes of Patients After Surgery.

Science.gov (United States)

Engida, Abebe; Ayelign, Tsehay; Mahteme, Bekele; Aida, Tilahun; Abreham, Berhane

2016-03-01

Colostomy is one of the commonest life saving procedures done worldwide with an intention of either decompression of an obstructed colon or diversion of stool. Indications may vary from region to region. Attending morbidity and mortality is significant. the objective of this study was to Determine the common indications and types of colostomy, and outcomes of patients operated at SPHMMC. A retrospective medical records of patients, operation log book and nursing records review was done in a two-year period between January 2011 and December 2013 at the College Teaching Hospital, St Paul's Hospital Millennium Medical, Addis Ababa. During the two years, 253 colostomies were done and 219(86.6%) cases used for analysis. Of these, 151(68.9%) were males. Age ranged from 15 to 85 years with a mean of 50.8. Most of the surgeries, 196(89.5%), were done for emergency conditions. The three most common indications were gangrenous sigmoid volvulus, 102(46.6%), colorectal cancers, 46(21.0%, and abdominal injuries, 28(12.8%). The commonest type of colostomy done was Hartman's colostomy, 179(81.7.1%), gangrenous sigmoid volvulus being the predominant indication, 102(57%). Loop colostomy constituted 35(16%) of all the colostomies. Penetrating abdominal injuries was the main indication 15(42.9%). Overall, 157 complications were seen on 106(48.4%) patients. The most common complications were surgical site infection, 51(23.3%), hospital acquired pneumonia, (10.5%), and wound dehiscence, 17(7.8%). The mortality rate was 9.6% (21). Gangrenous sigmoid volvulus is the leading indication for colostomy. Mortality and morbidity rates are high. Aggressive resuscitation, early prompt operation and post op close follow-up should be emphasized.

Colostomy for Perianal Sepsis With Ecthyma Gangrenosum in Immunocompromised Children.

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Vuille-dit-Bille, Raphael N; Berger, Christoph; Meuli, Martin; Grotzer, Michael A

2016-01-01

Perianal sepsis with ecthyma gangrenosum is a severe and potentially mutilating complication in immunocompromised children. Therapies include antimicrobial treatment, incision and drainage, generous tissue debridement, and skin transplantation. We describe 3 children with acute lymphoblastic leukemia having sepsis with Pseudomonas aeruginosa in febrile neutropenia and severe perianal infections treated relatively early with a protective colostomy. Indications for colostomy were nonhealing wounds, and ceaseless pain. All patients showed a rapid reduction of pain. Complete wound healing was seen in 2 patients, and considerable pain reduction and increased quality of life were seen in a third patient during palliative care. These results suggest that a protective colostomy should be considered early in the management of immunocompromised children with ecthyma gangrenosum.

[The results of self-irrigation in colostomy patients who have undergone a process of systematic training].

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Santos, V L; Koizumi, M S

1992-12-01

The present study comprises the results of the use of self-irrigation by 40 colostomized patients, trained by us through a process of systematized training. The effectiveness of the training process can be checked out considering that the most part of the patients have adopted it in its basic features, pointing out a few number of technical difficulties. As to the results of self-irrigation, as a method for controlling the intestinal habit, we can say that 37.50% of the population showed an absence of fecal leakages and 42.50%, sporadic leakages between the irrigations; 27.50% and 35.00%, with absence of gases in the intervals of time and partial use of the collecting pouch, respectively.

Factors influencing adjustment to a colostomy in Chinese patients: a cross-sectional study.

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Hu, Ailing; Pan, Yunfeng; Zhang, Meifen; Zhang, June; Zheng, Meichun; Huang, Manrong; Ye, Xinmei; Wu, Xianrong

2014-01-01

We evaluated persons living with a colostomy in order to characterize and describe relationships among adjustment, self-care ability, and social support. One hundred twenty-nine colostomy patients from 5 hospitals in Guangzhou, capital city of the Guangdong province, were recruited by convenience sampling. Cross-sectional data were collected from a survey that included demographic and pertinent clinical data related to their ostomy. The survey also incorporated Chinese language versions of the Ostomy Adjustment Scale, Exercise of Self-Care Agency Scale, and Perceived Social Support Scale. These scales were used to measure the levels and degrees of adjustment, self-care ability, and social support of colostomy patients. Respondents completed the survey during outpatient clinics visit after creation of a colostomy. Scores from the Ostomy Adjustment Scale revealed that 96.9% of colostomy patients reported low to moderate adjustment (128.6 ± 19.38) to their stoma. Self-care ability and social support of patients were positively correlated with the adjustment level (R = 0.33, R = 0.21). Several factors, including being a housewife, paying medical expense by oneself, inability to manage the ostomy without assistance, and not participating in an ostomy support group, were associated with a lower level of adjustment (P colostomy was moderate. Self-care ability and social support associated with having a colostomy positively influenced adjustment. Adjustment was also influenced by occupation, health insurance provider, and ability to care for the stoma without requiring assistance.

Exteriorized colon anastomosis for unprepared bowel: An alternative to routine colostomy

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Asfar, Sami K; Al-Sayer, Hilal M; Juma, Talib H

2007-01-01

AIM: To see the possibility of avoiding routine colostomy in patients presenting with unprepared bowel. METHODS: The cohort is composed of 103 patients, of these, 86 patients presented as emergencies (self-inflected and iatrogenic colon injuries, stab wounds and blast injury of the colon, volvulus sigmoid, obstructing left colon cancer, and strangulated ventral hernia). Another 17 patients were managed electively for other colon pathologies. During laparotomy, the involved segment was resected and the two ends of the colon were brought out via a separate colostomy wound. One layer of interrupted 3/0 silk was used for colon anastomosis. The exteriorized segment was immediately covered with a colostomy bag. Between the 5th and 7th postoperative day, the colon was easily dropped into the peritoneal cavity. The defect in the abdominal wall was closed with interrupted nonabsorbable suture. The skin was left open for secondary closure. RESULTS: The mean hospital stay (± SD) was 11.5 ± 2.6 d (8-20 d). The exteriorized colon was successfully dropped back into the peritoneal cavity in all patients except two. One developed a leak from oesophago-jejunostomy and from the exteriorized colon. She subsequently died of sepsis and multiple organ failure (MOF). In a second patient the colon proximal to the exteriorized anastomosis prolapsed and developed severe serositis, an elective ileo-colic anastomosis (to the left colon) was successfully performed. CONCLUSION: Exteriorized colon anastomosis is simple, avoids the inconvenience of colostomy and can be an alternative to routine colostomy. It is suitable where colostomy is socially unacceptable or the facilities and care is not available. PMID:17589900

Temporary Decompression in Critically Ill Patients: Retrospective Comparison of Ileostomy and Colostomy.

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Lin, Zhi-Liang; Yu, Wen-Kui; Shi, Jia-Liang; Chen, Qi-Yi; Tan, Shan-Jun; Li, Ning

2014-05-01

In critically ill patients, gastrointestinal function plays an important role in multiple organ dysfunction syndrome. Patients suffering from acute lower gastrointestinal dysfunction need to be performed a temporary fecal diversion after the failure of conservative treatment. This study aims to determine which type of fecal diversion is associated with better clinical outcomes in critically ill patients. Data of critically ill patients requiring surgical decompression following acute lower gastrointestinal dysfunction between January 2008 and June 2013 were retrospectively analyzed. Comparison was made between ileostomy group and colostomy group regarding the stoma-related complications and the recovery after stoma creation. 63 patients consisted of temporary ileostomy group (n = 35) and temporary colostomy group (n = 28) were included in this study. First bowel movement and length of enteral nutrition intolerance after fecal diversion were both significantly shorter in the ileostomy group than in the colostomy group (1.70 ± 0.95 vs. 3.04 ± 1.40; p colostomy group. Both procedures provide an effective defunctioning of the distant gastrointestinal tract with a low complication incidence. We prefer a temporary ileostomy to temporary colostomy for acute lower gastrointestinal dysfunction in critically ill patients.

Systematic Review and Meta-Analysis of Extraperitoneal Versus Transperitoneal Colostomy for Preventing Parastomal Hernia.

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Kroese, Leonard F; de Smet, Gijs H J; Jeekel, Johannes; Kleinrensink, Gert-Jan; Lange, Johan F

2016-07-01

Parastomal hernia remains a frequent problem after constructing a colostomy. Current research mainly focuses on prophylactic mesh placement as an addition to transperitoneal colostomies. However, for constructing a colostomy, either an extraperitoneal or transperitoneal route can be chosen. The aim of this meta-analysis was to investigate which technique results in lower parastomal hernia rates in patients undergoing end colostomy. A meta-analysis was conducted according to Preferred Items for Reporting of Systematic Reviews and Meta-Analyses and Meta-Analysis of Observational Studies in Epidemiology guidelines. Embase, MEDLINE, Web of Science, Scopus, Cumulative Index to Nursing and Allied Health Literature, Cochrane, PubMed, and Google Scholar databases were searched. The study protocol was registered in the International Prospective Register of Systematic Reviews database. Studies comparing extraperitoneal and transperitoneal colostomies were included. Only studies written in English were included. The quality of studies and risk of bias were assessed using the Cochrane risk-of-bias tool. The quality of nonrandomized studies was assessed using the Newcastle-Ottawa Scale. The intervention was colostomy formation. The main outcome measure was parastomal hernia incidence. Secondary outcome measures were stoma prolapse, stoma necrosis, and operating time. Of 401 articles found, a meta-analysis was conducted of 10 studies (2 randomized controlled trials and 8 retrospective studies) composed of 1048 patients (347 extraperitoneal and 701 transperitoneal). Extraperitoneal colostomy led to significantly lower parastomal hernia rates (22 of 347 (6.3%) for extraperitoneal versus 125 of 701 (17.8%) for transperitoneal; risk ratio = 0.36 (95% CI, 0.21-0.62); I = 26%; p colostomy was observed to lead to a lower rate of parastomal hernia and stoma prolapse.

Implementação e avaliação de um plano de ensino para a auto-irrigação de colostomia: estudo de caso Plano de enseñanza para la auto-irrigación de la colostomía: estudio de caso Implementation and evaluation of a teaching plan for the auto-irrigation of colostomy: a case study

Directory of Open Access Journals (Sweden)

Idevânia Geraldina Costa

2004-06-01

Full Text Available Tendo como objetivos descrever e avaliar a implementação de um plano de ensino para a auto-irrigação da colostomia e relatar as percepções dos colostomizados relacionadas à auto-irrigação, este estudo de caso foi desenvolvido no ambulatório de colostomia do Hospital Universitário Júlio Müler, do município de Cuiabá, no período de fevereiro a março de 1997. O plano de ensino proposto favoreceu a esses colostomizados a aprendizagem quanto à técnica de irrigação e a reinserção social.Con la finalidad de describir y evaluar la implementación de un plano de enseñanza para preparar al colostomizado para la auto-irrigación y relatar las percepciones de pacientes colostomizados sobre auto-irrigación, este estudio de caso fue desarrollado en el ambulatorio de colostomía del Hospital Universitario Julio Müler del municipio de Cuiaba, en el periodo de febrero a marzo de 1997. El plano de enseñanza propuesto ayudó a estos colostomizados en el aprendizaje de la técnica de irrigación y la reinserción social.With a view to describing and evaluating the implementation of a teaching plan for the auto-irrigation of colostomy and reporting on the perceptions of colostomized patients related to auto-irrigation, this case study was developed at the colostomy out-patient clinic of the Júlio Müller University Hospital, Cuiabá, Brazil, from February to March 1997. The teaching plan helped the patients to learn about the irrigation technique and social rehabilitation.

[Application of three-stitch preventive transverse colostomy in anterior resection of low rectal cancer].

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Zhao, Yuzhou; Han, Guangsen; Huo, Mingke; Wei, Li; Zou, Qiyun; Zhang, Yuji; Li, Jian; Gu, Yanhui; Cao, Yanghui; Zhang, Shijia

2017-04-25

To explore the application of three-stitch preventive transverse colostomy in anterior resection of low rectal cancer. From May 2015 to March 2016, 70 consecutive low rectal cancer patients undergoing anterior resection and preventive transverse colostomy in our department were recruited in this prospective study. According to the random number table method, 70 patients were divided into three-stitch transverse colostomy group(observation group, n=35) and traditional transverse colostomy group(control group, n=35). Procedure of three-stitch preventive transverse colostomy was as follows: firstly, at the upper 1/3 incision 0.5-1.0 cm distance from the skin, 7# silk was used to suture from outside to inside, then the needle belt line went through the transverse edge of the mesangial avascular zone. At the lower 1/3 incision 0.5-1.0 cm distance from the skin, 7# silk was used to suture from inside to outside, then silk went through the transverse edge of the mesangial avascular zone again and was ligatured. Finally, in the upper and lower ends of the stoma, 7# silk was used to suture and fix transverse seromuscular layer and the skin. The operation time and morbidity of postoperative complications associated with colostomy were compared between two groups. There were no significant differences in baseline data between the two groups(all P>0.05). The operative time of observation group was shorter than that of control group [(3.2±1.3) min vs. (15.5±3.4) min, Pcolostomy skin-mucous separation, dermatitis, stoma rebound were significantly lower in observation group [5.7%(2/35) vs. 34.3%(12/35), P=0.007; 8.6%(3/35) vs. 31.4%(11/35), P=0.036; 0 vs. 17.1%(6/35), P=0.025, respectively], while incidences of parastomal hernia and stoma prolapse in two groups were similar (both P>0.05). Compared with traditional transverse colostomy method, the three-stitch preventive transverse colostomy has more operating advantages and can reduce postoperative complications associated with

The colostomy impact score: development and validation of a patient reported outcome measure for rectal cancer patients with a permanent colostomy. A population-based study.

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Thyø, A; Emmertsen, K J; Pinkney, T D; Christensen, P; Laurberg, S

2017-01-01

The aim was to develop and validate a simple scoring system evaluating the impact of colostomy dysfunction on quality of life (QOL) in patients with a permanent stoma after rectal cancer treatment. In this population-based study, 610 patients with a permanent colostomy after previous rectal cancer treatment during the period 2001-2007 completed two questionnaires: (i) the basic stoma questionnaire consisting of 22 items about stoma function with one anchor question addressing the overall stoma impact on QOL and (ii) the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ) C30. Answers from half of the cohort were used to develop the score and subsequently validated on the remaining half. Logistic regression analyses identified and selected items for the score and multivariate analysis established the score value allocated to each item. The colostomy impact score includes seven items with a total range from 0 to 38 points. A score of ≥ 10 indicates major colostomy impact (Major CI). The score has a sensitivity of 85.7% for detecting patients with significant stoma impact on QOL. Using the EORTC QLQ scales, patients with Major CI experienced significant impairment in their QOL compared to the Minor CI group. This new scoring system appears valid for the assessment of the impact on QOL from having a permanent colostomy in a Danish rectal cancer population. It requires validation in non-Danish populations prior to its acceptance as a valuable patient-reported outcome measure for patients internationally. Colorectal Disease © 2016 The Association of Coloproctology of Great Britain and Ireland.

Analgesic efficacy of transversus abdominis plane block in neonates and early infants for colostomy and reversal of colostomy.

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Chen, Chee Kean; Teo, Shu Ching; Phui, Vui Eng; Saman, Mat Ariffin

2015-01-01

The application of ultrasound-guided transversus abdominis plane (TAP) block in paediatric population is gaining popularity among anaesthetists. We present a case series of ultrasound-guided TAP block in ten neonate and infants undergoing colostomy and reversal of stoma. Classical TAP as described by Hebbard was carried out and a maximum dosage of 1ml/kg of 0.25% levobupivacaine was injected. Pain score was assessed using Neonatal Infant Pain Scale for 24 hours. In all patients, the block was successful with minimal hemodynamic changes intraoperatively and no additional systemic analgesia was needed intraoperative and immediate postoperatively. Ultrasound-guided TAP block has an important role in providing safe and effective analgesia for colostomy creation and reversal of stoma surgeries in paediatric population.

Smallholder groundwater irrigation in sub-Saharan Africa: an interdisciplinary framework applied to the Usangu plains, Tanzania

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Villholth, Karen G.; Ganeshamoorthy, Jegan; Rundblad, Christian M.; Knudsen, Theis S.

2013-11-01

A simple but comprehensive framework for analysing the potential for and constraints to groundwater development for irrigated agriculture in sub-Saharan Africa is proposed. The framework, based on food value chain principles, is applied to the sub-Saharan context and a specific catchment in Tanzania, the Usangu plains, where groundwater has been proposed as a strategic resource for augmenting food production and smallholder livelihoods and to alleviate seasonal water scarcity. The novel contribution of the work is the presentation of a tool that can be applied to support an interdisciplinary approach to systematically identify most significant barriers and most critical water management and development interventions for sustainable development of groundwater irrigation. The result of the case study shows that farmer economics, capacity, and pump and well drilling market constraints limit groundwater irrigation in the Usangu plains rather than hydrogeological conditions.

Prospective analysis of percutaneous endoscopic colostomy at a tertiary referral centre.

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Baraza, W; Brown, S; McAlindon, M; Hurlstone, P

2007-11-01

Percutaneous endoscopic colostomy (PEC) is an alternative to surgery in selected patients with recurrent sigmoid volvulus, recurrent pseudo-obstruction or severe slow-transit constipation. A percutaneous tube acts as an irrigation or decompressant channel, or as a mode of sigmoidopexy. This prospective study evaluated the safety and efficacy of this procedure at a single tertiary referral centre. Nineteen patients with recurrent sigmoid volvulus, ten with idiopathic slow-transit constipation and four with pseudo-obstruction underwent PEC. The tube was left in place indefinitely in those with recurrent sigmoid volvulus or constipation, whereas in patients with pseudo-obstruction it was left in place for a variable period of time, depending on symptoms. Thirty-five procedures were performed in 33 patients. Three patients developed peritonitis, of whom one died, and ten patients had minor complications. Symptoms resolved in 26 patients. This large prospective study has confirmed the value of PEC in the treatment of recurrent sigmoid volvulus and pseudo-obstruction in high-risk surgical patients. Copyright (c) 2007 British Journal of Surgery Society Ltd.

Smallholder groundwater irrigation in sub-Saharan Africa: an interdisciplinary framework applied to the Usangu plains, Tanzania

DEFF Research Database (Denmark)

Villholth, Karen G.; Ganeshamoorthy, Jegan; Rundblad, Christian M.

2013-01-01

A simple but comprehensive framework for analysing the potential for and constraints to groundwater development for irrigated agriculture in sub-Saharan Africa is proposed. The framework, based on food value chain principles, is applied to the sub-Saharan context and a specific catchment in Tanza......A simple but comprehensive framework for analysing the potential for and constraints to groundwater development for irrigated agriculture in sub-Saharan Africa is proposed. The framework, based on food value chain principles, is applied to the sub-Saharan context and a specific catchment...... in Tanzania, the Usangu plains, where groundwater has been proposed as a strategic resource for augmenting food production and smallholder livelihoods and to alleviate seasonal water scarcity. The novel contribution of the work is the presentation of a tool that can be applied to support an interdisciplinary...... approach to systematically identify most significant barriers and most critical water management and development interventions for sustainable development of groundwater irrigation. The result of the case study shows that farmer economics, capacity, and pump and well drilling market constraints limit...

Quality of life in rectal cancer patients with permanent colostomy in Xi'an.

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Yang, Xiuxiu; Li, Qin; Zhao, Haihong; Li, Junhua; Duan, Jiaobo; Wang, Dandan; Fang, Ningning; Zhu, Ping; Fu, Jufang

2014-03-01

To observe the quality of life (QOL) in rectal cancer patients with permanent colostomy in different periods after operation. A 1-,3-,6-month prospective study of QOL in 51 rectal cancer patients with permanent colostomy and 50 without permanent colostomy was assessed using European Organization for Research and Treatment of Cancer (EORTC) QOL-30 and CR38 questionnaires. The variation of QOL in different periods was "v" type. In the 1st postoperative month, these patients had the lowest quality of life scores, accompanied significantly varied functions and severe symptoms. Almost of all indexes of these patients had improved consistently in the postoperative period. The scores of global QOL even better than pre-operative level at 6th months post-operation, but the social function, body image, chemotherapy side effects and financial difficulties had not restored to the baseline level. Patients without permanent colostomy had a better score in most of categories of QOL-30 and CR38. The 1st postoperative month was crucial for patients' recovery, in which we should pay great attention to these problems which relate to the recovery of rectal cancer patients with permanent colostomy.

The morbidity of a divided stoma compared to a loop colostomy in patients with anorectal malformation.

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Liechty, Shawn T; Barnhart, Douglas C; Huber, Jordan T; Zobell, Sarah; Rollins, Michael D

2016-01-01

Loop colostomies may contaminate the genitourinary (GU) tract in patients with anorectal malformations (ARM) owing to incomplete diversion of stool. Stoma complications are also thought to be higher with a loop versus divided colostomy. We sought to compare the morbidity, including urinary tract infections (UTI), in these two types of colostomies in children with ARM. A review was performed at a children's hospital (1989-2014). Children with ARM who had a colostomy performed were identified. Demographic data and outcome variables were collected. Analyses included Student's t-test, Fischer's exact and logistic regression as appropriate. 171 patients were identified (loop=78; divided=93). Thirty percent of patients with a divided colostomy and 24% with a loop experienced a stoma complication (p=0.5). A subgroup analysis of children with a rectourinary fistula (54 divided, 26 loop) was performed to assess for effect of colostomy type on UTI. After controlling for other UTI risk factors (major GU anomalies, vesicostomy, and prophylactic antibiotics), loop ostomies were not associated with risk of UTI (OR 0.83, 95% CI 0.27-2.63). No patient with a loop colostomy developed megarectum. Children with ARM who undergo a loop colostomy are not at a detectable increased risk of experiencing a UTI compared to a divided stoma. The rate of stoma complication is high regardless of the type of stoma created. Copyright © 2016 Elsevier Inc. All rights reserved.

The influence of social support from the family on health related-quality of life in persons with a colostomy.

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Leyk, Magdalena; Ksiaz˙ek, Janina; Habel, Agnieszka; Dobosz, Marek; Kruk, Agnieszka; Terech, Sylwia

2014-01-01

We evaluated the influence of social support on health-related quality of life (HRQOL) in persons with a colostomy, taking into account time since surgery. The study was conducted in 8 cities in Poland. The sample comprised 128 patients with a colostomy; their mean age was 66.24 years. Forty-five percent of participants had lived with a colostomy for more than 5 years, and 16% had a colostomy for less than 1 year. The questionnaire used in the study included 76 questions divided into 3 parts. The first part comprised 8 questions that queried demographic characteristics. Parts 2 and 3 included 2 validated scales assessing HRQOL and social support, respectively. Health-related quality of life was assessed using the Functional Assessment of Cancer Therapy-Colorectal instrument. Social support received was assessed using the Berlin Social Support Scale. In the case of both scales, the respondents were asked to assess their status during the last 7 days. The study was conducted by an interviewer during monthly meetings of colostomy support groups as well as during hospitalization. The respondents gave their verbal answers to questions read by the interviewer or completed the questionnaires by themselves. After the questionnaire was completed, the interviewer verified completeness of answers. The outcome time elapsed since surgery was categorized as 3 subgroups: (1) respondents having a colostomy 1 year or less, (2) respondents having colostomy for more than 1 or up to 5 years, and (3) respondents having colostomy more than 5 years. Analysis revealed a statistically significant relationship between level of social support and HRQOL among persons with a colostomy (R = 0.361, P = .000029). Moreover, we observed that the time elapsed since colostomy surgery influenced this relationship. Level of social support and HRQOL were not significantly related in persons living with a colostomy ≤1 year (R = 0.155, P = .525). The correlation was significant in persons with a

Primary repair vs. colostomy in colon injuries.

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Robles-Castillo, Javier; Murillo-Zolezzi, Adrián; Murakami, Pablo Daniel; Silva-Velasco, Jorge

2009-01-01

Colon trauma is frequent and its prevalence is difficult to establish because of the different factors that intervene in its origin. In Mexico, traumatic colon injuries, albeit stab wounds or gunshot wounds, are on the rise. Our objective was to evaluate the most appropriate management for traumatic colon injuries. We conducted a retrospective study of 178 case files of patients with abdominal trauma and colon lesions during a 5-year period from January 2003 to June 2008 from the General Hospital of Balbuena, Mexico City. The study compared the use of primary closure vs. colostomy, analyzing variables such as sex, age, type of wound, severity of lesion and mortality. There were a total of 178 patients; 156 were male (87.6%) and 22 were female (12.4%). The most affected age group was between 21 and 30 years; 74 patients (41.6%) had stab wounds and 104 patients (58.4%) had gunshot wounds. Management consisted mainly of primary closure in 92 cases (51.7%) vs. colostomy in 86 patients (48.3%). However, 64% of gunshot wounds were treated with colostomy. Reported mortality was 9.55% and this was due to different factors such as multiple organ injury. Treatment of traumatic colon injury should be case specific, taking into account the mechanism of the lesion, its severity and associated injuries.

A novel, intelligent, pressure-sensing colostomy plug for reducing fecal leakage.

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Chen, Fei; Li, Zhi-Chao; Li, Qiang; Liang, Fei-Xue; Guo, Xiong-Bo; Huang, Zong-Hai

2015-06-01

This study aims to describe and report the effectiveness of a novel, pressure-sensing colostomy plug for reducing fecal leakage. Nine miniature Tibetan pigs, aged 6-8 months, were given colostomies and divided into three groups (n = 3 each group). A novel pressure-sensing colostomy plug was placed in each pig and set to indicate when intestinal pressures of either 5, 10, or 15 mm Hg, respectively, were reached. When the pressure thresholds were reached, the animals' bowels were examined for the presence of stool and/or stomal leakage, and the data were recorded at weeks 1, 4, and 8 after surgery. The colostomy plug calibrated to 15 mm Hg pressure demonstrated the greatest accuracy in predicting the presence of stool in the bowels of study animals, averaging >90% sensitivity. In general, the sensitivity for predicting the presence of stool did not vary significantly over time, though there was a slight increase in accuracy in the 5 mm Hg group at later time-points. The sensitivity for predicting stool in the bowel did not change significantly over time in any of the three groups. Stomal leakage was found to be inversely proportional to the pressure-sensor setting, in that the 15 mm Hg group exhibited the greatest amount of leakage. This difference, however, was found to be significant only at week 1 postsurgery. The intelligent, pressure-sensing colostomy plug was able to accurately predict the presence of stool in the bowel and maintain continence, allowing negligible leakage. Copyright © 2015 International Center for Artificial Organs and Transplantation and Wiley Periodicals, Inc.

Loop versus divided colostomy for the management of anorectal malformations: a systematic review and meta-analysis.

Science.gov (United States)

Youssef, Fouad; Arbash, Ghaidaa; Puligandla, Pramod S; Baird, Robert J

2017-05-01

The ideal colostomy type for patients with anorectal malformations (ARM) is undetermined. We performed a systematic review and meta-analysis of short-term complications comparing loop and divided colostomies. After review registration (PROSPERO: CRD42016036481), multiple databases were searched for comparative studies without language or date restrictions. Gray literature was sought. Complications investigated included stomal prolapse/hernia/retraction, wound infections, and urinary tract infections (UTIs). Two reviewers independently assessed study eligibility and the quality of included studies. Meta-analysis of selected complications was performed using Revman 5.3, with pcolostomies and 1994 divided colostomies were reported. Of 10 studies reporting short-term complications, the overall rate was 27%. Meta-analysis demonstrated no significant difference in the incidence of UTIs, (OR: 2.55 [0.76, 8.58], p=0.12), while loop colostomies had a significantly higher prolapse rate (See figure). No publication bias was noted. A colostomy for patients with an ARM is a source of considerable morbidity. Divided colostomies reduce the risk of subsequent prolapse and may represent the preferred approach. 3A. Copyright © 2017 Elsevier Inc. All rights reserved.

Clinical value of colonic irrigation in patients with continence disturbances.

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Briel, J W; Schouten, W R; Vlot, E A; Smits, S; van Kessel, I

1997-07-01

Continence disturbances, especially fecal soiling, are difficult to treat. Irrigation of the distal part of the large bowel might be considered as a nonsurgical alternative for patients with impaired continence. This study is aimed at evaluating the clinical value of colonic irrigation. Thirty-two patients (16 females; median age, 47 (range, 23-72) years) were offered colonic irrigation on an ambulatory basis. Sixteen patients suffered from fecal soiling (Group I), whereas the other 16 patients were treated for fecal incontinence (Group II). Patients were instructed by enterostomal therapists how to use a conventional colostomy irrigation set to obtain sufficient irrigation of the distal part of their large bowel. Patients with continence disturbances during the daytime were instructed to introduce 500 to 1,000 ml of warm (38 degrees C) water within 5 to 10 minutes after they passed their first stool. In addition, they were advised to wait until the urge to defecate was felt. Patients with soiling during overnight sleep were advised to irrigate during the evening. To determine clinical outcome, a detailed questionnaire was used. Median duration of follow-up was 18 months. Ten patients discontinued irrigation within the first month of treatment. Symptoms resolved completely in two patients. They believed that there was no need to continue treatment any longer. Irrigation had no effect in two patients. Despite the fact that symptoms resolved, six patients discontinued treatment because they experienced pain (n = 2) or they considered the irrigation to be too time-consuming (n = 4). Twenty-two patients are still performing irrigations. Most patients irrigated the colon in the morning after the first stool was passed. Time needed for washout varied between 10 and 90 minutes. Frequency of irrigations varied from two times per day to two times per week. In Group I, irrigation was found to be beneficial in 92 percent of patients, whereas 60 percent of patients in Group II

Isolated colostomy site recurrence in rectal cancer-two cases with review of literature

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Chintamani; Singhal, Vinay; Bansal, Anju; Bhatnagar, Dinesh; Saxena, Sunita

2007-01-01

Background Colostomy site carcinomas are rare with only eight cases reported in the world literature. Various etiological factors like adenoma-cancer sequence, bile acids, recurrent and persistent physical damage at the colostomy site by faecal matter due to associated stomal stenosis have been considered responsible. Two such cases are being reported and in both cases there was no evidence of any local recurrence in the pelvis or liver and distant metastasis. Both patients had received adjuvant chemotherapy following surgery. Case presentation First case was a 30-year-old male that had reported with large bowel obstruction due to an obstructing ulcero-proliferative growth (poorly differentiated adenocarcinoma) at the colostomy site after abdomino-perineal resection, performed for low rectal cancer six years previously. Wide local excision with microscopically free margins was performed with a satisfactory outcome. Four years later he presented with massive malignant ascites, cachexia and multiple liver metastasis and succumbed to his disease. Second case was a 47-year-old male that presented with acute large bowel obstruction due to an annular growth (well differentiated adenocarcinoma) in the upper rectum. He was managed by Hartmann's operation and the sigmoid colostomy was closed six months later. Five years following closure of colostomy, he presented with two parietal masses at the previous colostomy site scar, which, on fine needle aspiration cytology were found to be well-differentiated adenocarcinomas of colorectal type. Surgery in the form of wide local resection with free margins was performed. He presented again after five years with recurrence along the previous surgery scar and an incisional hernia and was managed by wide local excision along with hernioplasty. Follow-up of nine years following first surgery is satisfactory. Conclusion Colostomy site/scar recurrence of rectal carcinoma is rare and could be due to various etiological factors, although

Bowel function and quality of life after colostomy in individuals with spinal cord injury

DEFF Research Database (Denmark)

Bølling Hansen, Rikke; Staun, Michael; Kalhauge, Anna

2016-01-01

OBJECTIVE: To evaluate the effect of colostomy on bowel function and quality of life (QoL) in individuals with spinal cord injury (SCI). DESIGN: Cross-sectional descriptive study. SETTING: Department for Spinal Cord Injuries and Departments of Gastroenterology and Radiology, Rigshospitalet....... PARTICIPANTS: Eighteen individuals with SCI and a colostomy performed post injury, 12 males, 6 females, 8 with tetraplegia and 10 with paraplegia. Median age at time of study was 49.9 years, years since lesion was 3-56 years, and time since colostomy was performed 0.5 to 20 years. INTERVENTIONS: Questionnaires...... and measurement of gastrointestinal transit time (GITT). OUTCOME MEASURES: Retrospective data collection from patient records, a questionnaire on bowel management pre and post colostomy, quality of life (QoL) by SF-36, and GITT. RESULTS: Seventy-two percent significantly reduced their use of time on bowel...

Incidence and Risk Factors for Parastomal Bulging in Patients with Ileostomy or Colostomy

DEFF Research Database (Denmark)

Andersen, Rune M; Klausen, Tobias W; Danielsen, Anne K

2018-01-01

AIM: To investigate incidence and risk factors for parastomal bulging, a clinically important complication, in patients with an ileostomy or colostomy. METHOD: The Danish Stoma Database Capital Region prospectively collects data on patients with a stoma up to a year after surgery. Stoma care nurses...... an exploratory approach. RESULTS: In a study population of 5019, the cumulative incidence (with competing risks) of parastomal bulging was 36.2% at 400 days after surgery. Age, colostomy, male gender, alcohol consumption, and laparoscopy were associated with an increased risk of parastomal bulging. Compared...... for age and colostomy as being risk factors for parastomal bulging. This article is protected by copyright. All rights reserved....

Perineal colostomy: an alternative to avoid permanent abdominal colostomy: operative technique, results and reflection

OpenAIRE

da SILVA, Alcino L?zaro; HAYCK, Johnny; DEOTI, Beatriz

2014-01-01

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 liv...

A novel corrective approach to achieve satisfactory function of a 'sunk' colostomy.

Science.gov (United States)

Siddique, K; Prud'Homme, G; Samuel, N; Avil-Griffiths, K; Offori, T

2016-05-01

Creation of gastrointestinal stomas is a common colorectal procedure associated with early or late complications, some of which demand advanced technical skills and expertise for optimal management. A 63-year-old male underwent a defunctioning loop colostomy for locally advanced rectal cancer with liver metastasis. Three months later, he had developed a skinfold over his stoma that resulted in a horizontal skin crease traversing through the stoma, causing the stoma to 'sink' leading to obliteration of the stomal opening. This scenario led to ineffective attachment of a stoma appliance, resulting in painful peristomal ulcers. After excision of the anterior abdominal wall, assessment of colostomy opening was carried out, followed by closure of the subcutaneous tissues and drain fixation. An elevated colostomy with an adequate functional opening was seen after wound closure. The patient made an uneventful recovery and was discharged home. After 3 weeks, he had a fully opened, normally functioning colostomy and peristomal ulcers were almost healed. This case highlights the challenges of stoma management, its related risks, avoidance of delay in chemotherapy, a patient wish for early return to work, and the novel approach we adopted to deal with these issues.

The Application of Multimedia Messaging Services via Mobile Phones to Support Outpatients:Home Nursing Guidance for Pediatric Intestinal Colostomy Complications

Institute of Scientific and Technical Information of China (English)

Qiao-Ling Yang; Qin Wei; Ying Huang; Yu-Xiu Jiang; Dai-Zhen Chen; Ping Huang; Li-Jun Liang

2015-01-01

Objective:To present a model of extended home nursing support provided through WeChat for pediatric colostomy patients between the first and second surgery to support parents and to assist them in nursing possible complications at home,to reduce colostomy complications caused by improper care,to improve the quality of life of patients at home and to ensure the success of the recovery and second surgery.Methods:A combination of relevant clinical information,health care guidelines,and training as well as the establishment of a specific monitoring protocol was provided to the parents during the patient’ s first hospitalization.A support system for nursing the colostomy was established with regular follow-up via WeChat after the patient’ s first discharge from the hospital using a predetermined protocol.During the 3 to 6 months of home care in-between the colostomy operations,the charge nurse initiated the phone follow-up and provided specific,individual guidance and feedback.If necessary,extended service at predetermined intervals was provided in the 1st week,the 1st month,the 2nd month and the 3rd month.Results:Extended assistance for the home care of patients with pediatric colostomy complications improved the quality of life of the patients and caregivers and was accepted by all parties involved upon introduction.The assistance provided support for the parents at all hours,efficiently reduced the level of complications for this type of patient and facilitated fast referrals to hospital care in cases of emergencies.Furthermore it paved the way to successful second stage surgeries,provided direct feedback to the charge nurse and improved the work satisfaction and sense of achievement of the nurses involved.Conclusions:All 80 cases supported by WeChat successfully underwent two-stage pediatric colostomy operations.The response of the parents and the medical staff involved was very positive.This method is easy to use,economical to operate and could be applied

The Application of Multimedia Messaging Services via Mobile Phones to Support Outpatients：Home Nursing Guidance for Pediatric Intestinal Colostomy Complications

Institute of Scientific and Technical Information of China (English)

Qiao-Ling Yang; Qin Wei; Ying Huang; Yu-Xiu Jiang; Dai-Zhen Chen; Ping Huang; Li-Jun Liang

2015-01-01

Objective: To present a model of extended home nursing support provided through WeChat for pediatric colostomy patients between the first and second surgery to support parents and to assist them in nursing possible complications at home, to reduce colostomy complications caused by improper care, to improve the quality of life of patients at home and to ensure the success of the recovery and second surgery. Methods: A combination of relevant clinical information, health care guidelines, and training as well as the establishment of a specific monitoring protocol was provided to the parents during the patient’ s first hospitalization. A support system for nursing the colostomy was established with regular follow-up via WeChat after the patient’ s first discharge from the hospital using a predetermined protocol. During the 3 to 6 months of home care in-between the colostomy operations, the charge nurse initiated the phone follow-up and provided specific, individual guidance and feedback. If necessary, extended serv-ice at predetermined intervals was provided in the 1st week, the 1st month, the 2nd month and the 3rd month. Results: Extended assistance for the home care of patients with pediatric colostomy complications im-proved the quality of life of the patients and caregivers and was accepted by all parties involved upon in-troduction. The assistance provided support for the parents at all hours, efficiently reduced the level of complications for this type of patient and facilitated fast referrals to hospital care in cases of emergen-cies. Furthermore it paved the way to successful second stage surgeries, provided direct feedback to the charge nurse and improved the work satisfaction and sense of achievement of the nurses involved. Conclusions: All 80 cases supported by WeChat successfully underwent two-stage pediatric colostomy operations. The response of the parents and the medical staff involved was very positive. This method is easy to use, economical to

Fate of 15N fertilizer applied to trickle-irrigated grapevines

International Nuclear Information System (INIS)

Hajrasuliha, S.; Rolston, D.E.; Louie, D.T.

1998-01-01

Information on fate of nitrogen applied to vines is needed to improve fertilizer management. Nitrogen-15 enriched ammonium and nitrate fertilizers were applied in the spring through a trickle irrigation system to six Thompson Seedless vines of a vineyard on the West Side of the San Joaquin Valley of California. At fruit harvest, all above-ground plant parts were removed and analyzed for 15 N. Soil around each vine was also sampled and analyzed for 15 N in the inorganic and organic N fractions. Spatial patterns of fertilizer N for soil inorganic and organic N were analyzed using a median polish technique which indicated large variability with respect to direction, distance, and depth. There was a tendency for the fertilizer N from NH 4 to be located directly beneath emitters than from the NO 3 . Nitrogen from the NH 4 application penetrated to only the 150-cm depth, whereas some N from the NO 3 application reached 210 to 240 cm. Most of the organic fertilizer N for both NO 3 and NH 4 applications was in the top 60 cm of soil where the vine roots were likely of greatest density. Overall recovery of fertilizer N was also quite variable, probably due to variability in soil physical properties and uneven surface application of water and fertilizer due to local surface ponding. Although not statistically significant, uptake of fertilizer N by above-ground plant components was slightly higher for the NH 4 application (24.2% of applied N) than the NO 3 application (21.5%). Soil organic N had significantly (95% level) higher N from NH 4 (19% of applied N) than from NO 3 (13%). This probably occurred due to longer residence time of N from NH 4 within the top 60 cm, where the bulk of roots and microbial activity existed, than for NO 3 . Overall, about 67% to 79% of the fertilizer N applied in spring remained in the soil at harvest, and the vines took up the rest. There was no indication of significant N leaching below 2.4 m or denitrification of fertilizer N for the trickle-irrigated

Risk factors for parastomal hernia in Japanese patients with permanent colostomy.

Science.gov (United States)

Funahashi, Kimihiko; Suzuki, Takayuki; Nagashima, Yasuo; Matsuda, Satoshi; Koike, Junichi; Shiokawa, Hiroyuki; Ushigome, Mitsunori; Arai, Kenichiro; Kaneko, Tomoaki; Kurihara, Akiharu; Kaneko, Hironori

2014-08-01

Although the definitive risk factors for parastomal hernia development remain unclear, potential contributing factors have been reported from Western countries. The aim of this study was to identify the risk factors for parastomal hernia in Japanese patients with permanent colostomies. All patients who received abdominoperineal resection or total pelvic exenteration at our institution between December 2004 and December 2011 were reviewed. Patient-related, operation-related and postoperative variables were evaluated, in both univariate and multivariate analyses, to identify the risk factors for parastomal hernia formation. Of the 80 patients who underwent colostomy, 22 (27.5 %) developed a parastomal hernia during a median follow-up period of 953 days (range 15-2792 days). Hernia development was significantly associated with increasing patient age and body mass index, a laparoscopic surgical approach and the transperitoneal route of colostomy formation. In the multivariate analysis, the body mass index (p = 0.022), the laparoscopic approach (p = 0.043) and transperitoneal stoma creation (p = 0.021) retained statistical significance. Our findings in Japanese ostomates match those from Western countries: a higher body mass index, the use of a laparoscopic approach and a transperitoneal colostomy are significant independent risk factors for parastomal hernia formation. The precise role of the stoma creation route remains unclear.

Fate of tagged nitrogen fertilizer applied to irrigated corn

International Nuclear Information System (INIS)

Olson, R.V.

1980-01-01

A field experiment was conducted for 2 years with ammonium sulfate tagged with 5.93 at. % 15 N to determine the fate of N fertilizer applied to sprinkler-irrigated corn (Zea mays L.). All areas of triplicate, 356-cm square plots were treated with 50 or 150 kg tagged N/ha. N fertilizer used by the crop and that remaining in the top 240 cm of soil were measured. NH 4 + -N and NO 3 - -N in the 0- to 10-cm layers after the second harvest also were determined. Grain yields in 1976 did not differ significantly. In 1977 response to N was significant, but responses to two N rates did not differ significantly

Selectivity and weed control efficacy of some herbicides applied to sprinkler irrigated rice (Oryza sativa L.)

Energy Technology Data Exchange (ETDEWEB)

Cavero, J; Zaragoza, C; Cirujeda, A; Anzalone, A; Faci, J M; Blanco, O

2011-07-01

Sprinkler irrigation can reduce the irrigation water needed to grow rice. However, most available information on weed control with herbicides is related to flood irrigated rice because this is the main growing method. Field experiments were conducted at Zaragoza (Spain) during two years to study weed control and tolerance of sprinkler irrigated rice to several herbicides. The main weeds were Atriplex prostrata Boucher ex DC., Cyperus rotundus L., Echinochloa crus-galli (L.) Beauv. and Sonchus oleraceus L. Rice cv Guadiamar was tolerant to preemergence (PRE) application of clomazone at 0.36 kg ha{sup -}1 and oxadiazon at 0.5 kg ha{sup -}1. PRE application of pendimethalin at 1.32 kg ha{sup -}1 combined with clomazone at 0.36 kg ha{sup -}1 decreased rice yield. Postemergence (POST) application of bentazon at 1.6 kg ha{sup -}1 + MCPA at 0.25 kg ha{sup -}1 did not injure rice but POST application of azimsulfuron at 0.025 kg ha{sup -}1 produced visual crop injury. Only treatments that controlled grassy weeds since rice was planted and by more than 80% at harvest time lead to acceptable rice yield (> 5,000 kg ha{sup -}1). Clomazone applied PRE at 0.36 kg ha{sup -}1 provided good control of grassy weeds (> 80%) and the highest rice yield, so it is recommended as a selective and efficacious PRE treatment for weed control of annual weeds in sprinkler irrigated rice. The perennial purple nutsedge was difficult to control at high plant densities (> 150 plants m{sup -}2) and the recommended herbicide is azimsulfuron applied at POST at 0.02 kg ha{sup -}1. (Author) 37 refs.

Circular Stapler-Assisted Extraperitoneal Colostomy in Laparoscopic Abdominoperineal Resection: a Single Surgeon Experience.

Science.gov (United States)

Zhang, Peng; Bai, Jie; Shuai, Xiaoming; Chang, Weilong; Gao, Jinbo; Liu, Xinghua; Wang, Guobin; Tao, Kaixiong

2016-03-01

Nowadays, laparoscopic abdominoperineal resection (LAPR) not only has the same oncologic safety of open surgery and but also has the common advantages of laparoscopic surgery. However, given the difficulty in operation and long operative time, laparoscopic extraperitoneal colostomy construction is rarely practiced and reported. In this study, we describe technique of extraperitoneal colostomy using circular stapler following LAPR and demonstrate its efficacy and safety. This is a retrospective analysis of prospectively maintained data of 42 patients who underwent LAPR with circular stapler-assisted extraperitoneal colostomy in our department between July 2011 and June 2014. The mean time for extraperitoneal colostomy construction was 25 min (18-33 min). The mean operative time, estimated blood loss, postoperative gastrointestinal function recovery time, and duration of postoperative hospital stay were 160 min (115-225 min), 45 ml (10-250 ml), 33 h (26-45 h), and 8.6 days (6-13 days), respectively; 4.8 % of the patients had postoperative short-term complications. There were no stenosis, prolapse, and parastomal hernia observed in follow-up period. At 6 months after operation, 26 patients (62 %) claimed to be satisfied with their postoperative stool habits, 29 patients (69 %) had sensation to defecate per stoma, and 11 (26.2 %) patients had the ability to defer defecation for solid or liquid stool per stoma. Circular stapler-assisted extraperitoneal colostomy is an easy, effective, and safe technique following LAPR and appears to minimize the occurrence of stomal complications and improve the quality of life for patients.

Is there a role for robotic totally endoscopic coronary artery bypass in patients with a colostomy?

Science.gov (United States)

Gibber, Marc; Lehr, Eric J; Kon, Zachary N; Wehman, P Brody; Griffith, Bartley P; Bonatti, Johannes

2014-01-01

Preoperative colostomy presents a significant risk of sternal wound complications, mediastinitis, and ostomy injury in patients requiring coronary artery bypass grafting. Less invasive procedures in coronary surgery have a potential to reduce the risk of sternal wound healing problems. Robotic totally endoscopic coronary artery bypass grafting in patients with a colostomy has not been reported. We describe a case of completely endoscopic coronary surgery using the da Vinci Si system in a patient with a transverse colostomy. Single left internal mammary artery grafting to the left anterior coronary artery was performed successfully on the beating heart. We regard this technique as the least invasive method of surgical coronary revascularization with a potential to reduce the risk of surgical site infection and mediastinitis in patients with a colostomy.

[Experiences with a subcutaneous, fully resorbable bridge in construction a double loop ileo- and colostomy].

Science.gov (United States)

Wedell, J; Banzhaf, G; Meier zu Eissen, P; Schlageter, M

1990-01-01

Our experience with the subcutaneous absorbable bridge for constructing a temporary loop ileostomy and loop colostomy is described. The use of this subcutaneous absorbable bridge in 15 patients - 6 with loop ileostomy and 9 with loop colostomy - was almost without complications. The absorbable bridge is a progress for maturation of the stoma and for immediate postoperative as prospective fitting of a watertight appliance. The actual trend substituting the temporary loop colostomy by the loop ileostomy may be advanced by the unlimited use of the subcutaneous absorbable bridge for constructing a temporary loop ileostomy.

Short-term Outcomes After Open and Laparoscopic Colostomy Creation.

Science.gov (United States)

Ivatury, Srinivas Joga; Bostock Rosenzweig, Ian C; Holubar, Stefan D

2016-06-01

Colostomy creation is a common procedure performed in colon and rectal surgery. Outcomes by technique have not been well studied. This study evaluated outcomes related to open versus laparoscopic colostomy creation. This was a retrospective review of patients undergoing colostomy creation using univariate and multivariate propensity score analyses. Hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program database were included. Data on patients were obtained from the American College of Surgeons National Surgical Quality Improvement Program 2005-2011 Participant Use Data Files. We measured 30-day mortality, 30-day complications, and predictors of 30-day mortality. A total of 2179 subjects were in the open group and 1132 in the laparoscopic group. The open group had increased age (open, 64 years vs laparoscopic, 60 years), admission from facility (17.0% vs 14.9%), and disseminated cancer (26.1% vs 21.4%). All were statistically significant. The open group had a significantly higher percentage of emergency operations (24.9% vs 7.9%). Operative time was statistically different (81 vs 86 minutes). Thirty-day mortality was significantly higher in the open group (8.7% vs 3.5%), as was any 30-day complication (25.4% vs 17.0%). Propensity-matching analysis on elective patients only revealed that postoperative length of stay and rate of any wound complication were statistically higher in the open group. Multivariate analysis for mortality was performed on the full, elective, and propensity-matched cohorts; age >65 years and dependent functional status were associated with an increased risk of mortality in all of the models. This study has the potential for selection bias and limited generalizability. Colostomy creation at American College of Surgeons National Surgical Quality Improvement Program hospitals is more commonly performed open rather than laparoscopically. Patient age >65 years and dependent functional status are

Evaluating two irrigation controllers under subsurface drip irrigated tomato crop

International Nuclear Information System (INIS)

Al-Ghobari, H.M.; Mohammad, F.S.; El Marazky, M.S.A.

2016-01-01

Smart systems could be used to improve irrigation scheduling and save water under Saudi Arabia’s present water crisis scenario. This study investigated two types of evapotranspiration-based smart irrigation controllers, SmartLine and Hunter Pro-C2, as promising tools for scheduling irrigation and quantifying plants’ water requirements to achieve water savings. The effectiveness of these technologies in reducing the amount of irrigation water was compared with the conventional irrigation scheduling method as a control treatment. The two smart irrigation sensors were used for subsurface irrigation of a tomato crop (cv. Nema) in an arid region. The results showed that the smart controllers significantly reduced the amount of applied water and increased the crop yield. In general, the Hunter Pro-C2 system saved the highest amount of water and produced the highest crop yield, resulting in the highest water irrigation efficiency compared with the SmartLine controller and the traditional irrigation schedule. It can be concluded that the application of advanced scheduling irrigation techniques such as the Hunter controller under arid conditions can realise economic benefits by saving large amounts of irrigation water.

Evaluating two irrigation controllers under subsurface drip irrigated tomato crop

Energy Technology Data Exchange (ETDEWEB)

Al-Ghobari, H.M.; Mohammad, F.S.; El Marazky, M.S.A.

2016-07-01

Smart systems could be used to improve irrigation scheduling and save water under Saudi Arabia’s present water crisis scenario. This study investigated two types of evapotranspiration-based smart irrigation controllers, SmartLine and Hunter Pro-C2, as promising tools for scheduling irrigation and quantifying plants’ water requirements to achieve water savings. The effectiveness of these technologies in reducing the amount of irrigation water was compared with the conventional irrigation scheduling method as a control treatment. The two smart irrigation sensors were used for subsurface irrigation of a tomato crop (cv. Nema) in an arid region. The results showed that the smart controllers significantly reduced the amount of applied water and increased the crop yield. In general, the Hunter Pro-C2 system saved the highest amount of water and produced the highest crop yield, resulting in the highest water irrigation efficiency compared with the SmartLine controller and the traditional irrigation schedule. It can be concluded that the application of advanced scheduling irrigation techniques such as the Hunter controller under arid conditions can realise economic benefits by saving large amounts of irrigation water.

Comparative results of end colostomy for low rectal cancer using alloplastic material

Directory of Open Access Journals (Sweden)

I. G. Gataullin

2012-01-01

Full Text Available The results of research on the causes affecting in the development of para-colostomy complications after abdomino-perineal extirpation of the rectum for cancer patients, who were treated by us from 2005 to 2012 found that the development of complications para-colostomy affects in the age of patient, comorbidity, severity of anemia, and obesity. Allocation of risk and patient groups at increased risk for complications allows differentiated approach to their prevention.

The effect of applying different water levels and irrigation frequencies in propagating rosemary (Rosmarinus officinalis L.

Directory of Open Access Journals (Sweden)

Javier Giovanni Álvarez Herrera

2010-01-01

Full Text Available Rosemary seedlings are obtained by vegetative propagation because the seeds present low viability. Despite being an expanding crop, there is little information on water consumption during the propagation stage. Water levels and irrigation frequencies were therefore applied using a completely randomised design having a 4 x 2 factorial arrangement. The first factor concerned irrigation frequency (4 and 8 days and the second concerned water level (0.6, 0.8, 1.0 and 1.2 evaporation inside the greenhouse. A 1.0 coefficient combined with 4-day irrigation frequency presented the best results regarding height (39.3 cm, fresh weight, dry weight and branch length (146 cm. Water level affected the fresh and dry weight of leaves regardless of frequency. Relative water content in leaves did not present differences due to environmental conditions minimising treatment effect. Rooting percent- tage showed no significant differences regarding irrigation frequency or water level. Irrigation frequency did not affect rosemary growing pattern because sphagnum retains high moisture content. The best branch number (34 was obtained with 1.0 coefficient and 4-day frequency, this being important from the production point of view because this is the material which is sold. Water management changes photoassimilate distribution in rosemary plants.

Factors affecting colonoscope insertion time in patients with or without a colostomy after left-sided colorectal resection.

Science.gov (United States)

Jang, Hui Won; Kim, Yoon Nam; Nam, Chung Mo; Lee, Hyun Jung; Park, Soo Jung; Hong, Sung Pil; Kim, Tae Il; Kim, Won Ho; Cheon, Jae Hee

2012-12-01

We examined whether the insertion time for colonoscopies performed after left-sided resection was different in patients with a colostomy from that in patients without a colostomy and identified factors that could impact colonoscopy performance. We included consecutive patients who underwent colonoscopy between July 2005 and March 2011 after left-sided colorectal resection for colorectal cancer. We classified surgical methods according to the presence or absence of a colostomy and evaluated colonoscope insertion time retrospectively. Furthermore, we analyzed factors that might affect insertion time. A total of 1,041 patients underwent colonoscopy after left-sided colorectal resection during the study period. The colonoscopy completion rate was 98.6 %, and the mean insertion time was 6.1 ± 4.6 min (median 4.7 min, range 0.3-35.8 min). A shorter resection length of colon, the presence of a colostomy, and a lower endoscopist case volume were found to be independent factors associated with prolonged insertion time in patients with left-sided colorectal resection. Among experienced colonoscopists, no colonoscopy-associated or clinical factors were found to affect insertion time. However, a shorter resection length of colon, the presence of a colostomy, and poor bowel preparation were associated with prolonged insertion time among inexperienced endoscopists. We identified three factors that affect colonoscope insertion time after left-sided colorectal resection, including the presence of a colostomy. Inexperienced endoscopists were much more affected by the presence of a colostomy after left-sided colorectal resection. These findings have implications for the practice and teaching of colonoscopy after left-sided colorectal resection.

[A Case of Peritoneal Metastasis in Which Colostomy Was Useful for Restenosis after Stenting].

Science.gov (United States)

Tagawa, Hiroko; Yoshimatsu, Kazuhiko; Yokomizo, Hajime; Yano, Yuki; Nakayama, Mao; Okayama, Sachiyo; Satake, Masaya; Sakuma, Akiko; Matsumoto, Atsuo; Fujimoto, Takashi; Shiozawa, Shunichi; Shimakawa, Takeshi; Katsube, Takao; Kato, Hiroyuki; Naritaka, Yoshihiko

2015-11-01

We report a case of restenosis after performing stenting twice for ileus caused by peritoneal dissemination that occurred after surgery for sigmoid colon cancer, in which colostomy was performed to improve the patient's QOL. The patient was a 58-year-old woman who underwent sigmoidectomy for sigmoid colon cancer. She presented with a peritoneal recurrence 3 times, and the third surgery was a non-curative resection. Chemotherapy was administered but was discontinued because of severe adverse events, and the patient was followed up with the best supportive care. An anastomotic stricture occurred 4 years after the initial surgery, and despite performing stenting twice, stenosis occurred 3 times within a few months. The third stenosis occurred shortly after the second episode, and colostomy was therefore performed. The patient died from cancer 4 months after colostomy without having another episode of stenosis. Although stenting is effective for patients with malignant colon stenosis, colostomy appears to be more effective for repeated post-stenting stenosis, when the patient is in an eligible general condition.

Resection and primary anastomosis with or without modified blow-hole colostomy for sigmoid volvulus

Science.gov (United States)

Coban, Sacid; Yilmaz, Mehmet; Terzi, Alpaslan; Yildiz, Fahrettin; Ozgor, Dincer; Ara, Cengiz; Yologlu, Saim; Kirimlioglu, Vedat

2008-01-01

AIM: To evaluate the efficacy of resection and primary anastomosis (RPA) and RPA with modified blow-hole colostomy for sigmoid volvulus. METHODS: From March 2000 to September 2007, 77 patients with acute sigmoid volvulus were treated. A total of 47 patients underwent RPA or RPA with modified blow-hole colostomy. Twenty-five patients received RPA (Group A), and the remaining 22 patients had RPA with modified blow-hole colostomy (Group B). The clinical course and postoperative complications of the two groups were compared. RESULTS: The mean hospital stay, wound infection and mortality did not differ significantly between the groups. Superficial wound infection rate was higher in group A (32% vs 9.1%). Anastomotic leakage was observed only in group A, with a rate of 6.3%. The difference was numerically impressive but was statistically not significant. CONCLUSION: RPA with modified blow-hole colostomy provides satisfactory results. It is easy to perform and may become a method of choice in patients with sigmoid volvulus. Further studies are required to further establish its role in the treatment of sigmoid volvulus. PMID:18810779

To split or not to split: colostomy complications for anorectal malformations or hirschsprung disease: a single center experience and a systematic review of the literature.

Science.gov (United States)

van den Hondel, Desiree; Sloots, Cornelius; Meeussen, Conny; Wijnen, Rene

2014-02-01

The aim of this article is to identify the ideal type and location of colostomy in children with colorectal disease. A retrospective case study of children with an anorectal malformation who received a colostomy, born between January 1990 and July 2012. Furthermore, a systematic literature search on colostomies in neonates with an anorectal malformation or Hirschsprung disease. Colostomies were classified as loop or split colostomies in the transverse or sigmoid colon. Outcome measures were mortality and complications such as prolapse, technical difficulties with the reconstruction, urinary tract infections, and others. The mortality rate in the 180 children with anorectal malformation was 6%, and none of them were directly related to stoma formation or closure. The overall complication rate was 23% and the specific rates for the two types of procedures and the two locations of the colostomy did not differ (p = 0.389 and p = 0.667, respectively). All prolapses (n = 22) occurred in loop colostomies in the transverse colon. One colostomy required revision because of insufficient length for the reconstruction. Urinary tract infections were not documented. A total of eight studies were included in the systematic review (1982-2011; 2,954 patients). Mortality ranged between 0.1 and 11%. Loop colostomies had more complications than split colostomies (63 vs. 45%; p = 0.007), mainly prolapse (18 vs. 6%; p colostomies (62 vs. 51%, p = 0.006), and prolapse occurred more often in the transverse colon (23 vs. 7%; p colostomies, whereas the other showed frequent episodes of urinary tract infections in 64% of the loop colostomies. The complication to be avoided in transverse colostomies is prolapse and the surgical technique should be modified accordingly. The procedure of split sigmoid colostomy is meticulous, and the risk of insufficient length for the reconstruction remains. Georg Thieme Verlag KG Stuttgart · New York.

Restorative resection of radiation rectovaginal fistula can better relieve anorectal symptoms than colostomy only.

Science.gov (United States)

Zhong, Qinghua; Yuan, Zixu; Ma, Tenghui; Wang, Huaiming; Qin, Qiyuan; Chu, Lili; Wang, Jianping; Wang, Lei

2017-02-02

Radiation-induced rectovaginal fistula (RVF) is a severe and difficult complication after pelvic malignancy radiation. This study was to retrospectively compare the outcomes of restorative resection and colostomy only in remission of anorectal symptoms. We enrolled a cohort of 26 consecutive cases who developed RVF after pelvic radiation. Two main procedures for these patients in our institution were used: one was restorative resection and pull-through coloanal anastomosis with a prophylactic colostomy, and another was a simple colostomy without resection. Thus, we divided these patients into these two groups. Anorectal symptoms including rectal pain, bleeding, tenesmus, and perineal mucous discharge were recorded and scored prior to surgery and at postoperative multiple time points. The baseline was similar among the two groups. All patients acquired good efficacy with improved symptoms at postoperative 6, 12, and 24 months, when compared to baseline. In addition, the resection group showed a better remission of tenesmus (6 months 33.3 vs 0%; 12 months 66.7 vs 16.7%) and perineal mucous discharge (6 months 88.9 vs 6.7%; 12 months 77.8 vs 15.4%; 24 months 85.7 vs 25.0%). Furthermore, three (30%) patients in the resection group successfully reversed stomas while no stoma was closed in the simple colostomy group. Both restorative resection procedure and colostomy only can improve anorectal symptoms of radiation-induced RVF, but restorative resection can completely relieve anorectal symptoms in selected cases.

One-day bowel preparation in children with colostomy using normal saline

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Emmanuel A Ameh

2011-01-01

Full Text Available Background: Colonic and colorectal surgery frequently requires bowel preparation. This is an evaluation of the use of normal saline for one-day bowel preparation in children with colostomy. Patients and Methods:A prospective study of 55 children with colostomy who had one-day bowel preparation for colonic and colorectal surgical procedures in a 3-year period. The information, along with clinical data was recorded on a structured proforma. Data were analysed using SPSS version 11.0. Results:There were 33 boys and 22 girls. The median age was 4 years (range, one month - 13 years. The primary diagnosis were as follows: Anorectal malformation, 24 (44%; Hirschsprung`s disease, 24 (44%; Faecal incontinence- post-abdominoperineal pull-through, 2 (4%; Penetrating rectal injury, 1 (2%; others, 4(8%. Intraoperative bowel luminal fluid cleanliness was assessed as clear in 36 (62% and contaminated in 21 (38%. Overall, postoperatively, superficial surgical site infection occurred in 6 (10.9% patients (2 had clean intraoperative colonic fluid, 5.9%. Conclusion:One-day bowel preparation using normal saline is effective and safe in children with colostomy.

Adenocarcinoma arising at a colostomy site with inguinal lymph node metastasis: report of a case.

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Iwamoto, Masayoshi; Kawada, Kenji; Hida, Koya; Hasegawa, Suguru; Sakai, Yoshiharu

2015-02-01

Inguinal lymph node metastasis from adenocarcinoma arising at a colostomy site is extremely rare, and the significance of surgical resection for metastatic inguinal lymph nodes has not been established. An 82-year-old woman who had undergone abdominoperineal resection 27 years earlier was admitted to our hospital complaining of bleeding from a colostomy. Physical examination revealed that a tumor at the colostomy site directly invaded into the peristomal skin, and that a left inguinal lymph node was firm and swollen. Positron emission tomography/computed tomography scan demonstrated accumulation of (18)F-fluorodeoxy glucose into both the colostomy tumor and the left swollen inguinal lymph node, while there was no evidence of metastasis to liver or lungs. She underwent open left hemicolectomy with wide local resection of the colostomy, and dissection of left inguinal lymph nodes. Histological diagnosis was a moderately differentiated adenocarcinoma that directly invaded into the surrounding skin and metastasized to the left inguinal lymph node. The patient has been followed up for >5 years without any sign of recurrence. In general, inguinal lymph node metastasis from colorectal cancers is regarded as a systemic disease with a poor prognosis, and so systemic chemotherapy and radiotherapy, but not surgical lymph node dissection, are recommended. Considering the lymphatic drainage route in the present case, inguinal lymph node metastasis does not represent a systemic disease but rather a sentinel nodal metastasis from adenocarcinoma at a colostomy site. Surgical dissection of metastatic inguinal lymph nodes should be considered to enable a favorable prognosis in the absence of distant metastasis to other organs. © The Author 2014. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Prophylactic mesh at end-colostomy construction reduces parastomal hernia rate: a randomized trial.

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Lambrecht, J R; Larsen, S G; Reiertsen, O; Vaktskjold, A; Julsrud, L; Flatmark, K

2015-10-01

Parastomal hernia (PSH) is the most common complication of an end-colostomy and about one-quarter of patients need operative repair, which is often unsuccessful. A randomized trial was carried out to compare the results of using mesh or no mesh at the time of formation of a colostomy with the clinical identification of PSH as the primary outcome. In this two-centre randomized trial (Oslo University Hospital and Sykehuset Innlandet Hospital Trust, Norway), patients with rectal cancer undergoing open pelvic surgery were randomized to receive a retromuscular synthetic mesh (study group, n = 32) or no mesh (control group, n = 26) at the time of end-colostomy formation. Postoperative follow up was not blinded and included clinical examination and routine CT. The median period of follow up was 40 (range: 84) months. There were no differences in demographic variables or complications between the study and control groups. PSH developed in two patients of the study group and in 12 of the control group [OR = 0.04 (95% CI: 0.01-0.30) and hazard ratio 0.134 (95% CI: 0.030-0.603); P colostomy reduced the risk of PSH. Colorectal Disease © 2015 The Association of Coloproctology of Great Britain and Ireland.

A novel corrective approach to achieve satisfactory function of a ‘sunk’ colostomy

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Siddique, K; Prud’Homme, G; Samuel, N; Avil-Griffiths, K; Offori, T

2016-01-01

Introduction Creation of gastrointestinal stomas is a common colorectal procedure associated with early or late complications, some of which demand advanced technical skills and expertise for optimal management. Case History A 63-year-old male underwent a defunctioning loop colostomy for locally advanced rectal cancer with liver metastasis. Three months later, he had developed a skinfold over his stoma that resulted in a horizontal skin crease traversing through the stoma, causing the stoma to ‘sink’ leading to obliteration of the stomal opening. This scenario led to ineffective attachment of a stoma appliance, resulting in painful peristomal ulcers. After excision of the anterior abdominal wall, assessment of colostomy opening was carried out, followed by closure of the subcutaneous tissues and drain fixation. An elevated colostomy with an adequate functional opening was seen after wound closure. The patient made an uneventful recovery and was discharged home. After 3 weeks, he had a fully opened, normally functioning colostomy and peristomal ulcers were almost healed. Conclusions This case highlights the challenges of stoma management, its related risks, avoidance of delay in chemotherapy, a patient wish for early return to work, and the novel approach we adopted to deal with these issues. PMID:27087345

Risk factors for colostomy in military colorectal trauma: a review of 867 patients.

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Watson, J Devin B; Aden, James K; Engel, Julie E; Rasmussen, Todd E; Glasgow, Sean C

2014-06-01

Limited data exist examining the use of fecal diversion in combatants from modern armed conflicts. Characterization of factors leading to colostomy creation is an initial step toward optimizing and individualizing combat casualty care. A retrospective review of the US Department of Defense Trauma Registry database was performed for all US and coalition troops with colorectal injuries sustained during combat operations in Iraq and Afghanistan over 8 years. Colostomy rate, anatomic injury location, mechanism of injury, demographic data, and initial physiologic parameters were examined. Univariate and multivariate analyses were conducted. We identified 867 coalition military personnel with colorectal injuries. The overall colostomy rate was 37%. Rectal injuries had the highest diversion rate (56%), followed by left-sided (41%) and right-sided (20%) locations (P colon (odds ratio [OR], 2.2), rectal versus right colon (OR, 7.5), left versus right colon (OR, 3.4), GSW (OR, 2.0), ISS ≥ 16 (OR, 1.7), and DCS (OR, 1.6). In this exploratory study of 320 combat-related colostomies, distal colon and rectal injuries continue to be diverted at higher rates independent of other comorbidities. Additional outcomes-directed research is needed to determine whether such operative management is beneficial in all patients. Published by Mosby, Inc.

The preoperative reaction and decision-making process regarding colostomy surgery among Chinese rectal cancer patients.

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Zhang, Jun-E; Wong, Frances Kam Yuet; Zheng, Mei-Chun

2017-06-01

Patients with rectal cancer have issues in adjusting to their permanent colostomy after surgery, and support is required to help them resume normal life. However, few studies have explored the experience and factors that affect a patient's decision-making and maladjustment prior to colostomy surgery. The aim of this study was to explore the experience of rectal cancer patients who have to undergo colostomy surgery. A descriptive, qualitative design was used. We studied a purposive sample of 18 patients who had received a diagnosis of primary rectal cancer and were expecting permanent colostomy surgery. The thematic analysis approach was used to analyze the data collected using semi-structured, open-ended questions. The overriding theme that emerged was 'stoma dilemma: a hard decision-making process'. From this main theme, three themes were derived: the resistance stage, the hesitation stage, and the acquiescence stage. It is hard for preoperative rectal patients to choose to undergo stoma surgery or a sphincter-saving operation. From the initial stage of definitive diagnosis to the final consent to stoma surgery, most patients experience the resistance and hesitation stages before reaching the acquiescence stage. Arriving at a decision is a process that nurses can facilitate by eliminating unnecessary misunderstanding surrounding colostomy surgery and by fully respecting patients' right to choose at the various stages. Copyright © 2017 Elsevier Ltd. All rights reserved.

Ostomy: Adapting to Life After Colostomy, Ileostomy or Urostomy

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... your stoma. Be open to experimenting with different styles of clothes. But don't let your ostomy ... Accessed May 23, 2014. Doughty DB, et al. Management of patients with a colostomy or ileostomy. http:// ...

Comparative efficiency of trickle and furrow irrigation

International Nuclear Information System (INIS)

Hanif, M.; Qureshi, R.H.; Sandhu, G.R.

1976-01-01

Comparison of furrow and trickle methods of irrigation to know their relative efficiency with respect to water applied and fertilizer used on tomatoes, cauliflower and lettuce as test crops using canal water, showed a significant saving of about 44 and 41 per cent respectively for irrigation water and fertilizer applied with trickle as compared to furrow irrigation. Trickle irrigated crops also showed a better response as regards the rate of survival, crop growth and time of maturity

[Two Episodes of Colostomy-Associated Intestinal Perforation during Chemotherapy for Metastatic Rectal Cancer].

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Tamura, Hiroshi; Otani, Ayaka; Tsukui, Mizuki; Toge, Koji; Otani, Takahiro; Hirose, Yuki; Morimoto, Yuta; Yoshino, Kei; Kido, Tomoki; Endo, Kazuhiko; Kameyama, Hitoshi; Kobayashi, Takashi; Wakai, Toshifumi

2016-11-01

A 77-year-old woman with rectal cancer and synchronous liver metastasis underwent a Hartmann operation with D3 lymph node dissection in June 2014. mFOLFOX6 plus bevacizumab(bev)was then administered to treat the liver metastasis.In February 2015, multiple liver metastases were detected and the regimen was changed to FOLFIRI plus bev.After 3 courses, peritonitis due to intestinal perforation around the descending colostomy occurred, and an emergency operation(partial resection of the descending colon and transverse colostomy)was performed.FOLFIRI was then administered from 2 months after the operation.After 3 courses of this regimen, a CT scan showed progression of the hepatic metastases.The regimen was therefore changed to mFOLFOX6.Five months later, another CT scan showed an intestinal perforation of the transverse colostomy at the abdominal wall, and an emergency cecostomy was performed.At this stage, chemotherapy was ceased.This case highlights the risk of intestinal perforation during chemotherapy, regardless of the use of bev.

Experiences of family members of patients with colostomies and expectations about professional intervention

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Augusto Ferreira-Umpiérrez

2014-04-01

Full Text Available OBJECTIVE: the objective was to understand the experience of a group of family members of patients with colostomies, revealing their expectations regarding the intervention of health professionals.METHOD: qualitative research, with the social phenomenological approach of Alfred Schütz, conducted in Montevideo in 2012; twelve family members of patients with colostomies participated, from an ostomy service of a health institution.RESULTS: the following categories were identified: family ties, trust in the health care team, the nurse as the articulator of the process, the desire to humanize care, and adaptation to new family life.CONCLUSIONS: knowing the experience and expectations of the families of colostomy patients was achieved, emphasizing the previous family relationships to build upon them, and the trust in the health team, emphasizing the nurse as articulator of the process. Expectations focused on the desire for humanized care, enhancing adaptation of the nuclear family to the new way of life, restoring and enhancing its strengths, and collaborating in overcoming its weaknesses.

Perineal colostomy: An option in the treatment of inferior rectal and anal canal cancer

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Luciano P. Nogueira da Gama

2014-01-01

Full Text Available Introduction: The surgical treatment of anorectal cancer is considered a challenging topic. Colostomy, temporary or permanent, can be a serious limiting factor with respect to the quality of life of cancer patients. Our goal is to study the clinical and surgical experience in patients with anorectal cancer, in whom we proceeded to abdominoperineal resection with a perineal colostomy at the anterior border of the incision resulting from the ampu- tation of the rectum. Methods: The medical records of patients undergoing abdominoperineal resection with perineal colostomy from January 1st, 1998 to July 1st, 2012 were analyzed retrospectively. Results: Twenty-seven patients were studied; 15 (55.56% were male and 12 (44.44% fe- males, with a mean age of 56.3 years. The average length of hospital stay was 7.4 days. Complications included four (14.8% prolapses of the perineal colostomy, which were surgically treated after the sixth month postoperatively, two (7.4% partial suture dehis- cences of the perineal colostomy, treated with hyperbaric oxygen therapy, two (7.4% ste- noses of the perineal colostomy, treated with dilation, two (7.4% incisional hernias and one (3.7% urinary incontinence. Conclusion: The perineal colostomy is a relatively new proposition, with acceptable mor- bidity rates. We understand that the perineal colostomy dismisses the use of a collection device, leaves no odor and allows the periodic application of enemas for colon cleansing, which prevents stoma incontinence. Another advantage is to enable the patient's return to a good social and work interaction; thus, it will be possible his (her reintroduction into society. Resumo: Introdução: O tratamento cirúrgico do câncer da região retoanal é considerado um tema de- safiador. A colostomia, temporária ou definitiva, pode ser um sério limitador da qualidade de vida de pacientes oncológicos. Nosso objetivo é estudar a experiência clínico-cirúrgica em pacientes portadores

Use of Peristeen® transanal colonic irrigation for bowel management in children: a single-center experience.

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Pacilli, Maurizio; Pallot, David; Andrews, Afiya; Downer, Angela; Dale, Louiza; Willetts, Ian

2014-02-01

Transanal colonic irrigation has been shown to be effective in bowel management program in adults. However, there exist limited data in children. We appraised the effectiveness of this technique in a series of children with incontinence or constipation and overflow soiling. Following ethical approval, a review of children with incontinence or constipation on a bowel management program with Peristeen® transanal colonic irrigation treated between 2007 and 2012 was performed. Irrigations were performed with a volume of 10-20 ml/kg of water with schedules depending on patient response. Data are reported as median (range). Twenty-three patients were reviewed. Median age at commencement of irrigations was 7 (2-15) years. Median follow-up is 2 (0.7-3.4) years. Diagnoses include the following: spina bifida (n=11), anorectal anomaly (n=6), Hirschsprung's (n=1), and other complex anomalies (n=5). Sixteen (70%) patients had associated anomalies. Twelve (52%) had constipation and overflow soiling, and 11 (48%) had fecal incontinence. Twenty (87%) had associated urinary wetting. Sixteen (70%) children used alternate-day irrigations, 4 (17%) daily irrigations, and 3 (13%) every third-day irrigations. Nine (39%) patients were taking oral laxatives. Sixteen (70%) reported to be clean and 3 (13%) reported a significant improvement, although were having occasional soiling. Four patients (17%) did not tolerate the irrigations and underwent subsequent colostomy formation for intractable soiling. In our experience, Peristeen® transanal colonic irrigation is an effective method of managing patients with focal soiling in childhood. Majority (83%) of children achieve social fecal continence or a significant improvement with occasional soiling. This was accompanied by high parental satisfaction. Peristeen® transanal colonic irrigation is a valid alternative to invasive surgical procedures and should be considered the first line of treatment for bowel management in children with soiling

Single-stage operation without temporary colostomy for persistent cloaca with a short common channel.

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Masuko, T; Higashimoto, Y; Iwai, J

2005-11-01

Colorectal decompression with a catheter was performed for evacuation of stool before definitive surgery in two patients with a persistent cloaca. Two newborn female infants with persistent cloaca received placement of a silicone balloon-tipped catheter in the rectum via the cloacal orifice under fluoroscopic guidance at the time of diagnosis. The length of the cloaca was 2 and 1.5 cm, respectively. The diameter of the catheter was matched to the patients' rectal size and the open end was wrapped in a diaper to allow continuous drainage of stool. The infants underwent bowel irrigation with warm saline thrice a day, at home. Total urogenital mobilization was carried out in the infants at the age of 7 and 8 months, respectively. Both infants had no abdominal distension, colorectal dilatation, or urinary tract infection while the catheter was in situ. The postoperative course was uneventful, except for minimal wound dehiscence in one patient. At present, both infants can void spontaneously without any urological problems. In infants with a persistent cloaca less than 3 cm long and normal urinary tract function, adequate evacuation of stool may be achieved by colorectal decompression with a catheter, thus avoiding the need for a colostomy.

The impact of surgeon volume on colostomy reversal outcomes after Hartmann's procedure for diverticulitis.

Science.gov (United States)

Aquina, Christopher T; Probst, Christian P; Becerra, Adan Z; Hensley, Bradley J; Iannuzzi, James C; Noyes, Katia; Monson, John R T; Fleming, Fergal J

2016-11-01

Colostomy reversal after Hartmann's procedure for diverticulitis is a morbid procedure, and studies investigating factors associated with outcomes are lacking. This study identifies patient, surgeon, and hospital-level factors associated with perioperative outcomes after stoma reversal. The Statewide Planning and Research Cooperative System was queried for urgent/emergency Hartmann's procedures for diverticulitis between 2000-2012 in New York State and subsequent colostomy reversal within 1 year of the procedure. Surgeon and hospital volume were categorized into tertiles based on the annual number of colorectal resections performed each year. Bivariate and mixed-effects analyses were used to assess the association between patient, surgeon, and hospital-level factors and perioperative outcomes after colostomy reversal, including a laparoscopic approach; duration of stay; intensive care unit admission; complications; mortality; and 30-day, unscheduled readmission. Among 10,487 patients who underwent Hartmann's procedure and survived to discharge, 63% had the colostomy reversed within 1 year. After controlling for patient, surgeon, and hospital-level factors, high-volume surgeons (≥40 colorectal resections/yr) were independently associated with higher odds of a laparoscopic approach (unadjusted rates: 14% vs 7.6%; adjusted odds ratio = 1.84, 95% confidence interval = 1.12, 3.00), shorter duration of stay (median: 6 versus 7 days; adjusted incidence rate ratio = 0.87, 95% confidence interval = 0.81, 0.95), and lower odds of 90-day mortality (unadjusted rates: 0.4% vs 1.0%; adjusted odds ratio = 0.30, 95% confidence interval = 0.10, 0.88) compared with low-volume surgeons (1-15 colorectal resections/yr). High-volume surgeons are associated with better perioperative outcomes and lower health care utilization after Hartmann's reversal for diverticulitis. These findings support referral to high-volume surgeons for colostomy reversal. Copyright © 2016

The impact of colostomy on the patient's life

Directory of Open Access Journals (Sweden)

Karis de Campos

2017-07-01

Full Text Available Purpose: To evaluate the emotional, psychological, sexual, social, and professional impact, before and after surgery, on individuals submitted to a colostomy. Methods: The study was carried out in two stages, with the participation of 15 individuals. First, we evaluated the emotional, psychic, sexual, social, and professional aspects of their lives, in the preoperative period of colostomy surgery. After that, the same aspects were evaluated six months after the surgery. This evaluation was based on the application of a questionnaire with 16 objective questions. Results: Of the interviewees, 53.64% decreased their willingness to go out and do activities outside their homes, with a statistical significance of p = 0.001. Regarding the environment, 53.85% of the interviewees showed a perception of worsening of the environment. About physical activity, 66.65% showed a difference in the performance of physical activity after colostomy, being statistically significant, with p = 0.001. The sports environment did not change in 50% of the participants. Patient sexuality showed a significant decline with statistical significance (p = 0.008. Conclusion: The impact that the colostomy generated on the patients’ lives, regarding the evaluated aspects, was perceptible, being of great importance the careful indication of this procedure to the patient. Resumo: Objetivos: Avaliar o impacto emocional, psíquico, sexual, social e profissional, pré e pós colostomia, em indivíduos que passaram por cirurgia de colostomia. Método: Foi realizado em duas etapas com participação de 15 indivíduos. Na primeira houve avaliação sobre os aspectos emocional, psíquico, sexual, social e profissional de suas vidas, no momento pré-operatório à cirurgia de colostomia. Na segunda avaliaram-se os mesmos aspectos seis meses após a cirurgia. Esta avaliação foi a partir da aplicação de um questionário com 16 questões objetivas. Resultados: Dos entrevistados, 53

Carbon and water footprints of irrigated corn and non-irrigated wheat in Northeast Spain.

Science.gov (United States)

Abrahão, Raphael; Carvalho, Monica; Causapé, Jesús

2017-02-01

Irrigation increases yields and allows several crops to be produced in regions where it would be naturally impossible due to limited rainfall. However, irrigation can cause several negative environmental impacts, and it is important to understand these in depth for the correct application of mitigation measures. The life cycle assessment methodology was applied herein to compare the main irrigated and non-irrigated crops in Northeast Spain (corn and wheat, respectively), identifying those processes with greater contribution to environmental impacts (carbon and water footprint categories) and providing scientifically-sound information to facilitate government decisions. Due to concerns about climate change and water availability, the methods selected for evaluation of environmental impacts were IPCC 2013 GWP (carbon footprint) and water scarcity indicator (water footprint). The area studied, a 7.38-km 2 basin, was monitored for 12 years, including the period before, during, and after the implementation of irrigation. The functional unit, to which all material and energy flows were associated with, was the cultivation of 1 ha, throughout 1 year. The overall carbon footprint for irrigated corn was higher, but when considering the higher productivity achieved with irrigation, the emissions per kilogram of corn decrease and finally favor this irrigated crop. When considering the water footprint, the volumes of irrigation water applied were so high that productivity could not compensate for the negative impacts associated with water use in the case of corn. Nevertheless, consideration of productivities and gross incomes brings the results closer. Fertilizer use (carbon footprint) and irrigation water (water footprint) were the main contributors to the negative impacts detected.

Effects of enterostomal nurse telephone follow-up on postoperative adjustment of discharged colostomy patients.

Science.gov (United States)

Zhang, Jun-e; Wong, Frances Kam Yuet; You, Li-ming; Zheng, Mei-chun; Li, Qiong; Zhang, Bing-yan; Huang, Man-rong; Ye, Xin-Mei; Liang, Ming-juan; Liu, Jin-ling

2013-01-01

People with a new colostomy encounter many difficulties as they struggle to adjust to their ostomies. Nurse telephone follow-up is a convenient way to ensure continuity of care. There is a paucity of studies testing if nurse telephone follow-up can enhance adjustment of postdischarged colostomy patients. The purpose of this study was to evaluate the effect of enterostomal nurse telephone follow-up on the adjustment levels of discharged colostomy patients. This was a randomized controlled trial. Participants (n = 103) who had undergone colostomy operations in China were recruited and randomly assigned to the study or control group. Both the study and control groups received routine discharge care, whereas the study group received 2-3 nurse telephone calls in the follow-up period. The outcome measures included Ostomy Adjustment Scale, Stoma Self-efficacy Scale, satisfaction with care, and stoma complications. Results of this study indicated that participants in the study group had significantly better ostomy adjustment, higher stoma self-efficacy, higher satisfaction with care, and less stoma complications compared with those in the control group. This study provided evidence to support that enterostomal nurse telephone follow-up can improve patient ostomy adjustment level and other related outcomes. Nurse telephone follow-up is an effective intervention to support the adjustment of stoma patients after hospital discharge.

Percutaneous endoscopic colostomy of the left colon: a new technique for management of intractable constipation in children.

Science.gov (United States)

Rawat, David J; Haddad, Munther; Geoghegan, Niamh; Clarke, Simon; Fell, John M

2004-07-01

The antegrade colonic enema is accepted as effective for management of intractable constipation in children when conventional bowel management has failed. This study describes experience with a new, minimally invasive technique, the distal antegrade colonic enema, which involves percutaneous endoscopic colostomy of the left colon. Fifteen children with refractory constipation and soiling who had radiographic evidence of megarectum and/or distal colonic delay were selected for the procedure. The junction of the descending and the sigmoid colon was identified colonoscopically, and the percutaneous endoscopic colostomy tube, through which antegrade distal colonic enema are administered, was inserted. Fourteen children underwent distal percutaneous endoscopic colostomy insertion. The median time required for the procedure was 30 minutes (20-50 minutes). Excluding one child (technical difficulties with percutaneous endoscopic colostomy placement), median post-procedural hospital stay was 4 days (2-27 days). Thirteen children were no longer soiling, and improvement in quality of life was reported at 2 months' follow-up. At 6 months' follow-up, 90% of children were clean during intervals between enemas. All children evaluated at 12 months' follow-up remained clean. Median duration of follow-up was 12.5 months (2-51 months). The distal percutaneous endoscopic colostomy is a simple alternative to established methods for delivery of antegrade enemas. It is less invasive and on reversal leaves only minor scarring.

Endoscopic stenting versus surgical colostomy for the management of malignant colonic obstruction: comparison of hospital costs and clinical outcomes.

Science.gov (United States)

Varadarajulu, Shyam; Roy, Ann; Lopes, Tercio; Drelichman, Ernesto R; Kim, Micheline

2011-07-01

Although stent placement is increasingly performed, colostomy still is considered the gold standard for emergent relief of malignant colonic obstruction (MCO). This study aimed to compare hospital costs and clinical outcomes between patients undergoing colostomy and those undergoing stenting for the management of MCO. A retrospective claims analysis of the Medicare Provider Analysis and Review (MedPAR) data set was conducted to identify inpatient hospitalizations for colostomy or stent placement for the treatment of colon cancer (2007-2008). The outcomes evaluated using MedPAR compared the total length of hospital stay (LOS) and the costs associated with both techniques. Because MedPAR is a claims data set that does not provide outcomes at a patient level, a single-institution retrospective case-control study was conducted in which each stent placement patient was matched with two colostomy patients during the same period. Outcome measures (institutional data) were used to compare rates of treatment success, postprocedure LOS, and reinterventions between the two cohorts. The MedPAR data evaluated 778 stent placements and 5,868 colostomy hospitalizations. There were no differences in gender, age distribution, or comorbidity between the two groups. Compared with colostomy, the median LOS (8 vs. 12 days; pcolostomy. Although both methods were technically successful, the median postprocedure LOS (2.17 vs. 10.58 days; p=0.0004) and the rate of readmissions for complications (0% vs. 25%; p=0.01) were significantly lower for stent placement. Although the technical and clinical outcomes for colostomy and stent placement appear comparable, stent placement is less costly and associated with shorter LOS and fewer complications. Dissemination of stent placement beyond large teaching hospitals located in urban areas as a treatment for MCO is important given its implications for patient care and resource use.

a simple test to predict faecal continence before colostomy closure

African Journals Online (AJOL)

reconstituted with water to a consistency that matches the surgeon's notion of normal faeces. ... there be no leakage the colostomy can be reversed. The study was a .... 100 mmHg, more than a quarter of matched continent controls also had a ...

Colostomy irrigation: review of a number of technical aspects Irrigación de la colostomía: revisión sobre algunos aspectos técnicos Irrigação da colostomia: revisão acerca de alguns aspectos técnicos

Directory of Open Access Journals (Sweden)

Isabel Umbelina Ribeiro Cesaretti

2008-01-01

Full Text Available OBJECTIVE: Performing a literature review about four technical aspects related to the colostomy irrigation: volume of water to be infused, postoperative moment to start the method's training sessions, maintenance of a 24-hour interval between the colostomy irrigations, and time spent for the execution of the procedure, aiming to contribute for the most adequate systematization of the method. METHODS: After searching in the designated sources, sixty-three articles were identified. RESULTS: It was observed that there is no consensus among the several authors: the volume of infused water varied from 500ml to 1500ml, although, in the clinical practice, the average infused volume is 1000ml; the postoperative moment to start the training sessions varied from five days to six months; the maintenance time of a 24-hour interval between the colostomy irrigations varied from two weeks to six months; time spent in the execution of the procedure varied from 20 to 90min. CONCLUSION: The knowledge of these results may be an encouragement to the nurses, especially stomatherapists, to reevaluate their practice, in order to standardize the technical aspects related to the procedure, having as basis the specialized assistance.OBJETIVO: Realizar una revisión bibliográfica sobre cuatro aspectos técnicos relacionados a la irrigación de la colostomía: volumen de agua a ser infundido, momento del post-operatorio en que se debe iniciar el entrenamiento para el uso del método, tiempo de manutención de 24 horas como intervalo entre las irrigaciones y tiempo gastado en la realización del procedimiento, visando contribuir en la sistematización más adecuada del método. MÉTODOS: Una vez realizadas las búsquedas en las fuentes planificadas, fueron identificados 63 artículos. RESULTADOS: Se observó la inexistencia de un consenso entre los diversos autores consultados: el volumen de agua infundido varió de 500ml a 1500ml, aunque, en la práctica, el volumen

Partners of patients having a permanent colostomy should also receive attention from the healthcare team.

Science.gov (United States)

Silva, A L; Monteiro, P S; Sousa, J B; Vianna, A L; Oliveira, P G

2014-12-01

This study was carried out to determine how the partners of patients with a permanent colostomy perceive everyday life, particularly its sexual aspects. Data were collected prospectively from October 2011 to May 2012 using a three-part questionnaire to obtain demographic, social and sexual information. Both multiple-choice and yes/no questions were used. One hundred and eight questionnaires were given to 36 partners of patients with a permanent colostomy (the ostomy group) and to 72 partners of normal individuals matched for age, sex and social class. The sexual performance of the spouse was significantly better in the control group (P = 0.004), sexual performance of the partner was also better in the control group (P = 0.023) and reduced frequency of sexual activity was higher in the ostomy group (P = 0.042). There was, however, no significant difference in sexual interest between the two groups (P = 0.507). The study demonstrated that about half of the partners of patients with a permanent colostomy experienced dissatisfaction with their spouse's performance, with a reduction in sexual interest and frequency of intercourse compared with the control group. Healthcare professionals should pay more attention to the partner of patients having a permanent colostomy. © 2014 The Authors. Colorectal Disease published by John Wiley & Sons Ltd on behalf of Association of Coloproctology of Great Britain and Ireland.

Endosonographic appearance of the anal sphincters in patients following colostomy

International Nuclear Information System (INIS)

Sudol-Szopinska, I.; Jakubowski, W.; Szczepkowski, M.; Panorska, A.

2002-01-01

Background. The aim of the study was to visualize, by anal ultrasound (AUS), the suspected defects of the anal sphincters in the patients after colostomy and to analyze possible factors that could have led to such defects. Patients and methods. AUS, using a 7.0 MHz endorectal probe, was performed in a group of 25 patients with colostomy. The internal anal sphincter (IAS), external anal sphincter (EAS) and puborectalis muscle (PR) were visualized and the defects within them were qualified and quantified. For statistical analysis, the analysis of variance (ANOVA) was used. Results. The IAS was thin in all but three patients (22 patients; 88 %) with the mean thickness of 1.62 mm. A circular reduction of the thickness along the entire length of the IAS was seen in 20 patients (90.9 %). The echogenicity of the IAS was increased in 15 patients (60 %), and in 10 of them (66.6%), this defect embraced the whole length and circumference of the IAS. The margins of the IAS were not well-defined in 10 patients (40%). A significant correlation was found between the length of the patient's life with the stoma and the IAS echogenicity defect (p-value = 0.0001). No significant correlation was found between the dynamic examination, the IAS thickness and the IAS borders definition. Conclusion. The reduced thickness, increased echogenicity and borders definition defect of the IAS are seen in the patients after colostomy. The only significant correlation was confirmed between the length of the patient's life with the stoma and the IAS echogenicity defect. (author)

Video teaching program on management of colostomy: Evaluation of its impact on caregivers

Directory of Open Access Journals (Sweden)

Heena Dabas

2016-01-01

Full Text Available Context: Care of a child having colostomy has not been institutionalized for a long time for economic and administrative reasons. After stoma formation, stoma care has to be provided to the child by caregivers at home. Hence, caregivers need to be provided with ongoing education and support, commencing from preoperative teaching to discharge from the hospital and home care. Aims: The aims of this study were to develop video-based learning resource material and to evaluate its effectiveness in terms of knowledge and skill attainment by caregivers. Settings and Design: The study design was time series, one group pretest and post test. This was conducted among 30 caregivers attending pediatric surgery outpatients and indoor departments of a tertiary level care center. Materials and Methods: A video teaching program (VTP related to pediatric colostomy was developed and used to teach the caregivers about colostomy care. Pretested and validated knowledge questionnaire, observational checklist, and stoma assessment scale (SAS were used to assess the knowledge and skills of caregivers before and after the administration of VTP immediately (post test 1 after and 2 weeks (post test 2 after the intervention. Statistical Analysis Used: Repeated measures analysis of variance (ANOVA, Bonferroni correction, Mann-Whitney U test, and Kruskal-Wallis test were used. Results: There were significant increases in knowledge (from 10.9 ± 2.5 to 16.4 ± 1.67 and 15.9 ± 4.02, P = 0.001, maximum score 20 and skill scores as assessed by the observation checklist (from 5.6 ± 2.0 to 9.8 ± 1.6 and 8.6 ± 2.1, P = 0.001, maximum score 12 immediately after and 2 weeks after the VTP. However, a decline in skills was observed at 2 weeks when compared with immediate scores, as measured by the observation checklist. There was no significant increase in the skill scores of caregivers as measured by SAS at 2 weeks compared to the immediate scores. Conclusion: The VTP was

The effect of educational program on stress, anxiety and depression of the mothers of neonates having colostomy.

Science.gov (United States)

Goudarzi, Zahra; Askari, Masoumeh; Seyed-Fatemi, Naiemeh; Asgari, Parvaneh; Mehran, Abbas

2016-12-01

One of the problems that mothers of neonates having colostomy face is their disability in caring colostomy at home. This article is going to demonstrate the impact of educational program for these mothers on their sense of empowerment in caring their neonates. This clinical trial was performed in the Neonatal Intensive Care Units (NICUs) to evaluate the level of stress, anxiety and depression of mothers of neonates having colostomy before and after the educational program. In this program, 42 mothers were divided into two groups: experimental group (21 mothers who went under educational plan) and control group (21 mothers who only received the routine care). The levels of stress, anxiety and depression in all mothers were evaluated before and after the educational program with DASS 21 questionnaire. The results showed that educational program in the NICU for experimental groups made them independent and also empowered to care better for their babies. In addition, their depression, anxiety and stress levels were decreased. Since the educational program led to a decrease in the levels of stress, anxiety and depression in mothers, this program is recommended to mothers of neonates having colostomy.

Standardized technique for single port laparoscopic ileostomy and colostomy.

Science.gov (United States)

Shah, A; Moftah, M; Hadi Nahar Al-Furaji, H; Cahill, R A

2014-07-01

Single site laparoscopic techniques and technology exploit maximum usefulness from confined incisions. The formation of an ileostomy or colostomy seems very applicable for this modality as the stoma occupies the solitary incision obviating any additional wounds. Here we detail the principles of our approach to defunctioning loop stoma formation using single port laparoscopic access in a stepwise and standardized fashion along with the salient specifics of five illustrative patients. No specialized instrumentation is required and the single access platform is established table-side using the 'glove port' technique. The approach has the intra-operative advantage of excellent visualization of the correct intestinal segment for exteriorization along with direct visual control of its extraction to avoid twisting. Postoperatively, abdominal wall trauma has been minimal allowing convalescence and stoma care education with only one parietal incision. Single incision stoma siting proves a ready, robust and reliable technique for diversion ileostomy and colostomy with a minimum of operative trauma for the patient. Colorectal Disease © 2014 The Association of Coloproctology of Great Britain and Ireland.

Percutaneous endoscopic colostomy for adults with chronic constipation: Retrospective case series of 12 patients.

Science.gov (United States)

Strijbos, D; Keszthelyi, D; Masclee, A A M; Gilissen, L P L

2018-05-01

Percutaneous endoscopic colostomy (PEC) is a technique derived from percutaneous endoscopic gastrostomy. When conservative treatment of chronic obstipation fails, colon irrigation via PEC seems less invasive than surgical interventions. However, previous studies have noted high complication rates of PEC, mostly related to infections. Our aim was to report our experiences with PEC in patients with chronic refractory constipation. Retrospective analysis of all patients who underwent PEC for refractory constipation in our secondary referral hospital between 2009 and 2016. Twelve patients received a PEC for chronic, refractory constipation. Short-term efficacy for relief of constipation symptoms was good in 8 patients and moderate in 4 patients. Two patients had the PEC removed because of spontaneous improvement of constipation. Three patients, who initially noticed a positive effect, preferred an ileostomy over PEC after 1-5 years. One PEC was removed because of an abscess. Long-term efficacy is 50%: 6 patients still use their PEC after 3.3 years of follow-up. No mortality occurred. PEC offers a technically easily feasible and safe treatment option for patients with chronic constipation not responding to conventional therapy. Long-term efficacy of PEC in our patients is 50%. © 2017 John Wiley & Sons Ltd.

Preferential flow, nitrogen transformations and 15N balance under urine-affected areas of irrigated and non-irrigated clover-based pastures

Science.gov (United States)

Pakro, Naser; Dillon, Peter

1995-12-01

Urine-affected areas can lead to considerable losses of N by leaching, ammonia volatilisation and denitrification from dairy pastures in the southeast of South Australia. Potable groundwater supplies are considered to have become contaminated by nitrate as a result of leaching from these leguminous pastures. Dairy cow urine, labelled with 15N urea, was applied to micro-plots and mini-lysimeters installed in two adjacent irrigated (white clover-rye grass) and non-irrigated (subterranean clover-annual grasses) paddocks of a dairy farm on four occasions representing different seasonal conditions. These experiments allowed measurement of nitrogen transformations, recovery of 15N in the pasture and soil, and leaching below various depths. Gaseous losses were calculated from the nitrogen balance. The results of the four experiments showed that within a day of urine application up to 40% of the applied urinary-N was leached below a depth of 150 mm as a result of macropore flow in the irrigated paddock, and up to 24% in the non-irrigated one. After application to the irrigated paddock 17% of the urinary-N moved immediately below 300 mm but only 2% below the 450-mm depth. The urinary-N remaining in the soil was converted from urea to ammonium within a day regardless of season. Within the first 7 days of application six times more nitrate was produced in summer than in winter. This has obvious implications for leaching potential. Leaching of 15N from the top 150 mm of soil, following urine applications in all seasons, was between 41% and 62% of the applied 15N in the irrigated paddock and 25-51% in the non-irrigated paddock. However, leaching losses measured at depths of 300 or 450 mm were smaller by a factor of 2-4. The leaching loss of 15N applied in spring in both paddocks was 41% below 150 mm and 12% below 450 mm. Recovery of 15N from the soil-plant system in the 450-nm deep lysimeters was ˜60% of that applied. Estimated ammonia was ˜9% of applied 15N with no paddock

Differentiation of ileostomy from colostomy procedures: assessing the accuracy of current procedural terminology codes and the utility of natural language processing.

Science.gov (United States)

Vo, Elaine; Davila, Jessica A; Hou, Jason; Hodge, Krystle; Li, Linda T; Suliburk, James W; Kao, Lillian S; Berger, David H; Liang, Mike K

2013-08-01

Large databases provide a wealth of information for researchers, but identifying patient cohorts often relies on the use of current procedural terminology (CPT) codes. In particular, studies of stoma surgery have been limited by the accuracy of CPT codes in identifying and differentiating ileostomy procedures from colostomy procedures. It is important to make this distinction because the prevalence of complications associated with stoma formation and reversal differ dramatically between types of stoma. Natural language processing (NLP) is a process that allows text-based searching. The Automated Retrieval Console is an NLP-based software that allows investigators to design and perform NLP-assisted document classification. In this study, we evaluated the role of CPT codes and NLP in differentiating ileostomy from colostomy procedures. Using CPT codes, we conducted a retrospective study that identified all patients undergoing a stoma-related procedure at a single institution between January 2005 and December 2011. All operative reports during this time were reviewed manually to abstract the following variables: formation or reversal and ileostomy or colostomy. Sensitivity and specificity for validation of the CPT codes against the mastery surgery schedule were calculated. Operative reports were evaluated by use of NLP to differentiate ileostomy- from colostomy-related procedures. Sensitivity and specificity for identifying patients with ileostomy or colostomy procedures were calculated for CPT codes and NLP for the entire cohort. CPT codes performed well in identifying stoma procedures (sensitivity 87.4%, specificity 97.5%). A total of 664 stoma procedures were identified by CPT codes between 2005 and 2011. The CPT codes were adequate in identifying stoma formation (sensitivity 97.7%, specificity 72.4%) and stoma reversal (sensitivity 74.1%, specificity 98.7%), but they were inadequate in identifying ileostomy (sensitivity 35.0%, specificity 88.1%) and colostomy (75

Irrigation water policy analysis using a business simulation game

Science.gov (United States)

Buchholz, M.; Holst, G.; Musshoff, O.

2016-10-01

Despite numerous studies on farmers' responses to changing irrigation water policies, uncertainties remain about the potential of water pricing schemes and water quotas to reduce irrigation. Thus far, policy impact analysis is predominantly based upon rational choice models that assume behavioral assumptions, such as a perfectly rational profit-maximizing decision maker. Also, econometric techniques are applied which could lack internal validity due to uncontrolled field data. Furthermore, such techniques are not capable of identifying ill-designed policies prior to their implementation. With this in mind, we apply a business simulation game for ex ante policy impact analysis of irrigation water policies at the farm level. Our approach has the potential to reveal the policy-induced behavioral change of the participants in a controlled environment. To do so, we investigate how real farmers from Germany, in an economic experiment, respond to a water pricing scheme and a water quota intending to reduce irrigation. In the business simulation game, the participants manage a "virtual" cash-crop farm for which they make crop allocation and irrigation decisions during several production periods, while facing uncertain product prices and weather conditions. The results reveal that a water quota is able to reduce mean irrigation applications, while a water pricing scheme does not have an impact, even though both policies exhibit equal income effects for the farmers. However, both policies appear to increase the variation of irrigation applications. Compared to a perfectly rational profit-maximizing decision maker, the participants apply less irrigation on average, both when irrigation is not restricted and when a water pricing scheme applies. Moreover, the participants' risk attitude affects the irrigation decisions.

Patients after colostomy: relationship between quality of life and acceptance of disability and social support.

Science.gov (United States)

Zhang, Tie-Ling; Hu, Ai-Ling; Xu, Hong-Lian; Zheng, Mei-Chun; Liang, Ming-Juan

2013-11-01

The aim of this research was to explore quality of life (QOL) and acceptance of disability and social support of colostomy patients as well as the relationship between these factors. A descriptive, correlational study was conducted using four scales: the European Organization for Research and Treatment of Cancer Quality of Life Questionnaire (EORTC QLQ-C30) and European Organization for Research and Treatment of Cancer Colorectal Cancer-Specific Quality of Life Questionnaire (EORTC QLQ-CR38) scales, the Acceptance of Disability Scale (ADS), and the Social Relational Quality Scale (SRQS). A convenience sample of 111 colostomy patients from four hospitals in Guangzhou who underwent colostomy operation at least one month prior to the study and who visited the stoma clinic or association from August 2011 to February 2012 was evaluated for inclusion in the study. All statistical analyses were performed using SPSS 17.0 software (SPSS Inc., Chicago, IL, USA). The patients' general health status was better than the reference level recommended by European Organization for Research and Treatment of Cancer, and the overall ADS score was average. The SRQS score was similar to that found in a Hong Kong study. The general health status and dimensions of QOL were significantly correlated with ADS and all of its dimensions (P colostomy patients were closely related. Our results emphasize that patients should work to form rational values and close bonds with families and friends to achieve a better QOL.

Two-stage laparoscopic approaches for high anorectal malformation: transumbilical colostomy and anorectoplasty.

Science.gov (United States)

Yang, Li; Tang, Shao-Tao; Li, Shuai; Aubdoollah, T H; Cao, Guo-Qing; Lei, Hai-Yan; Wang, Xin-Xing

2014-11-01

Trans-umbilical colostomy (TUC) has been previously created in patients with Hirschsprung's disease and intermediate anorectal malformation (ARM), but not in patients with high-ARM. The purposes of this study were to assess the feasibility, safety, complications and cosmetic results of TUC in a divided fashion, and subsequently stoma closure and laparoscopic assisted anorectoplasty (LAARP) were simultaneously completed by using the colostomy site for a laparoscopic port in high-ARM patients. Twenty male patients with high-ARMs were chosen for this two-stage procedure. The first-stage consisted of creating the TUC in double-barreled fashion colostomy with a high chimney at the umbilicus, and the loop was divided at the same time, in such a way that the two diverting ends were located at the umbilical incision with the distal end half closed and slightly higher than proximal end. In the second-stage, 3 to 7 months later, the stoma was closed through a peristomal skin incision followed by end-to-end anastomosis and simultaneously LAARP was performed by placing a laparoscopic port at the umbilicus, which was previously the colonostomy site. Umbilical wound closure was performed in a semi-opened fashion to create a deep umbilicus. TUC and LAARP were successfully performed in 20 patients. Four cases with bladder neck fistulas and 16 cases with prostatic urethra fistulas were found. Postoperative complications were rectal mucosal prolapsed in three cases, anal stricture in two cases and wound dehiscence in one case. Neither umbilical ring narrowing, parastomal hernia nor obstructive symptoms was observed. Neither umbilical nor perineal wound infection was observed. Stoma care was easily carried-out by attaching stoma bag. Healing of umbilical wounds after the second-stage was excellent. Early functional stooling outcome were satisfactory. The umbilicus may be an alternative stoma site for double-barreled colostomy in high-ARM patients. The two-stage laparoscopic

Conservative Measures for Managing Constipation in Patients Living With a Colostomy.

Science.gov (United States)

Kuczynska, Barbara; Bobkiewicz, Adam; Studniarek, Adam; Szmyt, Krzsztof; Krokowicz, Łukasz; Matysiak, Konrad; Szmeja, Jacek; Walkowiak, Jarosław; Drews, Michał; Banasiewicz, Tomasz

The purpose of this study was to determine the effect of a conservative regimen for the treatment of constipation in persons living with a colostomy. Prospective, noncontrolled, single-center study. The study sample comprised 35 patients with a colostomy who were diagnosed with constipation. Subjects with morphologic changes causing constipation such as stomal stenosis and neoplastic and inflammatory changes were excluded. The study was conducted in the Proctology and Stoma Outpatient Clinic at Poznan University of Medical Sciences. Patients at our Stoma Outpatient Clinic underwent baseline evaluation, and those with symptoms of constipation (prolonged periods between bowel movements, passage of pasty or hardened fecal effluent, and associated symptoms such as abdominal discomfort or bloating, flatulence, and pain with passage of effluent into the stoma) received individualized dietary recommendations that typically included an increase in dietary fiber and fluid intake, along with increased fluid intake. The outcomes of dietary changes were evaluated during a follow-up visit 3 months later. If dietary changes alone did not improve constipation symptoms, we prescribed a psyllium-based bulk-forming agent, an osmotic stool softener, and a probiotic, with or without a prokinetic agent such as metoclopramide taken 3 times daily. Dietary interventions alone were deemed successful in 60% of study subjects (n = 21); the remaining 14 patients required additional treatment. Dietary modifications alone relieved constipation in more than half of a group of 35 patients with constipation. We therefore recommend a trial of dietary modifications prior to the initiation of pharmacotherapy in patients with a colostomy.

ESTUDO SOBRE UM MÉTODO DE IRRIGAÇÃO INTESTINAL EM COLOSTOMIZADOS

OpenAIRE

Santos, Vera Lucia de Gouveia

1984-01-01

The author relates the problems of colostomy patient during the rehabilitation, intestinal control, adequate equipment and skin care. She refers to the control of intestinal habit with colostomy irrigation and relates comparative studies that demonstrated the efficiency and superiority of this method in relation to natural evacuation. She proposes an experimental sistematized study with adaptable and cheap equipment which will not interfere in the therapeutic effect of colostomy and will be u...

Intersphincteric proctectomy with end-colostomy for anorectal Crohn's disease results in early and severe proximal colonic recurrence.

Science.gov (United States)

de Buck van Overstraeten, Anthony; Wolthuis, Albert M; Vermeire, Séverine; Van Assche, Gert; Rutgeerts, Paul; Penninckx, Freddy; D'Hoore, André

2013-07-01

Perianal Crohn's disease (CD) represents a more aggressive phenotype of inflammatory bowel disease and often coincides with proctocolitis. This study aims to assess the outcome of patients undergoing proctectomy with end-colostomy. A retrospective outcome analysis of 10 consecutive patients who underwent intersphincteric proctectomy with end-colostomy between February 2007 and May 2011 was performed. All patients suffered from refractory distal and perianal CD. The proximal colon was normal at endoscopy. All data were extracted from a prospectively maintained database. The main outcome parameter was disease recurrence and need for completion colectomy. Severe and early endoscopic recurrence in the proximal colon occurred in 9/10 patients at a median time interval of 9.5 months (range: 1.9-23.6 months). Despite protracted medical treatment, completion colectomy was necessary in 5 patients. One patient, who underwent a second segmental colectomy with a new end-colostomy, showed again endoscopic recurrence and is currently treated with anti-TNF agents. Intersphincteric proctectomy with colostomy seems to be an ineffective surgery for perianal CD with coexisting proctitis and results in a high risk of recurrence of the disease in the remaining colon. Therefore, despite a normal appearance of the proximal colon, a proctocolectomy with end-ileostomy seems to be the surgical approach of choice in these patients. Copyright © 2012 European Crohn's and Colitis Organisation. Published by Elsevier B.V. All rights reserved.

Perineal pseudocontinent colostomy is safe and efficient technique for perineal reconstruction after abdominoperineal resection for rectal adenocarcinoma.

Science.gov (United States)

Souadka, Amine; Majbar, Mohammed Anass; El Harroudi, Tijani; Benkabbou, Amine; Souadka, Abdelilah

2015-04-10

The aim of this study was to evaluate oncologic results and satisfaction rate results of pseudocontinent perineal colostomy (PCPC) using Schmidt's technique in patients undergoing abdominoperineal resection (APR) for managing low rectal adenocarcinoma. From January 1993 and December 2007, One hundred and forty six patients underwent successfully PCPC after abdominoperineal resection for lower rectal adenocarcinoma. There were 75 women, with an average age of 47 years old. All patients received neoadjuvant radiotherapy with or without chemotherapy. Long-term oncological results and satisfaction rate were evaluated. After a median follow up of 36 months (range 12-156) months, the five-year overall survival and disease free survival rate were 74.6% and 60.3% respectively. Local and distant recurrences occurred respectively in 10 (6,8%) and 29 (20%) patients. Seventy-seven percent (77%) of the patients were highly satisfied with this technique and only one patient was unsatisfied. However, none of them accepted the conversion to an abdominal colostomy neither would have changed PCPC for an iliac colostomy at first intent. This study showed that pseudocontinent perineal colostomy is a safe and reliable pelvic reconstruction technique after abdominoperineal resection for low rectal adenocarcinoma. It provides high degree of patient satisfaction without compromising oncological results. It is a good option in selected patients, especially in Muslim countries.

Quality of life in rectal cancer patients with permanent colostomy in ...

African Journals Online (AJOL)

2014-03-01

Mar 1, 2014 ... 1 Xiuxiu Yangand Qin Li contributed equally to this work. ... characteristics of permanent colostomy patients of rectal cancer (n=49) variables n. %. Gender. Male. 31. 63.3. Female. 18 ... Marriage. Not married. 0. 0.0. Married. 49. 100.0. Education ..... mainly include urinary incontinence, urinary retention,.

Perineal pseudocontinent colostomy for ultra-low rectal adenocarcinoma: the muscular graft as a pseudosphincter.

Science.gov (United States)

Souadka, Amine; Majbar, Mohammed Anass; Amrani, Laila; Souadka, Abdelilah

2016-10-01

The aim of this study was to analyze objectively the role of the muscular graft in the continence using manometric study in the patients who underwent pseudocontinent perineal colostomy after abdominoperineal resection for rectal adenocarcinoma. This was a retrospective study including all the patients from January 2002 to December 2009 who underwent an abdominoperineal resection followed by perineal pseudocontinent colostomy for ultra-low rectal adenocarcinoma and agreed to perform the manometric evaluation of the muscular graft. Fifteen patients were included, six males and nine females, with a mean age of 50 years. According to Kirwan's classification, 2 (13.3%) patients had normal continence (Stage A) had 10 (66.6%) no soiling (stage B) and 3 (20%) patients had minimal soiling (Stage C). The manometric evaluation was performed after a median period of 12 months post-surgery. The mean maximal resting and squeeze pressures were respectively 41 cmH2O and 59 cmH2O and the mean colonic sensory volume was 12 ml. This study showed that the musculae graft of Pseudocontinent Perineal colostomy acted as a hypotonic sphincter that pressure can increase during the voluntary squeeze. These data may help to clarify the functional outcomes of this technique after APR for ultra-low rectal adenocarcinoma.

Contribution to the improvement of irrigation management practices through water - deficit irrigation

International Nuclear Information System (INIS)

Bazza, M.

1995-01-01

The study aimed at identifying irrigation management practices which could result in water savings through -water deficit irrigation. Two field experiments, one on wheat and the other on sugar beet, were conducted and consisted of refraining from supplying water during specific stages of the cycle so as to identy the period(s) during which water deficit would have a limited effect on crop production. In the case of wheat, high water deficit occurred during the early and during these stages was the most beneficial for the crop. However, one water application during the tillering stage allowed the yield to be lower only to that of the treatement with three irrigations. Irrigation during the stage of grain filling caused the kernel weight to be as high as under three irrigations. The lowest value corresponded to the treatement with one irrigation during grain filling and that under rainfed conditions. For sugar beet, when water stress was was applied early in the crop cycle, its effect could be almost entirely recovered with adequate watering during the rest of the growing season. On the opposite, good watering early in cycle, followed by a stress, resulted in the second lowest yield. Water deficit during the maturity stage had also a limited effect on yield. The most crucial periods for adequate watering were which correspond to late filiar development and root growth which coincided with the highest water requirements period. For the same amount of water savings through deficit irrigation, it was better to partition the stress throughout the cycle than during the critical stages of the crop. However, at the national level, it would have been more important to practice deficit irrigation and the irrigated area. For both crops, high yields as high as water - use efficiency values could have been obtained. 8 tabs; 5 refs ( Author )

Modeling irrigation behavior in groundwater systems

Science.gov (United States)

Foster, Timothy; Brozović, Nicholas; Butler, Adrian P.

2014-08-01

Integrated hydro-economic models have been widely applied to water management problems in regions of intensive groundwater-fed irrigation. However, policy interpretations may be limited as most existing models do not explicitly consider two important aspects of observed irrigation decision making, namely the limits on instantaneous irrigation rates imposed by well yield and the intraseasonal structure of irrigation planning. We develop a new modeling approach for determining irrigation demand that is based on observed farmer behavior and captures the impacts on production and water use of both well yield and climate. Through a case study of irrigated corn production in the Texas High Plains region of the United States we predict optimal irrigation strategies under variable levels of groundwater supply, and assess the limits of existing models for predicting land and groundwater use decisions by farmers. Our results show that irrigation behavior exhibits complex nonlinear responses to changes in groundwater availability. Declining well yields induce large reductions in the optimal size of irrigated area and irrigation use as constraints on instantaneous application rates limit the ability to maintain sufficient soil moisture to avoid negative impacts on crop yield. We demonstrate that this important behavioral response to limited groundwater availability is not captured by existing modeling approaches, which therefore may be unreliable predictors of irrigation demand, agricultural profitability, and resilience to climate change and aquifer depletion.

Relationship between stoma creation route for end colostomy and parastomal hernia development after laparoscopic surgery.

Science.gov (United States)

Hino, Hitoshi; Yamaguchi, Tomohiro; Kinugasa, Yusuke; Shiomi, Akio; Kagawa, Hiroyasu; Yamakawa, Yushi; Numata, Masakatsu; Furutani, Akinobu; Suzuki, Takuya; Torii, Kakeru

2017-04-01

The therapeutic benefits of extraperitoneal colostomy with laparoscopic surgery remain unclear. The aim of this study was to investigate the relationship between the route for stoma creation with laparoscopic surgery and stoma-related complications, especially parastomal hernia (PSH). From January 2007 to March 2015, a total of 59 patients who underwent laparoscopic abdominoperineal resection or Hartmann procedure were investigated. Patient demographic and treatment characteristics, including stoma-related complications, were analyzed retrospectively. Transperitoneal and extraperitoneal colostomy were performed in 29 and 30 patients, respectively. Median follow-up duration was 21 months (range: 2-95). Patient demographic and treatment characteristics were comparable between the transperitoneal group (TPG) and the extraperitoneal group (EPG). PSH developed in 12 (41 %) patients in TPG, and 4 (13 %) patients in EPG (p = 0.020). The incidence of other stoma-related complications and non-stoma-related complications did not differ significantly between TPG and EPG. No patient characteristics except for transperitoneal route for stoma creation were associated with PSH development. The extraperitoneal route for stoma creation is associated with a significantly lower incidence of PSH development after laparoscopic surgery. Whenever possible, extraperitoneal colostomy should be recommended, even with laparoscopic surgery.

Dynamic plant uptake model applied for drip irrigation of an insecticide to pepper fruit plants

DEFF Research Database (Denmark)

Legind, Charlotte Nielsen; Kennedy, C. M.; Rein, Arno

2011-01-01

irrigation, its application for a soil-applied insecticide and a sensitivity analysis of the model parameters. RESULTS: The model predicted the measured increase and decline of residues following two soil applications of an insecticide to peppers, with an absolute error between model and measurement ranging...... from 0.002 to 0.034 mg kg fw—1. Maximum measured concentrations in pepper fruit were approximately 0.22 mg kg fw—1. Temperature was the most sensitive component for predicting the peak and final concentration in pepper fruit, through its influence on soil and plant degradation rates...

The Usefulness of Intraoperative Colonic Irrigation and Primary Anastomosis in Patients Requiring a Left Colon Resection.

Science.gov (United States)

Hong, Youngki; Nam, Soomin; Kang, Jung Gu

2017-06-01

The aim of this study is to assess the short-term outcome of intraoperative colonic irrigation and primary anastomosis and to suggest the usefulness of the procedure when a preoperative mechanical bowel preparation is inappropriate. This retrospective study included 38 consecutive patients (19 male patients) who underwent intraoperative colonic irrigation and primary anastomosis for left colon disease between January 2010 and December 2016. The medical records of the patients were reviewed to evaluate the patients' characteristics, operative data, and postoperative short-term outcomes. Twenty-nine patients had colorectal cancer, 7 patients had perforated diverticulitis, and the remaining 2 patients included 1 with sigmoid volvulus and 1 with a perforated colon due to focal colonic ischemia. A diverting loop ileostomy was created in 4 patients who underwent a low anterior resection. Complications occurred in 15 patients (39.5%), and the majority was superficial surgical site infections (18.4%). Anastomotic leakage occurred in one patient (2.6%) who underwent an anterior resection due sigmoid colon cancer with obstruction. No significant difference in overall postoperative complications and superficial surgical site infections between patients with obstruction and those with peritonitis were noted. No mortality occurred during the first 30 postoperative days. The median hospital stay after surgery was 15 days (range, 8-39 days). Intraoperative colonic irrigation and primary anastomosis seem safe and feasible in selected patients. This procedure may reduce the burden of colostomy in patients requiring a left colon resection with an inappropriate preoperative mechanical bowel preparation.

Modelling the economic trade-offs of irrigation pipeline investments ...

African Journals Online (AJOL)

The Soil Water Irrigation Planning and Energy Management (SWIP-E) mathematical programming model was developed and applied in this paper to provide decision support regarding the optimal mainline pipe diameter, irrigation system delivery capacity and size of the irrigation system. SWIP-E unifies the interrelated ...

Online decision support system for surface irrigation management

Science.gov (United States)

Wang, Wenchao; Cui, Yuanlai

2017-04-01

Irrigation has played an important role in agricultural production. Irrigation decision support system is developed for irrigation water management, which can raise irrigation efficiency with few added engineering services. An online irrigation decision support system (OIDSS), in consist of in-field sensors and central computer system, is designed for surface irrigation management in large irrigation district. Many functions have acquired in OIDSS, such as data acquisition and detection, real-time irrigation forecast, water allocation decision and irrigation information management. The OIDSS contains four parts: Data acquisition terminals, Web server, Client browser and Communication system. Data acquisition terminals are designed to measure paddy water level, soil water content in dry land, ponds water level, underground water level, and canals water level. A web server is responsible for collecting meteorological data, weather forecast data, the real-time field data, and manager's feedback data. Water allocation decisions are made in the web server. Client browser is responsible for friendly displaying, interacting with managers, and collecting managers' irrigation intention. Communication system includes internet and the GPRS network used by monitoring stations. The OIDSS's model is based on water balance approach for both lowland paddy and upland crops. Considering basic database of different crops water demands in the whole growth stages and irrigation system engineering information, the OIDSS can make efficient decision of water allocation with the help of real-time field water detection and weather forecast. This system uses technical methods to reduce requirements of user's specialized knowledge and can also take user's managerial experience into account. As the system is developed by the Browser/Server model, it is possible to make full use of the internet resources, to facilitate users at any place where internet exists. The OIDSS has been applied in

Perineal colostomy prolapse: a novel application of mesh sacral pexy.

Science.gov (United States)

Landen, S; Ursaru, D; Delugeau, V; Landen, C

2018-01-01

Full thickness colonic prolapse following pseudocontinent perineal colostomy has not been previously reported. Possible contributing factors include a large skin aperture at the site of the perineal stoma, the absence of anal sphincters and mesorectal attachments and the presence of a perineal hernia. A novel application of sacral pexy combined with perineal hernia repair using two prosthetic meshes is described.

Prophylactic Mesh Placement During Formation of an End-colostomy Reduces the Rate of Parastomal Hernia: Short-term Results of the Dutch PREVENT-trial

NARCIS (Netherlands)

Brandsma, H.T.; Hansson, B.M.; Aufenacker, T.J.; Geldere, D. van; Lammeren, F.M. van; Mahabier, C.; Makai, P.; Steenvoorde, P.; Vries Reilingh, T.S. de; Wiezer, M.J.; Wilt, J.H.W. de; Bleichrodt, R.P.; Rosman, C.

2017-01-01

OBJECTIVE: The aim of this study was to investigate the incidence of parastomal hernias (PSHs) after end-colostomy formation using a polypropylene mesh in a randomized controlled trial versus conventional colostomy formation. BACKGROUND: A PSH is the most frequent complication after stoma formation.

Laparoscopic colostomy for acute left colon obstruction caused by diverticular disease in high risk patient: A case report.

Science.gov (United States)

Palladino, Elisa; Cappiello, Antonio; Guarino, Vincenzo; Perrotta, Nicola; Loffredo, Domenico

2015-01-01

The colostomy is often necessary in complicated divertcular disease. The laparoscopic colostomy is not widely used for the treatment of complicated diverticular disease. Its use in patients with high operative risk is still on debate. The aim of this case report was to present the benefits of laparoscopic colostomy in patients with high peri-and postoperative risk factors. We present a case of 76-year-old female admitted to emergency unit for left colonic obstruction. The patient had a past history of liver cirrhosis HCV-related with a severe malnutrition, hypertrophic cardiomyopathy, diverticular disease, hiatal ernia, previous appendectomy. Patient was classified according to their preoperative risk ASA 3 (classification of the American society of Anestesia-ASA score). Contrast-enhanced abdominal CT revealed a marked thickening in the sigmoid colon and a marked circumferential stenosis in the sigmoid colon in absence of neoplasm, and/or abscess. The laparoscopic procedure is proposed as first intention. The operation time was 50min, and the hospital stay was 4 days. Post operative complications grade I according to the Clavien Dindo Classification. Laparoscopic colostomy is safe and feasible procedure in experienced hands. It is associated with low morbidity and short stay in hospital and should be considered a good alternative to a laparotomy. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.

Age Differences in Coping, Behavioral Dysfunction and Depression Following Colostomy Surgery.

Science.gov (United States)

Keyes, Kathryn; And Others

1987-01-01

Examined the responses of a group of middle-aged and older adults (N=34) to colostomy surgery. Analyzed the relationship between the method and focus of coping and age, sickness-related dysfunction, and depression. Found that neither a lower level of active behavioral coping nor age itself was correlated with depression or dysfunction. (Author/ABB)

Gain-P: A new strategy to increase furrow irrigation efficiency

International Nuclear Information System (INIS)

Schmitz, G.H.; Wohling, T.; Paly, M. D.; Schutze, N.

2007-01-01

The new methodology GAIN-P combines Genetic Algorithms, Artificial Intelligence techniques and rigorous Process modeling for substantially improving irrigation efficiency. The new strategy simultaneously identifies optimal values of both scheduling and irrigation parameters for an entire growing season and can be applied to irrigation systems with adequate or deficit water supply. In this contribution, GAIN-P is applied to furrow irrigation tackling the more difficult subject of the more effective deficit irrigation. A physically -based hydrodynamic irrigation model is iteratively coupled with a 2D subsurface flow model for generating a database containing all realistically feasible scenarios of water application in furrow irrigation. It is used for training a problem-adapted artificial neural network based on self-organized maps, which in turn portrays the inverse solution of the hydrodynamic furrow irrigation model and thus enormously speeds up the overall performance of the complete optimization tool. Global optimization with genetic algorithm finds the schedule with maximum crop yield for the given water volume. The impact of different irrigation schedules on crop yield is calculated by the coupled furrow irrigation model which also simulates soil evaporation, precipitation and root water uptake by the plants over the whole growing seasons, as well as crop growth and yield. First results with the new optimization strategy show that GAIN-P has a high potential to increase irrigation efficiency. (author)

Feasibility analysis of loop colostomy closure in patients under local anesthesia

Directory of Open Access Journals (Sweden)

Abreu Rone Antônio Alves de

2006-01-01

Full Text Available PURPOSE: To verify prospectively the practicability of performing loop colostomy closure under local anesthesia and sedation. METHODS: In this study, 21 patients underwent this operation. Lidocaine 2% and bupivacaine 0.5% were utilized. Pain was evaluated during the operation, on the first postoperative day and at hospital discharge. Intraoperative events, postoperative complications and the acceptability of this procedure were analyzed. RESULTS: The mean duration of the operation was 133 minutes (range: 85 to 290 minutes. The mean postoperative hospitalization was four days (range: one to twelve days. No patients died. Complications occurred in two patients (9.4%: abdominal wall hematoma and operative wound infection. With regard to pain severity, scores of less than or equal to three were indicated in the intraoperative evaluation by 80% of the patients (17/21 and on the first postoperative day by 85% (18/21. At hospital discharge, 95.2% of the patients (20/21 said they were in favor of the local anesthesia technique. CONCLUSION: Loop colostomy closure under local anesthesia and sedation is feasible, safe and acceptable to patients.

The Effect of Different Levels of Irrigation and Nitrogen Fertilizer on Yield and Water Use Efficiency of Potato in Subsurface Drip Irrigation

Directory of Open Access Journals (Sweden)

Mohammad Jolaini

2017-06-01

Full Text Available Introduction: After wheat, rice and corn, potato is the fourth most important food plant in the world. In comparison with other species, potato is very sensitive to water stress because of its shallow root system: approximately 85% of the root length is concentrated in the upper 0.3-0.4 m of the soil. Several studies showed that drip irrigation is an effective method for enhancing potato yield. Fabeiro et al. (2001 concluded that tuber bulking and ripening stages were found to be the most sensitive stages of water stress with drip irrigation. Water deficit occurring in these two growth stages could result in yield reductions. Wang et al. (2006 investigated the effects of drip irrigation frequency on soil wetting pattern and potato yield. The results indicated that potato roots were not limited in wetted soil volume even when the crop was irrigated at the highest frequency while high frequency irrigation enhanced potato tuber growth and water use efficiency (WUE. Though information about irrigation and N management of this crop is often conflicting in the literature, it is accepted generally that production and quality are highly influenced by both N and irrigation amounts and these requirements are related to the cropping technique. Researches revealed that nitrogen fertilizers play a special role in the growth, production and quality of potatoes. Materials and Methods: A factorial experiment in randomized complete block design with three replications was carried out during two growing seasons. Studied factors were irrigation frequency (I1:2 and I2:4 days interval and nitrogen fertilizer levels (applying 100 (N1, 75 (N2 and 50 (N3 % of the recommended amount. Nitrogen fertilizer was applied through irrigation water. In each plot two rows with within-and between-row spacing of 45 and 105 cm and 20 m length. The amount of nitrogen fertilizer for the control treatment was determined by soil analysis (N1. In all treatments, nitrogen fertilizer

Irrigation Analysis Based on Long-Term Weather Data

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James R. Mahan

2016-08-01

Full Text Available Irrigation management is based upon delivery of water to a crop in the correct amount and time, and the crop’s water need is determined by calculating evapotranspiration (ET using weather data. In 1994, an ET-network was established in the Texas High Plains to manage irrigation on a regional scale. Though producers used the ET-network, by 2010 public access was discontinued. Why did producers allow a valuable irrigation-management tool to be eliminated? Our objective was to analyze the effect of declining well capacities on the usefulness of cotton ET (ETc for irrigation. Thirty years (1975–2004 of daily ETc data were used to compare irrigation demand vs. irrigation responses at four locations, analyzed for multiple years and range of well capacities for three irrigation-intervals. Results indicated that when well capacities declined to the point that over-irrigation was not possible, the lower well capacities reduced the value of ETc in terms of the number of irrigations and total amount of water applied. At well capacities <1514 L·min−1 the fraction of irrigations for which ETc information was used to determine the irrigation amount was <35% across years and irrigation intervals. The value of an ETc-based irrigation may fall into disuse when irrigation-water supplies decline.

A simple method to minimize spillage on retrograde examination of the bowel in patients with an ileostomy or colostomy: technical note

Energy Technology Data Exchange (ETDEWEB)

Torreggiani, W.C.; Lyburn, I.D.; Harris, A.C.; Zwirewich, C.V. [Vancouver General Hospital, Dept. of Radiology, Abdominal Div., Vancouver, British Columbia (Canada)

2001-06-01

Retrograde examination of the bowel in patients with an ileostomy or colostomy is a well-described technique and is still widely practised in most radiology departments. The procedure is useful for examining the bowel for evidence of strictures, obstruction, hernias or local disease recurrence. The technique may also be used to delineate gut anatomy before ileostomy or colostomy reversal. (author)

A simple method to minimize spillage on retrograde examination of the bowel in patients with an ileostomy or colostomy: technical note

International Nuclear Information System (INIS)

Torreggiani, W.C.; Lyburn, I.D.; Harris, A.C.; Zwirewich, C.V.

2001-01-01

Retrograde examination of the bowel in patients with an ileostomy or colostomy is a well-described technique and is still widely practised in most radiology departments. The procedure is useful for examining the bowel for evidence of strictures, obstruction, hernias or local disease recurrence. The technique may also be used to delineate gut anatomy before ileostomy or colostomy reversal. (author)

Acute resection versus bridge to surgery with diverting colostomy for patients with acute malignant left sided colonic obstruction: Systematic review and meta-analysis.

Science.gov (United States)

Amelung, Femke J; Mulder, Charlotte L J; Verheijen, Paul M; Draaisma, Werner A; Siersema, Peter D; Consten, Esther C J

2015-12-01

Currently, no consensus exists on the best treatment strategy for acute malignant left-sided colonic obstruction. This systematic review and meta-analysis aims to compare the outcomes following the two surgical treatment options; primary resection versus colostomy creation as bridge to surgery. This systematic review was performed using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines to minimize risk of bias. Pubmed, Embase and Cochrane Library were searched for all relevant literature. Methodological quality of included studies was assessed using the MINORS criteria. Pooled odds ratios with 95% confidence intervals (95%CI) were calculated using random effects models. Eight comparative studies were included, reporting on 2424 patients; 1973 patients were treated with primary resection and 451 patients with colostomy construction followed by elective resection. Meta-analysis showed no significant differences between both treatment groups regarding 30-day mortality and morbidity (OR = 0.77, 95%CI 0.3-1.96 and OR = 0.76, 95%CI 0.51-1.13, respectively). However, patients treated with a colostomy followed by elective resection had significantly more primary anastomoses constructed and were less likely to be left with a permanent colostomy (OR = 0.17, 95%CI 0.11-0.26 and OR = 0.22, 95%CI 0.11-0.46, respectively). This systematic review provides an overview of all available literature on primary resection versus colostomy creation as bridge to surgery in patients with acute LSCO. Keeping the limitations of this study in mind, we conclude that a diverting colostomy as bridge to surgery is a safe and valid alternative for primary resection. Copyright © 2015 Elsevier Ltd. All rights reserved.

Improving efficiencies of irrigation and nitrogen uptake in wheat

International Nuclear Information System (INIS)

Bazza, M.

2000-01-01

Three years of field studies and lysimeter experiments on irrigated wheat had the objective of finding ways of managing irrigation and N fertilization to minimize losses and reduce contamination of groundwater. Applied N had significant positive effects on crop-water consumptive use. The highest N losses occurred during early growth. Irrigation had little effect on N loss when it was practiced efficiently. Under the prevailing conditions, it is recommended that no N be applied to wheat at planting, in order to limit N losses by leaching caused by the high precipitation that usually occurs during early development when crop-N requirements are small. No more than 120 kg N ha -1 should be applied in total to minimize groundwater pollution and maximize N-uptake efficiency and economic returns. Also, for economic and environmental reasons, irrigation should be limited to 80% of the total requirement and to depths of 40 to 60 mm. (author)

Ring Irrigation System (RIS) design through customer preference representation

OpenAIRE

Ridwan Infandra I.Z.; Rianmora Suchada; Werawatganon Siwat

2018-01-01

In agricultural field, irrigation is one of the most interesting considerations affecting the rate of plant growth and development. Micro-irrigation as the dripping or sprinkle method is one of the irrigation types that applies the small amount of water for fulfilling the humidity requirement. The most important factors affecting the demand of water for plants are soil conditions and effect of climatic factors. With less human labour required, to improve the irrigation method from the recent ...

Sensor-Based Model Driven Control Strategy for Precision Irrigation

Directory of Open Access Journals (Sweden)

Camilo Lozoya

2016-01-01

Full Text Available Improving the efficiency of the agricultural irrigation systems substantially contributes to sustainable water management. This improvement can be achieved through an automated irrigation system that includes a real-time control strategy based on the water, soil, and crop relationship. This paper presents a model driven control strategy applied to an irrigation system, in order to make an efficient use of water for large crop fields, that is, applying the correct amount of water in the correct place at the right moment. The proposed model uses a predictive algorithm that senses soil moisture and weather variables, to determine optimal amount of water required by the crop. This proposed approach is evaluated against a traditional irrigation system based on the empirical definition of time periods and against a basic soil moisture control system. Results indicate that the use of a model predictive control in an irrigation system achieves a higher efficiency and significantly reduce the water consumption.

Optimization of modern irrigation for biosaline agriculture

International Nuclear Information System (INIS)

Shahid, S.A.; Hasbini, B.

2007-01-01

Supplementation water is a must to offset the water requirement to produce profitable crops in most arid and semiarid zones, where fresh water resources are insufficient to meet the pressure of irrigated agriculture. This necessitates the use of poor quality water resources. These waters if not properly managed and used can cause serious soil related problems (salinity, sodicity, destruction of soil structure) in addition to decline in crop yields. Biosaline agriculture (using saline water on saline soils to grow salt-tolerant crops) becomes the only option for the farmer when both soil and water resources are saline and the water resource is scarce. In this regards key design considerations must be taken into account when irrigating with salty waters to optimize water uses and to reduce subsequent soil salinity development. Sprinkler irrigation systems are commonly used in irrigation of large-scale irrigational production systems. However they tend to concentrate salts on the leaves of plants. For this reason discharge and degree of overlap between consecutive sprinkler heads, are key design parameters when applying salty waters. Trickle irrigation is the most efficient system and is gaining importance in the GCC countries in the agriculture and landscape irrigation. The objective of this study was to optimize modern irrigation systems through development of design standards for drip (emitters spacing) and sprinkler irrigation systems (single head jet and overlapping) by applying saline water. The effect of emitter spacing (drip) and overlapping (sprinkler) were tested for the formation of salt contours in soil. The leaching ratio (LR) is the overall soil sanity within rhizosphere divided by the average irrigation water salinity. In this study LR is used to evaluate the effectiveness of irrigation systems in developing soil sanity. From the present investigations it is concluded that when using saline water for irrigation, the soil sanity development can be

Iatrogenic Rectal Injury During Radical Prostatectomy: Is Colostomy Inevitable End?

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Ramazan Topaktas

2014-12-01

Full Text Available Aim: Radical prostatectomy (RP is the gold standard treatment method for localized prostate cancer, because of its high oncological success. Iatrogenic rectal injury (IRI during RP is rarely seen, but it may causes serious complications because of the close anatomic relationship between the prostate and rectum. Aim is to present our series about management of IRI without colostomy. Material and Method: Between June 1999 and June 2013, radical retropubic prostatectomy (RRP was performed to 372 patients by a single surgeon. 10 cases (%2,6 were complicated by a rectal injury during RRP. Instant rectal closure was performed in 3 layers without a diverting colostomy, at the time of surgery. Omental vascular flap was placed between rectum and vesicourethral anastomosis. Results: The clinical stages of IRI cases were T1c, T2a and T2c in 2, 3 and 5 patients, respectively. Their preoperative Gleason scores were 6, 7 and 8 in 3, 5 and 2 patient, respectively. None of the 10 had undergone previous prostatic or rectal surgery, or received preoperative radiotherapy or hormonal therapy. Discussion: Instant diagnosis and rectal wall closures by three layers are essential for successful repair. Our technique seems as a safe, minimal invasive and highly effective option for the management of IRI.

Dealing with drought in irrigated agriculture through insurance schemes: an application to an irrigation district in Southern Spain

Energy Technology Data Exchange (ETDEWEB)

Ruiz, M.; Bielza, J.; Garrido, A.; Iglesias, A.

2015-07-01

Hydrological drought is expected to have an increasing impact on both crop and fruit yields in arid and semi-arid regions. Some existing crop insurance schemes provide coverage against water deficits in rain-fed agriculture. The Prevented Planting Program in the USA covers against drought for irrigated agriculture. However, drought insurance for irrigated agriculture is still a challenge for companies and institutions because of the complexity of the design and implementation of this type of insurance. Few studies have attempted to evaluate the risk of loss due to irrigation water scarcity using both stand-alone production functions and crop simulation models. This paper’s contributions are that it evaluates the suitability of AquaCrop for calculating drought insurance premiums for irrigated agriculture and that it discusses contract conditions and insurance design for hydrological drought risk coverage as part of a traditional insurance product, with on-field loss assessment in combination with a trigger index. This method was applied to an irrigation district in southern Spain. Our insurance premium calculation showed that it is feasible to apply this method provided that its data requirements are met, such as a large enough set of reliable small-scale yield and irrigation time series data, especially soil data, to calibrate AquaCrop. The choice of a trigger index should not be underestimated because it proved to have a decisive influence on insurance premiums and indemnities. Our discussion of the contract conditions shows that hydrological drought insurance must comply with a series of constraints in order to avoid moral hazard and basis risk. (Author)

Dealing with drought in irrigated agriculture through insurance schemes: an application to an irrigation district in Southern Spain

Directory of Open Access Journals (Sweden)

Jorge Ruiz

2015-12-01

Full Text Available Hydrological drought is expected to have an increasing impact on both crop and fruit yields in arid and semi-arid regions. Some existing crop insurance schemes provide coverage against water deficits in rain-fed agriculture. The Prevented Planting Program in the USA covers against drought for irrigated agriculture. However, drought insurance for irrigated agriculture is still a challenge for companies and institutions because of the complexity of the design and implementation of this type of insurance. Few studies have attempted to evaluate the risk of loss due to irrigation water scarcity using both stand-alone production functions and crop simulation models. This paper’s contributions are that it evaluates the suitability of AquaCrop for calculating drought insurance premiums for irrigated agriculture and that it discusses contract conditions and insurance design for hydrological drought risk coverage as part of a traditional insurance product, with on-field loss assessment in combination with a trigger index. This method was applied to an irrigation district in southern Spain. Our insurance premium calculation showed that it is feasible to apply this method provided that its data requirements are met, such as a large enough set of reliable small-scale yield and irrigation time series data, especially soil data, to calibrate AquaCrop. The choice of a trigger index should not be underestimated because it proved to have a decisive influence on insurance premiums and indemnities. Our discussion of the contract conditions shows that hydrological drought insurance must comply with a series of constraints in order to avoid moral hazard and basis risk.

Retrograde Colonic Stent Implantation Assisted by Percutaneous Colostomy: A Case Report

Energy Technology Data Exchange (ETDEWEB)

Lim, Hyoung Gun; Han, Hyun Young; Chun, Tong Jin [Eulji Medical Center, Seoul (Korea, Republic of)

2009-10-15

We present a patient with disseminated pancreatic cancer who presented with symptoms of acute obstruction of the sigmoid colon. It was not possible to pass the region of the obstruction with a guide wire under colonoscopy and fluoroscopy. Consequently retrograde implantation of stents was performed successfully with the assistance of a minimally-sized colostomy when compared with a previously described procedure in the literature.

Retrograde Colonic Stent Implantation Assisted by Percutaneous Colostomy: A Case Report

International Nuclear Information System (INIS)

Lim, Hyoung Gun; Han, Hyun Young; Chun, Tong Jin

2009-01-01

We present a patient with disseminated pancreatic cancer who presented with symptoms of acute obstruction of the sigmoid colon. It was not possible to pass the region of the obstruction with a guide wire under colonoscopy and fluoroscopy. Consequently retrograde implantation of stents was performed successfully with the assistance of a minimally-sized colostomy when compared with a previously described procedure in the literature

[IMPROVEMENT AND CHOICE OF COLOSTOMY METHOD IN THE TREATMENT OF PATIENTS, SUFFERING AN ACUTE OBTURATIVE IMPASSABILITY OF LARGE BOWEL].

Science.gov (United States)

Kustryo, V I; Langazo, O V

2015-11-01

Colostomy was done in 49 patients, suffering an acute obturative impassability of large bowel (AOILB). In 28 patients (1st group) colostomy was conducted in accordance to standard method; in 21 (2nd group)--in accordance to the method, proposed by us. Application of the method proposed for surgical treatment of AOILB have guaranteed a reduction of postoperative paracolostomal complications rate in 6.8 times, of postoperative lethality--in 2.2 times, duration of the patient stationary treatment--in 1.4 times, the rate of dressings and the dressing material expanses--in 10 times.

Optimizing nitrogen-fertilizer application to wheat under irrigation

International Nuclear Information System (INIS)

Boaretto, A.E.; Spolidoirio, E.S.; Trivelin, P.C.O.; Muraoka, T.; Freitas, J.G. de; Cantarella, H.

2000-01-01

The responses of wheat to urea, its time of application and the fate of the applied N under irrigation were studied over 2 years. Also studied was the recovery of residual N by soybean planted in the same plots. Maximum grain productivity was obtained with 90 kg N ha -1 . Urea-N uptake ranged from 52% for application at sowing, to 85% when applied at tillering. The main loss of fertilizer N occurred as ammonia volatilized, which ranged from 5 to 12%. Loss of N by leaching was less than 1%, even with an application of 135 kg N ha -1 , which is higher than the rate locally recommended for irrigated wheat. The small leaching loss was due to little rainfall during the growing season and irrigation sufficient only to moisten the root zone. The residual N after wheat harvest represented around 40% of that applied: 21% in soil (to a depth of 60 cm), 3% in roots and 16% in the wheat straw. Soybean recovered less than 2% of the N applied to the wheat. (author)

Severe delayed complication after percutaneous endoscopic colostomy for chronic intestinal pseudo-obstruction: A case report and review of the literature

Science.gov (United States)

Bertolini, David; De Saussure, Philippe; Chilcott, Michael; Girardin, Marc; Dumonceau, Jean-Marc

2007-01-01

Percutaneous endoscopic colostomy (PEC) is increasingly proposed as an alternative to surgery to treat various disorders, including acute colonic pseudo-obstruction, chronic intestinal pseudo-obstruction and relapsing sigmoid volvulus. We report on a severe complication that occurred two months after PEC placement. A 74-year-old man with a history of chronic intestinal pseudo-obstruction evolving since 8 years was readmitted to our hospital and received PEC to provide long-standing relief. The procedure was uneventful and greatly improved the patient’s quality of life. Two months later, the patient developed acute stercoral peritonitis. At laparotomy, the colostomy flange was embedded in the abdominal wall but no pressure necrosis was found at the level of the colonic wall. This complication was likely related to inadvertent traction of the colostomy tube. Subtotal colectomy with terminal ileostomy was performed. We review the major features of 60 cases of PEC reported to date, including indications and complications. PMID:17465514

Practical salinity management for leachate irrigation to poplar trees.

Science.gov (United States)

Smesrud, Jason K; Duvendack, George D; Obereiner, James M; Jordahl, James L; Madison, Mark F

2012-01-01

Landfill leachate can be beneficially reused for irrigation of fiber crops with appropriate attention to nutrient and salinity management. The Riverbend Landfill in Western Oregon has been effectively practicing irrigation of landfill leachate to poplar trees since 1993. Over that time, the site has been adaptively managed to control salinity impacts to the tree crop while beneficially utilizing the applied water and nutrients during each growing season. Representative leachate irrigation water has ranged in concentration of total dissolved solids from 777 to 6,940 mg/L, chloride from 180 to 1,760 mg/L and boron from 3.2 to 7.3 mg/L. Annual leachate irrigation applications have also ranged between 102 and 812 mm/yr. Important conclusions from this site have included: 1) Appropriate tree clone selection and tree stand spacing, thinning, and harvest rotations are critical to maintaining a productive tree stand that is resilient and resistant to salt stress. The most effective combinations have included clones DN-34, OP-367, 184-411, 49-177, and 15-29 planted at spacing of 3.7-m x 1.8-m to 3.7-m x 3.7-m; 2) Leaf tissue boron levels are closely correlated to soil boron levels and can be managed with leaching. When leaf tissue boron levels exceed 200 to 250 mg/kg, signs of salt stress may emerge and should be monitored closely; 3) Salinity from leachate irrigation can be managed to sustain a healthy tree crop by controlling mass loading rates and providing appropriate irrigation blending if necessary. Providing freshwater irrigation following each leachate irrigation and targeting freshwater irrigation as 30 percent of total irrigation water applied has successfully controlled salt impacts to vegetation; and 4) Drip irrigation generally requires more careful attention to long-term soil salinity management than spray irrigation. Moving drip irrigation tubes periodically to prevent the formation of highly saline zones within the soil profile is important. In this paper, a

The Impact of Regular and Periodic Irrigation on the Fertility and Productivity of an Ordinary Chernozem of the Azov Irrigation System

Science.gov (United States)

Shchedrin, V. N.

2016-02-01

The effect of regular and periodic irrigation on the fertility and productivity of an ordinary chernozem cultivated under different conditions within the same cereal-fodder crop rotation is discussed. The investigation object is located in the area of the Azov irrigation system on the second terrace of the Don River in Rostov oblast. Irrigation water for the system is taken from the Veselovsk water reservoir. Its salinity is 1.7-2.1 g/dm3, and the salt composition is sulfate-sodium. The field experiments were performed in 2006-2013 on three experimental plots. Two of them were regularly irrigated; the third plot was periodically irrigated with alternation of 2-year-long periods with and without irrigation. Our study proved that periodic irrigation could be applied in the chernozemic zone. This new irrigation mode contributes to the preservation of the natural soil-forming process and stops the development of unfavorable processes typical of the lands irrigated with water of inadequate quality. In eight years of cultivation of the ordinary chernozem with periodic irrigation, the soil humus content increased by 10% (from 3.80 to 4.15%), and the yield reached 66.0 t/ha of fodder units. This was 9% higher than the yield obtained upon regular irrigation without agroameliorative measures and 12% lower than the yield upon regular irrigation in combination with soil-protective measures. Our data suggest that periodic irrigation is promising for the chernozemic zone, because it ensures lower water loads and preservation of the irrigated chernozems.

‘I–We’ boundary fluctuations in couple adjustment to rectal cancer and life with a permanent colostomy

Science.gov (United States)

McCarthy, Molly; Fergus, Karen; Miller, Debbie

2016-01-01

This study investigates couples’ adjustment to rectal cancer and a colostomy using the ‘Classification System of Couple Adjustment to Cancer’, a framework delineating fluctuations in couples’ sense of ‘I’ and ‘We’ in response to cancer. Nine couples affected by rectal cancer and adjusting to life with a colostomy were interviewed. A theoretical thematic analysis of the transcripts was conducted; nearly all ‘I–We’ shifts of the Classification System of Couple Adjustment to Cancer were observed – often in unique ways in response to rectal cancer–specific challenges – and one new shift was described. The results provide a novel and experientially grounded means of conceptualizing complex dyadic coping processes. PMID:28070388

Utilizing on-farm best management practices: Managing Nitrate Leaching Using Evapotranspiration Based Irrigation Methods

Science.gov (United States)

Zaragosa, I.; Melton, F. S.; Dexter, J.; Post, K.; Haffa, A.; Kortman, S.; Spellenberg, R.; Cahn, M.

2017-12-01

In efforts to provide tools to allow farmers to optimize and quantify water usage and fertilizer applications, University of California Cooperative Extension (UCCE) developed the CropManage irrigation and nitrogen scheduling tool that provides real time evapotranspiration (ETc) based irrigation recommendations and fertilizer recommendations on a per field basis. CropManage incorporates satellite based estimates of fractional cover from web data services from the Satellite Irrigation Management Information Support (SIMS) system developed by NASA Ames Research Center in collaboration with California State University Monterey Bay (CSUMB). In this study, we conducted field trials to quantify the benefits of using these tools to support best management practices (BMPs) for irrigation and nutrient management in strawberries and lettuce in the Salinas Valley, California. We applied two different irrigation treatments based on full replacement (100%) of crop evapotranspiration (ETc), and irrigation at 130% of ETc replacement to approximate irrigation under business as usual irrigation management. Both field studies used a randomized block design with four replicates each. We used CropManage to calculate the 100% and 130% ETc replacement requirements prior to each irrigation event. We collected drainage volume and samples and analyzed them for 8500 to nitrate as (NO3-) concentrations. Experimental results for both strawberries and lettuce showed a significant decrease in the percentage of applied nitrogen leached for the 100% ETc replacement treatment against the 130% ETc replacement treatment. For strawberries, we observed that 24% of applied nitrogen was leached under the 100% ETc replacement treatment, versus 51% of applied nitrogen that was leached under the 130% ETc replacement treatment. For lettuce, we observe that 2% of the applied nitrogen leached bellow the soil profile, versus 6% of the applied nitrogen for the 130%ETc replacement treatment. In both experiments

The relationship between spiritual well-being and psychosocial adjustment in Taiwanese patients with colorectal cancer and a colostomy.

Science.gov (United States)

Li, Chia-Chun; Rew, Lynn; Hwang, Shiow-Li

2012-01-01

We examined relationships among demographic and clinical characteristics, spiritual well-being, and psychosocial adjustment in Taiwanese patients with colorectal cancer and a colostomy. A descriptive, cross-sectional, exploratory study design was used to answer research questions. Participants were recruited from the outpatient ambulatory clinic in the gastrointestinal surgical department at the medical center of National Taiwan University. Forty-five Taiwanese patients aged 42 to 83 years who were diagnosed with colorectal cancer and underwent colostomy surgery participated in the study. Participants completed a personal data questionnaire designed for this study, along with 2 validated instruments, the Spiritual Well-Being Scale and the Psychosocial Adjustment to Illness Scale-Self Report. Forty-five persons participated in the study; 69% reported a moderate level of spiritual well-being. Participants reported strong adjustment to extended family relationships, but poor adjustment in sexual relationships. Spiritual well-being was significantly associated with psychosocial adjustment (r = -0.52, P spiritual well-being) accounted for 53% of the variance in psychosocial adjustment. Spiritual well-being plays an important role for Taiwanese patients when faced with psychosocial adjustment related to life with colorectal cancer and a colostomy.

Changes in cell proliferation and morphology in the large intestine of normal and DMH-treated rats following colostomy.

Science.gov (United States)

Barkla, D H; Tutton, P J

1987-04-01

Colostomies were formed in the midcolon of normal and DMH-treated rats. Changes in cell proliferation in the mucosa adjacent to the colostomy and in the defunctioned distal segment were measured at seven, 14, 30, and 72 days using a stathmokinetic technique. Animals were given intraperitoneal injections of vinblastine and sacrificed three hours later; counts of mitotic and nonmitotic cells were made in tissue sections, and three-hour accumulated mitotic indexes were estimated. The results show that, except at seven days in DMH-treated rats, cell proliferation was unchanged in the colon proximal to the colostomy. Morphologic evidence of hyperplasia was seen in some animals at seven and 14 days. The defunctioned segment showed rapid atrophy of both mucosa and muscularis and a gradual but progressive decrease in cell proliferation. The morphology of the mucosa adjacent to the suture line in both functioning and defunctioned segments in normal and DMH-treated rats was abnormal in many animals. Abnormalities that were seen included collections of dysplastic epithelial cells in the submucosa, focal adenomatous changes, and intramural carcinoma formation. Aggregates of lymphoid tissue often were associated with carcinomas.

Assessing the changes of groundwater recharge / irrigation water use between SRI and traditional irrigation schemes in Central Taiwan

Science.gov (United States)

Chen, Shih-Kai; Jang, Cheng-Shin; Tsai, Cheng-Bin

2015-04-01

To respond to agricultural water shortage impacted by climate change without affecting rice yield in the future, the application of water-saving irrigation, such as SRI methodology, is considered to be adopted in rice-cultivation in Taiwan. However, the flooded paddy fields could be considered as an important source of groundwater recharge in Central Taiwan. The water-saving benefit of this new methodology and its impact on the reducing of groundwater recharge should be integrally assessed in this area. The objective of this study was to evaluate the changes of groundwater recharge/ irrigation water use between the SRI and traditional irrigation schemes (continuous irrigation, rotational irrigation). An experimental paddy field located in the proximal area of the Choushui River alluvial fan (the largest groundwater pumping region in Taiwan) was chosen as the study area. The 3-D finite element groundwater model (FEMWATER) with the variable boundary condition analog functions, was applied in simulating groundwater recharge process and amount under traditional irrigation schemes and SRI methodology. The use of effective rainfall was taken into account or not in different simulation scenarios for each irrigation scheme. The simulation results showed that there were no significant variations of infiltration rate in the use of effective rainfall or not, but the low soil moisture setting in deep soil layers resulted in higher infiltration rate. Taking the use of effective rainfall into account, the average infiltration rate for continuous irrigation, rotational irrigation, and SRI methodology in the first crop season of 2013 were 4.04 mm/day, 4.00 mm/day and 3.92 mm/day, respectively. The groundwater recharge amount of SRI methodology was slightly lower than those of traditional irrigation schemes, reducing 4% and 2% compared with continuous irrigation and rotational irrigation, respectively. The field irrigation requirement amount of SRI methodology was significantly

Optimized Subsurface Irrigation System: The Future of Sugarcane Irrigation

Directory of Open Access Journals (Sweden)

M. H. J. P. Gunarathna

2018-03-01

Full Text Available Climate change may harm the growth and yield of sugarcane (Saccharum officinarum L. without the introduction of appropriate irrigation facilities. Therefore, new irrigation methods should be developed to maximize water use efficiency and reduce operational costs. OPSIS (optimized subsurface irrigation system is a new solar-powered automatic subsurface irrigation system that creates a phreatic zone below crop roots and relies on capillarity to supply water to the root zone. It is designed for upland crops such as sugarcane. We investigated the performance of OPSIS for irrigating sugarcane and evaluated its performance against sprinkler irrigation under subtropical conditions. We conducted field experiments in Okinawa, Japan, over the period from 2013 to 2016 and took measurements during spring- and summer-planted main crops and two ratoon crops of the spring-planted crop. Compared with sprinkler irrigation, OPSIS produced a significantly higher fresh cane yield, consumed less irrigation water and provided a higher irrigation water use efficiency. We conclude that OPSIS could be adopted as a sustainable solution to sugarcane irrigation in Okinawa and similar environments.

Trash-polluted irrigation: characteristics and impact on agriculture

Science.gov (United States)

Sulaeman, D.; Arif, SS; Sudarmadji

2018-04-01

Trash pollution has been a problem in sustainable water resources management. Trash pollutes not only rivers, lakes and seas, but also irrigation canals and rice fields. This study aimed to identify the characteristics of solid waste (type, time of occurrence and sources of trash) and its impact on agriculture. The study was conducted in four irrigation areas, namely Gamping, Merdiko, Nglaren and Karangploso in Bantul District, Yogyakarta Special Region. We applied the Irrigation Rapid Trash Assessment (IRTA) as our field survey instrument. The results showed that trash was found throughout irrigation canals and rice fields, and the occurrence was influenced by water flow, time and farmer activities. The irrigation was dominantly polluted by plastic trash (52.2%), biodegradable waste (17.91%) and miscellaneous trash (12.3%). The IRTA score showed that Gamping Irrigation Area was at marginal condition, bearing a high risk of disturbing the operation and maintenance of the irrigation canals as well as farmers’ health. Trash in irrigation also generated technical impact of the irrigation operation and maintenance, environmental quality, and social life. This research also offered environmental policy integration approach and water-garbage governance approach as an alternative solution to manage water resources and agriculture in a sustainable manner, under the pressure of increasing amount of trash.

Distillation irrigation: a low-energy process for coupling water purification and drip irrigation

Science.gov (United States)

Constantz, J.

1989-01-01

A method is proposed for combining solar distillation and drip irrigation to simultaneously desalinize water and apply this water to row crops. In this paper, the basic method is illustrated by a simple device constructed primarily of sheets of plastic, which uses solar energy to distill impaired water and apply the distillate to a widely spaced row crop. To predict the performance of the proposed device, an empirical equation for distillate production, dp, is developed from reported solar still production rates, and a modified Jensen-Haise equation is used to calculate the potential evapotranspiration, et, for a row crop. Monthly values for et and dp are calculated by using a generalized row crop at five locations in the Western United States. Calculated et values range from 1 to 22 cm month-1 and calculated dp values range from 2 to 11 cm month-1, depending on the location, the month, and the crop average. When the sum of dp plus precipitation, dp + P, is compared to et for the case of 50% distillation irrigation system coverage, the results indicate that the crop's et is matched by dp + P, at the cooler locations only. However, when the system coverage is increased to 66%, the crop's et is matched by dp + P even at the hottest location. Potential advantages of distillation irrigation include the ability: (a) to convert impaired water resources to water containing no salts or sediments; and (b) to efficiently and automatically irrigate crops at a rate that is controlled primarily by radiation intensities. The anticipated disadvantages of distillation irrigation include: (a) the high costs of a system, due to the large amounts of sheeting required, the short lifetime of the sheeting, and the physically cumbersome nature of a system; (b) the need for a widely spaced crop to reduce shading of the system by the crop; and (c) the production of a concentrated brine or precipitate, requiring proper off-site disposal. ?? 1989.

Computer-based irrigation scheduling for cotton crop

International Nuclear Information System (INIS)

Laghari, K.Q.; Memon, H.M.

2008-01-01

In this study a real time irrigation schedule for cotton crop has been tested using mehran model, a computer-based DDS (Decision Support System). The irrigation schedule was set on selected MAD (Management Allowable Depletion) and the current root depth position. The total 451 mm irrigation water applied to the crop field. The seasonal computed crop ET (Evapotranspiration) was estimated 421.32 mm and actual (ET/sub ca/) observed was 413 mm. The model over-estimated seasonal ET by only 1.94. WUE (Water Use Efficiency) for seed-cotton achieved 6.59 Kg (ha mm)/sup -1/. The statistical analysis (R/sup 2/=0.96, ARE%=2.00, T-1.17 and F=550.57) showed good performance of the model in simulated and observed ET values. The designed Mehran model is designed quite versatile for irrigation scheduling and can be successfully used as irrigation DSS tool for various crop types. (author)

Comparative study of irrigation water use and groundwater recharge under various irrigation schemes in an agricultural region, central Taiwan

Science.gov (United States)

Chen, Shih-Kai; Jang, Cheng-Shin; Tsai, Cheng-Bin

2016-04-01

The risk of rice production has increased notably due to climate change in Taiwan. To respond to growing agricultural water shortage without affecting normal food production in the future, the application of water-saving irrigation will be a substantial resolution. However, the adoption of water-saving irrigation may result in the reducing of groundwater recharge because continuous flooding in the paddy fields could be regarded as an important source for groundwater recharge. The aim of this study was to evaluate the irrigation water-saving benefit and groundwater recharge deficit when adopting the System of Rice Intensification, known as SRI methodology, in the Choushui River alluvial fan (the largest groundwater pumping and the most important rice-cropping region in central Taiwan). The three-dimensional finite element groundwater model, FEMWATER, was applied to simulate the infiltration process and groundwater recharge under SRI methodology and traditional irrigation schemes including continuous irrigation, and rotational irrigation in two rice-crop periods with hydro-climatic data of 2013. The irrigation water use was then calculated by water balance. The results showed that groundwater recharge amount of SRI methodology was slightly lower than those of traditional irrigation schemes, reduced 3.6% and 1.6% in the first crop period, and reduced 3.2% and 1.6% in the second crop period, compared with continuous irrigation and rotational irrigation, respectively. However, the SRI methodology achieved notably water-saving benefit compared to the disadvantage of reducing the groundwater recharge amount. The field irrigation requirement amount of SRI methodology was significantly lower than those of traditional irrigation schemes, saving 37% and 20% of irrigation water in the first crop period, and saving 53% and 35% in the second crop period, compared with continuous irrigation and rotational irrigation, respectively. Therefore, the amount of groundwater pumping for

Assessing the groundwater recharge under various irrigation schemes in Central Taiwan

Science.gov (United States)

Chen, Shih-Kai; Jang, Cheng-Shin; Lin, Zih-Ciao; Tsai, Cheng-Bin

2014-05-01

The flooded paddy fields can be considered as a major source of groundwater recharge in Central Taiwan. The risk of rice production has increased notably due to climate change in this area. To respond to agricultural water shortage caused by climate change without affecting rice yield in the future, the application of water-saving irrigation is the substantial resolution. The System of Rice Intensification (SRI) was developed as a set of insights and practices used in growing irrigated rice. Based on the water-saving irrigation practice of SRI, impacts of the new methodology on the reducing of groundwater recharge were assessed in central Taiwan. The three-dimensional finite element groundwater model (FEMWATER) with the variable boundary condition analog functions, was applied in simulating groundwater recharge under different irrigation schemes. According to local climatic and environmental characteristics associated with SRI methodology, the change of infiltration rate was evaluated and compared with the traditional irrigation schemes, including continuous irrigation and rotational irrigation scheme. The simulation results showed that the average infiltration rate in the rice growing season decreased when applying the SRI methodology, and the total groundwater recharge amount of SRI with a 5-day irrigation interval reduced 12% and 9% compared with continuous irrigation (6cm constant ponding water depth) and rotational scheme (5-day irrigation interval with 6 cm initial ponding water depth), respectively. The results could be used as basis for planning long-term adaptive water resource management strategies to climate change in Central Taiwan. Keywords: SRI, Irrigation schemes, Groundwater recharge, Infiltration

ESTUDO SOBRE UM MÉTODO DE IRRIGAÇÃO INTESTINAL EM COLOSTOMIZADOS

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Vera Lucia de Gouveia Santos

Full Text Available The author relates the problems of colostomy patient during the rehabilitation, intestinal control, adequate equipment and skin care. She refers to the control of intestinal habit with colostomy irrigation and relates comparative studies that demonstrated the efficiency and superiority of this method in relation to natural evacuation. She proposes an experimental sistematized study with adaptable and cheap equipment which will not interfere in the therapeutic effect of colostomy and will be used in hospital, ambulatory and at home. The data of this study is being collected in the Proctology Ambulatorial Service of a General Hospital.

Remote sensing technologies applied to the irrigation water management on a golf course

Science.gov (United States)

Pedras, Celestina; Lança, Rui; Martins, Fernando; Soares, Cristina; Guerrero, Carlos; Paixão, Helena

2015-04-01

An adequate irrigation water management in a golf course is a complex task that depends upon climate (multiple microclimates) and land cover (where crops differ in morphology, physiology, plant density, sensitivity to water stress, etc.). These factors change both in time and space on a landscape. A direct measurement provides localized values of the evapotranspiration and climate conditions. Therefore this is not a practical or economical methodology for large-scale use due to spatial and temporal variability of vegetation, soils, and irrigation management strategies. Remote sensing technology combines large scale with ground measurement of vegetation indexes. These indexes are mathematical combinations of different spectral bands mostly in the visible and near infrared regions of the electromagnetic spectrum. They represent the measures of vegetation activity that vary not only with the seasonal variability of green foliage, but also across space, thus they are suitable for detecting spatial landscape variability. The spectral vegetation indexes may enhance irrigation management through the information contained in spectral reflectance data. This study was carried out on the 18th fairway of the Royal Golf Course, Vale do Lobo, Portugal, and it aims to establish the relationship between direct measurements and vegetation indexes. For that it is required (1) to characterize the soil and climatic conditions, (2) to assessment of the irrigation system, (3) to estimate the evapotranspiration (4) and to calculate the vegetation indices. The vegetation indices were determined with basis on spectral bands red, green and blue, RGB, and near Infrared, NIR, obtained from the analysis of images acquired from a unpiloted aerial vehicle, UAV, platform. The measurements of reference evapotranspiration (ETo) were obtained from two meteorological stations located in the study area. The landscape evapotranspiration, ETL, was determined in the fairway with multiple microclimates

Deviating colostomy construction versus stent placement as bridge to surgery for malignant left-sided colonic obstruction.

Science.gov (United States)

Amelung, Femke J; Ter Borg, Frank; Consten, Esther C J; Siersema, Peter D; Draaisma, Werner A

2016-12-01

Acute colonic decompression using a deviating colostomy (DC) or a self-expandable metal stent (SEMS) has been shown to lead to fewer complications and permanent stomas compared to acute resection in elderly patients with malignant left-sided colonic obstruction (LSCO). However, no consensus exists on which decompression method is superior, especially in patients treated with curative intend. This retrospective study therefore aimed to compare both decompression methods in potentially curable LSCO patients. All LSCO patients treated with curative intent between 2004 and 2013 in two teaching hospitals were retrospectively identified. In one institution, a DC was the standard of care, whereas in the other all patients were treated with SEMS. In total, 88 eligible LSCO patients with limited disease and curative treatment options were included; 51 patients had a SEMS placed and 37 patients a DC constructed. All patients eventually underwent a subsequent elective resection. In sum, 235 patients were excluded due to benign or inoperable disease. No significant differences were found for hospital stay, morbidity, disease-free and overall survival and mortality. Major complications were seen in 13/51 (25.5 %) patients in the SEMS group and were mostly due to stent dysfunction (n = 7). Also, one stent-related perforation occurred. Major complications occurred in 4/37 (10.8 %) patients in the DC group, including abdominal sepsis (n = 3) and wound dehiscence (n = 1). Long-term complication rate was significantly higher in the DC group (29.7 vs. 9.8 %, p = 0.01), mainly due to a high incisional hernia rate. Fewer patients had a temporary colostomy following elective resection after SEMS placement (62.2 vs. 17.6 %, p colostomy rate was not significantly different. SEMS and DC are both effective decompression methods for curable LSCO patients with comparable short- and long-term oncological outcomes; however, more surgical procedures are performed after DC due to an

Organic cultivation of onion under castor cake fertilization and irrigation depths

Directory of Open Access Journals (Sweden)

Gabriel Alves Botelho de Mello

2017-11-01

Full Text Available Two experiments were carried out to evaluate the effects that different doses of castor bean (0, 200, and 300 g m-2 and irrigation levels (204, 224, 278, and 321 mm in 2014, and 278, 302, 397, and 444 mm in 2015 have on both the productivity and quality of onion bulbs. In the experiments, the experimental design was randomized blocks (4 x 3 factorial scheme, with five replicates. Irrigation management was performed using a Simplified Irrigation Device (SID in response to soil water tension in the treatment of highest irrigation depth. The following variables were evaluated: plant dry biomass (PDB, bulb dry biomass (BDB, total yield (TY, mean bulb fresh weight (MBFW, mean bulb dry weight (MBDW, mean bulb diameter (MBD and water use efficiency (WUE. The highest irrigation depths positively influenced the mean production of onion bulbs, regardless of the applied dose of castor cake. The doses of castor cake positively influenced the production of onion bulbs when higher irrigation depths were applied.

Scheduling of Irrigation and Leaching Requirements

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Amer Hassan Al-haddad

2015-03-01

Full Text Available Iraq depends mainly on Tigris and Euphrates Rivers to provide high percentage of agricultural water use for thousands years. At last years, Iraq is suffering from shortage in water resources due to global climate changes and unfair water politics of the neighboring countries, which affected the future of agriculture plans for irrigation, added to that the lack of developed systems of water management in the irrigation projects and improper allocation of irrigation water, which reduces water use efficiency and lead to losing irrigation water and decreasing in agricultural yield. This study aims at studying the usability of irrigation and leaching scheduling within the irrigating projects and putting a complete annual or seasonal irrigation program as a solution for the scarcity of irrigation water, the increase of irrigation efficiency, lessening the salinity in the projects and preparing an integral irrigation calendar through field measurements of soil physical properties and chemical for project selected and compared to the results of the irrigation scheduling and leaching with what is proposed by the designers. The process is accomplished by using a computer program which was designed by Water Resources Department at the University of Baghdad, with some modification to generalize it and made it applicable to various climatic zone and different soil types. Study area represented by large project located at the Tigris River, and this project was (Al-Amara irrigation project. Sufficient samples of project's soil were collected so as to identify soil physical and chemical properties and the salinity of soil and water as well as identifying the agrarian cycles virtually applied to this project. Finally, a comparison was conducted between the calculated water quantities and the suggested ones by the designers. The research results showed that using this kind of scheduling (previously prepared irrigation and leaching scheduling with its properties

Thermal infrared sensors for postharvest deficit irrigation of peach

Science.gov (United States)

California has been in a historic drought and the lack of water has been a major problem for agriculture especially for crops that depend on irrigation. A multi-year field study was carried out to demonstrate the feasibility of applying thermal infrared sensors for managing deficit irrigation in an ...

Physiological and biochemical characterization of mango tree with paclobutrazol application via irrigation

Directory of Open Access Journals (Sweden)

Moisés Alves de Souza

2016-12-01

Full Text Available Paclobutrazol application in mango tree floral induction is followed by changes in the hormonal balance and carbohydrates production. This study aimed at evaluating the physiological and biochemical variables of mango tree (Palmer cultivar by applying paclobutrazol doses via irrigation. The experimental design was randomized blocks, with five paclobutrazol doses (0.7 g, 1.0 g, 1.3 g, 1.6 g and 1.9 g of a.i. per linear meter of canopy and one additional treatment, with one dose in the conventional form of application (1.9 g of a.i. per linear meter of canopy, and four replicates. The variables analyzed were: photosynthesis rate; stomatal conductance; transpiration; leaf temperature; CO2 ratio; total protein content; reducing, non-reducing and total soluble sugars in leaf tissue and fruit; and nitrate reductase enzyme. The lowest values for photosynthesis rate and stomatal conductance were obtained with paclobutrazol applied via irrigation. The highest values for gas exchange were obtained with the lowest paclobutrazol doses applied via irrigation, showing that this kind of application is efficient and that it is possible to reduce the application dose via irrigation system. The highest carbohydrate contents in the leaf tissue were observed for the doses of 1.06 g and 1.09 g of a.i. per linear meter of canopy, applied via irrigation. The carbohydrate contents in fruits decreased in response to the paclobutrazol dose. The application methods and doses applied via irrigation did not influence the nitrate reductase activity.

Decision support system for surface irrigation design

OpenAIRE

Gonçalves, José M.; Pereira, L.S.

2009-01-01

The SADREG decision support system was developed to help decision makers in the process of design and selection of farm surface irrigation systems to respond to requirements of modernization of surface irrigation—furrow, basin, and border irrigation. It includes a database, simulation models, user-friendly interfaces, and multicriteria analysis models. SADREG is comprised of two components: design and selection. The first component applies database information, and through several si...

Conserving energy through new irrigation technologies. Technical briefing report

Energy Technology Data Exchange (ETDEWEB)

1982-07-01

The benefits and applications of five irrigation technologies are explored: mobile drop-tube irrigation, computerized scheduling, reduced-pressure center pivots, well design and development, and automated gated-pipe systems. Perhaps the most promising of the new irrigation technologies is the low-energy, precision-application (LEPA) system. This mobile system used one-half the energy of conventional sprinkler systems and distributes water with greater efficiency through a series of low-pressure drop tubes suspended above the crop. Computerized methods of irrigation scheduling have been developed to help farmers conserve water and energy. Special computer programs determine when a crop needs water and how much to apply for optimal plant growth, thus preventing the unnecessary costs of pumping more water than the crop needs. Field test results show that replacing traditional scheduling methods of irrigation with computerized scheduling can reduce energy and water use by as much as 35%. The irrigation industry is actively promoting reduced-pressure water application methods, particularly for center-pivot systems. Reduced-pressure systems expend less energy but produce the same crop yields as conventional high-pressure systems, as long as excessive water runoff does not occur. If well design and development techniques are applied when a well is drilled into an unconsolidated acquifer, the well's life expectancy, as well as its operating efficiency, can increase, the later by as much as 40%.

Using deficit irrigation with treated wastewater to improve crop water productivity of sweet corn, chickpea, faba bean and quinoa

Directory of Open Access Journals (Sweden)

Abdelaziz HIRICH

2014-07-01

Full Text Available Several experiments were conducted in the south of Morocco (IAV-CHA, Agadir during two seasons 2010 and 2011 in order to evaluate the effect of deficit irrigation with treated wastewater on several crops (quinoa, sweet corn, faba bean and chickpeas. During the first season (2010 three crops were tested, quinoa, chickpeas and sweet corn applying 6 deficit irrigation treatments during all crop stages alternating 100% of full irrigation as non-stress condition and 50% of full irrigation as water deficit condition applied during vegetative growth, flowering and grain filling stage. For all crops, the highest water productivity and yield were obtained when deficit irrigation was applied during the vegetative growth stage. During the second season (2011 two cultivars of quinoa, faba bean and sweet corn have been cultivated applying 6 deficit irrigation treatments (rainfed, 0, 25, 50, 75 and 100% of full irrigation only during the vegetative growth stage, while in the rest of crop cycle full irrigation was provided except for rainfed treatment. For quinoa and faba bean, treatment receiving 50% of full irrigation during vegetative growth stage recorded the highest yield and water productivity, while for sweet corn applying 75% of full irrigation was the optimal treatment in terms of yield and water productivity.

Double-barrelled wet colostomy formation after pelvic exenteration for locally advanced or recurrent rectal cancer.

Science.gov (United States)

Bloemendaal, A L A; Kraus, R; Buchs, N C; Hamdy, F C; Hompes, R; Cogswell, L; Guy, R J

2016-11-01

In advanced pelvic cancer it may be necessary to perform a total pelvic exenteration. In such cases urinary tract reconstruction is usually achieved with the creation of an ileal conduit with a urinary stoma on the right side of the patient's abdomen and an end colostomy separately on the left. The potential morbidity from a second stoma may be avoided by the use of a double-barrelled wet colostomy (DBWC), as a single stoma. Another advantage is the possibility of using a vertical rectus abdominis muscle flap for perineal reconstruction. All patients undergoing formation of a DBWC were included. A DBWC was formed in 10 patients. One patient underwent formation of a double-barrelled wet ileostomy. In this technical note we present our early experience in 11 cases and a video of DBWC formation in a male patient. Colorectal Disease © 2016 The Association of Coloproctology of Great Britain and Ireland.

A prospective randomized controlled trial comparing early postoperative complications in patients undergoing loop colostomy with and without a stoma rod.

Science.gov (United States)

Franklyn, J; Varghese, G; Mittal, R; Rebekah, G; Jesudason, M R; Perakath, B

2017-07-01

A stoma rod or bridge has been traditionally placed under the bowel loop while constructing a loop colostomy. This is believed to prevent stomal retraction and provide better faecal diversion. However, the rod can cause complications such as mucosal congestion, oedema and necrosis. This single-centre prospective randomized controlled trial compared outcomes after creation of loop colostomy with and without a supporting stoma rod. The primary outcome studied was stoma retraction rate; other stoma-related complications were studied as secondary outcomes. One hundred and fifty-one patients were randomly allotted to one of two arms, colostomy with or without a supporting rod. Postoperative complications such as retraction, mucocutaneous separation, congestion and re-exploration for stoma-related complications were recorded. There was no difference in the stoma retraction rate between the two arms (8.1% in the rod arm and 6.6% in the no-rod arm; P = 0.719). Stomal necrosis (10.7% vs 1.3%; P = 0.018), oedema (23% vs 3.9%; P = 0.001), congestion (20.3% vs 2.6%; P = 0.001) and re-admission rates (8.5% vs 0%; P = 0.027) were significantly increased in the arm randomized to the rod. The stoma rod does not prevent stomal retraction. However, complication rates are significantly higher when a stoma rod is used. Routine use of a stoma rod for construction of loop colostomy can be avoided. Colorectal Disease © 2017 The Association of Coloproctology of Great Britain and Ireland.

Taking good care of myself: a qualitative study on self-care behavior among Chinese persons with a permanent colostomy.

Science.gov (United States)

Tao, Hui; Songwathana, Praneed; Isaramalai, Sang-arun; Wang, Qingxi

2014-12-01

In Chinese culture, as a possible consequence of Confucianism, caring for the sick is considered a moral obligation of family members, while self-care is only the basis of fulfilling filial piety. This qualitative study aims to explore the self-care behavior among persons with a permanent colostomy in a Chinese cultural context of emphasizing the role of family caregiving. Data from in-depth interviews with seven Chinese adults at a university hospital in southwest China were analyzed using content analysis. Informants' self-care behavior was characterized by "taking good care of myself," which underlined individuals' efforts to manage colostomy-related impacts involving: (i) taking care of my colostomy with a proper degree of independence; (ii) taking care of my life by dealing with limitations; (iii) taking care of my mood in a positive way. Findings revealed that informants' self-care behavior was linked to their Confucian beliefs in family obligations, and also influenced by a happy-go-lucky outlook of life, a likely product of Taoism. The information is useful for nurses to design a culturally appropriate care plan to improve self-care behavior and proper family caregiving. © 2014 Wiley Publishing Asia Pty Ltd.

Basaloid large cell lung carcinoma presenting as cutaneous metastasis at the colostomy site after abdominoperineal resection for rectal carcinoma.

Science.gov (United States)

Sabater-Marco, Vicente; García-García, José Angel; Roig-Vila, José Vicente

2013-08-01

The occurrence of a tumor at the colostomy site after abdominoperineal resection for rectal carcinoma is rare and it may be related to a previously resected carcinoma or another primary tumor. We report a 61-year-old man who developed an ulcerated skin nodule at her colostomy site 6 years after resection of a rectal adenocarcinoma. Histopathologically, the skin nodule was composed of atypical large and pleomorphic cells with high mitotic rate and they were arranged in nests and within lymphatic channels in the dermis. The neoplastic cells were immunoreactive for cytokeratin (CK) AE1/3, CK7, CK34ßE12, epithelial membrane antigen and vimentin while detection of human papillomavirus and Epstein-Barr virus DNA was negative. A diagnosis of basaloid large cell carcinoma of pulmonary origin was suggested and it was confirmed by computed tomography-guided fine needle aspiration of a right subpleural mass. A metastatic tumor at the colostomy site is an exceptional finding and may be the first manifestation of lung cancer, especially if it consist of pleomorphic large cells with high mitotic rate and basaloid immunophenotype. © 2013 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Effects of irrigation strategies and soils on field grown potatoes

DEFF Research Database (Denmark)

Ahmadi, Seyed Hamid; Plauborg, Finn; Andersen, Mathias Neumann

2011-01-01

Root distribution of field grown potatoes (cv. Folva) was studied in 4.32m2 lysimeters and subjected to full (FI), deficit (DI), and partial root-zone drying (PRD) irrigation strategies. Drip irrigation was applied for all irrigations. Irrigations were run in three different soils: coarse sand......, loamy sand, and sandy loam. Irrigation treatments started after tuber bulking and lasted until final harvest with PRD and DI receiving 65% of FI. Potatoes irrigated with water-saving irrigation techniques (PRD and DI) did not show statistically different dry root mass and root length density (RLD, cm...... density in the furrow. Most roots accumulated in the surface layers of coarse sand as compared to the other soil types. In the deep soil profile (30–70 cm) a higher root density was found in loamy sand compared with the sandy loam and coarse sand. Approximately twice the amounts of roots were found below...

Rational use of water in trickle irrigation design.

Science.gov (United States)

Saad, J. C. C.; da Silva Junior, H. M.

2012-04-01

In trickle irrigation systems, the design is based on the pre-established emission uniformity (EU) which is the combined result of the equipment characteristics and its hydraulic configuration. However, this desired value of the EU may not be confirmed by the final project (in field conditions) and neither by the yield uniformity. However, the most important is to assure yield uniformity with rational use of water. The hypotheses of this research were: a) the EU of a trickle irrigation system at field conditions is equal to the emission uniformity pre-established in the design; b) EU has always the lowest value when compared with other indicators of uniformity; c) the discharge variation coefficient is not equal to production variation coefficient in the operational unit; d) the productivity variation coefficient is more dependent on water depth applied than the EU. This study aimed to evaluate the relationships among EU used in the irrigation system design, water depth applied and the final yield uniformity. The uniformity indicators evaluated were: EU, distribution uniformity (UD) and the index proposed by Barragan & Wu (2005). They were compared estimating the performance of a trickle irrigation system applied in a citrus orchard with dimensions of 400m x 600m. The design of the irrigation system was optimized by a Linear Programming model. The tree rows were leveled in the larger direction and the spacing adopted in the orchard was 7m x 4m. The manifold line was always operating on a slope condition. The sensitivity analysis involved different slopes, 0, 3, 6, 9 and 12%, and different values of emission uniformity, 60, 70, 75, 80, 85, 90 and 94%. The citrus yield uniformity was evaluated by the variation coefficient. The emission uniformity (EU) after design differed from the EU pre-established, more sharply in the initial values lower than 90%. Comparing the uniformity indexes, the EU always generated lower values when compared with the UD and with the index

Nitrogen uptake efficiency of irrigated wheat in Egypt

International Nuclear Information System (INIS)

Abdel Monem, M.A.S.

2000-01-01

Egypt's current wheat production would be impossible without N fertilizers, the consumption of which has increased more than 75% in the last 20 years. The efficiency of uptake of applied N is low, and better management of both fertilizer and irrigation is needed to improve N recovery by crops and reduce losses from the plant/soil system. Field trials were conducted over a 3-year period, on Egypt's three main soil types: old irrigated land of the Nile valley, newly reclaimed sandy and calcareous soils, and salt-affected soil of the north delta. The responses of wheat cultivars to N, and patterns of N uptake and N loss, as affected by irrigation regime, were examined using 15 N. Cultivar Sakha 69 was more responsive to applied N and assimilated N more efficiently than other varieties under different soil types. Nitrogen loss from the sandy soil was as high as 57% whereas average loss in the clay soil was 17%. A higher water table in the salt-affected soil negatively affected N uptake. Irrigation with 75% of the required water for wheat had no effect on yield or N-uptake. (author)

Agronomic and physiological impacts of irrigation frequency on green basil (Ocimum basilicum L.)

OpenAIRE

Gao, Peng; Dodd, Ian

2015-01-01

Water scarcity is a major factor restricting agricultural production and irrigation globally, with sustainable agricultural development calling for less irrigation water use and more production per unit of water applied. Improved understanding of plant physiological responses to water stress, and the effect of irrigation frequency on plant biomass production and quality, may help to optimize irrigation scheduling. Glasshouse-grown basil (Ocimum basilicum L.) received three different irrigatio...

Ring Irrigation System (RIS design through customer preference representation

Directory of Open Access Journals (Sweden)

Ridwan Infandra I.Z.

2018-01-01

Full Text Available In agricultural field, irrigation is one of the most interesting considerations affecting the rate of plant growth and development. Micro-irrigation as the dripping or sprinkle method is one of the irrigation types that applies the small amount of water for fulfilling the humidity requirement. The most important factors affecting the demand of water for plants are soil conditions and effect of climatic factors. With less human labour required, to improve the irrigation method from the recent days, analyzing water used or water permeation automatically through the soil moisture has been raised as the interesting topic. Proposed in this research is the ring irrigation system (RIS which is introduced as an alternative channel for emitters that drip water directly onto the soil at the plant’s root zone where the soil conditions before and after watering can be quickly detected by the sensors. This RIS can be used for the potted plant, green house, or other small farm fields. Product design and development (PDD is applied in this research for assisting the designer to understand and create the RIS prototype properly according to the customer’s requirements where the suggested functions obtained will be added and tested.

Rice Photosynthetic Productivity and PSII Photochemistry under Nonflooded Irrigation

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Haibing He

2014-01-01

Full Text Available Nonflooded irrigation is an important water-saving rice cultivation technology, but little is known on its photosynthetic mechanism. The aims of this work were to investigate photosynthetic characteristics of rice during grain filling stage under three nonflooded irrigation treatments: furrow irrigation with plastic mulching (FIM, furrow irrigation with nonmulching (FIN, and drip irrigation with plastic mulching (DI. Compared with the conventional flooding (CF treatment, those grown in the nonflooded irrigation treatments showed lower net photosynthetic rate (PN, lower maximum quantum yield (Fv/Fm, and lower effective quantum yield of PSII photochemistry (ΦPSII. And the poor photosynthetic characteristics in the nonflooded irrigation treatments were mainly attributed to the low total nitrogen content (TNC. Under non-flooded irrigation, the PN, Fv/Fm, and ΦPSII significantly decreased with a reduction in the soil water potential, but these parameters were rapidly recovered in the DI and FIM treatments when supplementary irrigation was applied. Moreover, The DI treatment always had higher photosynthetic productivity than the FIM and FIN treatments. Grain yield, matter translocation, and dry matter post-anthesis (DMPA were the highest in the CF treatment, followed by the DI, FIM, and FIN treatments in turn. In conclusion, increasing nitrogen content in leaf of rice plants could be a key factor to improve photosynthetic capacity in nonflooded irrigation.

Reply to: Can we avoid rectus abdominis muscle atrophy and midline shift after colostomy creation?

NARCIS (Netherlands)

L. Timmermans (Lucas); E.B. Deerenberg (Eva); S.M. van Dijk (Sven); B. Lamme (Bas); A.H.J. Koning (Anton); G.J. Kleinrensink (Gert Jan); J. Jeekel (Johannes); J.F. Lange (Johan)

2015-01-01

markdownabstractWe read with interest the letter to the editor by Stephenson et al regarding our article “Abdominal rectus muscle atrophy and midline shift after colostomy creation.” Any attempt to decrease the risk of parastomal herniation should be applauded, because its incidence of greater than

Automation in irrigation process in family farm with Arduino platform

Directory of Open Access Journals (Sweden)

Kianne Crystie Bezerra da Cunha

2016-03-01

Full Text Available The small farmers tend not to use mechanical inputs in the irrigation process due to the high cost than conventional irrigation systems have and in other cases, the lack of knowledge and technical guidance makes the farmer theme using the system. Thus, all control and monitoring are made by hand without the aid of machines and this practice can lead to numerous problems from poor irrigation, and water waste, energy, and deficits in production. It is difficult to deduce when to irrigate, or how much water applied in cultivation, measure the soil temperature variables, temperature, and humidity, etc. The objective of this work is to implement an automated irrigation system aimed at family farming that is low cost and accessible to the farmer. The system will be able to monitor all parameters from irrigation. For this to occur, the key characteristics of family farming, Arduino platform, and irrigation were analyzed.

Economic risk assessment of drought impacts on irrigated agriculture

Science.gov (United States)

Lopez-Nicolas, A.; Pulido-Velazquez, M.; Macian-Sorribes, H.

2017-07-01

In this paper we present an innovative framework for an economic risk analysis of drought impacts on irrigated agriculture. It consists on the integration of three components: stochastic time series modelling for prediction of inflows and future reservoir storages at the beginning of the irrigation season; statistical regression for the evaluation of water deliveries based on projected inflows and storages; and econometric modelling for economic assessment of the production value of agriculture based on irrigation water deliveries and crop prices. Therefore, the effect of the price volatility can be isolated from the losses due to water scarcity in the assessment of the drought impacts. Monte Carlo simulations are applied to generate probability functions of inflows, which are translated into probabilities of storages, deliveries, and finally, production value of agriculture. The framework also allows the assessment of the value of mitigation measures as reduction of economic losses during droughts. The approach was applied to the Jucar river basin, a complex system affected by multiannual severe droughts, with irrigated agriculture as the main consumptive demand. Probability distributions of deliveries and production value were obtained for each irrigation season. In the majority of the irrigation districts, drought causes a significant economic impact. The increase of crop prices can partially offset the losses from the reduction of production due to water scarcity in some districts. Emergency wells contribute to mitigating the droughts' impacts on the Jucar river system.

Quality of life after surgery for rectal cancer: do we still need a permanent colostomy?

Science.gov (United States)

Renner, K; Rosen, H R; Novi, G; Hölbling, N; Schiessel, R

1999-09-01

A permanent colostomy is a serious limitation of the quality of life. Besides cure of cancer, preservation of sphincter function is an important goal of surgery for rectal cancer. In a prospective study a concept offering every patient with rectal cancer either sphincter salvage or a "neosphincter" was investigated, and the impact of this strategy on oncologic results, sphincter function, and quality of life was analyzed. From 1992 to 1997, 276 patients were accepted for the study. Two hundred sixty-one patients had elective surgery, and 15 patients had emergency surgery for their rectal tumors. The postoperative mortality rate was 4 percent. A radical resection (R0) was possible in 197 patients (75 percent). Anterior resection was the most common procedure (n = 87), and intersphincteric resection with coloanal anastomosis was the preferred method for low tumors (n = 65). Abdominoperineal resection was necessary in 15 cases. Thirteen patients had an immediate restoration of sphincter function by means of a dynamic graciloplasty, and 2 patients needed emergency abdominoperineal resection for bleeding. The follow-up was relatively short (median, 36.4 months) at the time of data analysis and showed a local recurrence rate of 8 percent. Although postoperative continence according to the Williams score revealed satisfactory results, subjective quality of life and the scale for specific symptoms showed a significantly worse outcome in patients with ultralow (coloanal) anastomoses compared with those with anterior resection. We conclude that for elective curative surgery of rectal cancer, a permanent colostomy is not necessary provided all presently available techniques of sphincter salvage and restoration are applied. However, the patient has to be informed about possible side effects associated with surgical procedures such as coloanal anastomosis or neosphincter reconstruction, to avoid severe psychological difficulties.

Irrigation Depletions 1928-1989 : 1990 Level of Irrigation, Snake Yakima and Deschutes River Basins.

Energy Technology Data Exchange (ETDEWEB)

United States. Bonneville Power Administation; A.G. Crook Company

1993-07-01

The vast amount of irrigation in relation to the available water and extensive system of reservoirs located in the Snake River Basin above Brownlee reservoir precludes this area from using methods such as Blaney-Criddle for estimating irrigation depletions. Also the hydrology, irrigation growth patterns, and water supply problems are unique and complex. Therefore regulation studies were utilized to reflect the net effect on streamflow of the changes in irrigated acreage in terms of corresponding changes in storage regulation and in the amount of water depleted and diverted from and returned to the river system. The regulation study for 1990 conditions was conducted by the Idaho Department of Water Resources. The end product of the basin simulation is 61 years of regulated flows at various points in the river system that are based on 1990 conditions. Data used by the Idaho Department of Water Resources is presented in this section and includes natural gains to the river system and diversions from the river system based on a 1990 level of development and operation criteria. Additional information can be obtained for an Idaho Department of Water Resources Open-File Report ``Stream Flows in the Snake River Basin 1989 Conditions of Use and Management`` dated June 1991. Similar considerations apply to the Yakima and Deschutes river basins.

Expanding the Annual Irrigation Maps (AIM) Product to the entire High Plains Aquifer (HPA): Addressing the Challenges of Cotton and Deficit-Irrigated Fields

Science.gov (United States)

Rapp, J. R.; Deines, J. M.; Kendall, A. D.; Hyndman, D. W.

2017-12-01

The High Plains Aquifer (HPA) is the most extensively irrigated aquifer in the continental United States and is the largest major aquifer in North America with an area of 500,000 km2. Increased demand for agricultural products has led to expanded irrigation extent, but brought with it declining groundwater levels that have made irrigation unsustainable in some locations. Understanding these irrigation dynamics and mapping irrigated areas through time are essential for future sustainable agricultural practices and hydrological modeling. Map products using remote sensing have only recently been able to track annual dynamics at relatively high spatial resolution (30 m) for a large portion of the northern HPA. However follow-on efforts to expand these maps to the entire HPA have met with difficulty due to the challenge of distinguishing irrigation in crop types that are commonly deficit- or partially-irrigated. Expanding these maps to the full HPA requires addressing unique features of partially irrigated fields and irrigated cotton, a major water user in the southern HPA. Working in Google Earth Engine, we used all available Landsat imagery to generate annual time series of vegetation indices. We combined this information with climate covariables, planting dates, and crop specific training data to algorithmically separate fully irrigated, partially irrigated, and non-irrigated field locations. The classification scheme was then applied to produce annual maps of irrigation across the entire HPA. The extensive use of ancillary data and the "greenness" time series for the algorithmic classification generally increased accuracy relative to previous efforts. High-accuracy, representative map products of irrigation extent capable of detecting crop type and irrigation intensity within aquifers will be an essential tool to monitor the sustainability of global aquifers and to provide a scientific bases for political and economic decisions affecting those aquifers.

Deviating colostomy construction versus stent placement as bridge to surgery for malignant left-sided colonic obstruction

NARCIS (Netherlands)

Amelung, F.J.; Borg, F. ter; Consten, E.C.; Siersema, P.D.; Draaisma, W.A.

2016-01-01

BACKGROUND: Acute colonic decompression using a deviating colostomy (DC) or a self-expandable metal stent (SEMS) has been shown to lead to fewer complications and permanent stomas compared to acute resection in elderly patients with malignant left-sided colonic obstruction (LSCO). However, no

Uncertainties in modelling the climate impact of irrigation

Science.gov (United States)

de Vrese, Philipp; Hagemann, Stefan

2017-11-01

Irrigation-based agriculture constitutes an essential factor for food security as well as fresh water resources and has a distinct impact on regional and global climate. Many issues related to irrigation's climate impact are addressed in studies that apply a wide range of models. These involve substantial uncertainties related to differences in the model's structure and its parametrizations on the one hand and the need for simplifying assumptions for the representation of irrigation on the other hand. To address these uncertainties, we used the Max Planck Institute for Meteorology's Earth System model into which a simple irrigation scheme was implemented. In order to estimate possible uncertainties with regard to the model's more general structure, we compared the climate impact of irrigation between three simulations that use different schemes for the land-surface-atmosphere coupling. Here, it can be shown that the choice of coupling scheme does not only affect the magnitude of possible impacts but even their direction. For example, when using a scheme that does not explicitly resolve spatial subgrid scale heterogeneity at the surface, irrigation reduces the atmospheric water content, even in heavily irrigated regions. Contrarily, in simulations that use a coupling scheme that resolves heterogeneity at the surface or even within the lowest layers of the atmosphere, irrigation increases the average atmospheric specific humidity. A second experiment targeted possible uncertainties related to the representation of irrigation characteristics. Here, in four simulations the irrigation effectiveness (controlled by the target soil moisture and the non-vegetated fraction of the grid box that receives irrigation) and the timing of delivery were varied. The second experiment shows that uncertainties related to the modelled irrigation characteristics, especially the irrigation effectiveness, are also substantial. In general the impact of irrigation on the state of the land

Effects of soil moisture conservation practice, irrigation and fertilization on Jatropha curcas

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Aran Phiwngam

2016-11-01

Full Text Available A field experiment was conducted on an Ultic Haplustalf at the Kanchanaburi Research Station, Muang district, Kanchanaburi province, western Thailand between July 2011 and June 2012. Split plots in a randomized complete block design with four replications were employed, having eight main plots (soil moisture conservation practice and irrigation, W1–W8 and 2 sub plots (fertilization, F1 and F2. Jatropha curcas (KUBP 78-9 Var., having been planted at 2 × 2 m spacing, was aged 2 yr when the experiment was commenced. The highly significantly heaviest 100-seed weight of 42 g was obtained 1 mth after water irrigation which had been applied at the rate of 16 L/plant, particularly in the treatment with crop residue mulching (W8 but there were no significant differences among the other treatments where irrigation had been applied (W5–W7. Fertilization and a combination between different fertilizers and soil moisture conservation schemes plus irrigation showed no different effect on the weight of 100 seeds throughout the year of measurement. Growing J. curcas with drip-irrigated water at the rate of 16 L/plant applied every 2 d and crop residue mulching (W8 significantly gave the highest seed yield of 1301.3 kg/ha at 15% moisture content. There were no significant differences among the seed yields from the plots applied with the same amount of irrigated water but with no mulching (W7 and half that amount of irrigated water with crop residue mulching (W6, producing yields of 1112.0 kg/ha and 1236.3 kg/ha, respectively. Three-year-old J. curcas gave inferior seed yield when grown with no irrigated water supply (W1–W4. The application of 50–150–150 kg/ha of N–P2O5–K2O significantly induced a higher amount of seed yield (933.9 kg/ha than did the addition of 93.75–93.75–93.75 kg/ha of N–P2O5–K2O (786.3 kg/ha. The interaction between soil moisture conservation plus irrigation and fertilizer was clear. Applying 50–150�

ASPECTS OF DRIP IRRIGATION ON SLOPES

Directory of Open Access Journals (Sweden)

Oprea Radu

2010-01-01

Full Text Available Nowadays, water and its supply raise problems of strategic importance, of great complexity, being considered one of the keys to sustainable human development. Drip irrigation consists in the slow and controlled administration of water in the area of the root system of the plants for the purposes of fulfilling their physiological needs and is considered to be one of the variants of localized irrigation. Water is distributed in a uniform and slow manner, drop by drop, in a quantity and with a frequency that depend on the needs of the plant, thanks to the exact regulation of the water flow rate and pressure, as well as to the activation of the irrigation based on the information recorded by the tensiometer with regard to soil humidity. This method enables the exact dosage of the water quantity necessary in the various evolution stages of the plant, thus eliminating losses. By applying the irrigation with 5 liters of water per linear meter, at a 7 days interval, in the month of august, for a vine cultivated on a slope, in layers covered with black film and irrigated via dropping, soil humidity immediately after irrigation reaches its highest level, but within the limits of active humidity, on the line of the irrigation band. Three days later, the water content of the soil in the layer is relatively uniform, and, after this interval, it is higher in the points situated at the basis of the film. This technology of cultivation on slopes favors the accumulation, in the soil, of the water resulted from heavy rains and reduces soil losses as a result of erosion.

Obstruction and uniformity in drip irrigation systems by applying treated wastewater

Directory of Open Access Journals (Sweden)

Patrícia Ferreira da Silva

Full Text Available ABSTRACT The use of wastewater in agriculture is an alternative to control surface water pollution, and helps to promote the rational use of water. Therefore, the objective of this study was to evaluate the obstruction and uniformity of application of treated wastewater in drip irrigation systems. The study was conducted in a greenhouse at the Universidade Federal de Campina Grande. The treatments were composed by the factorial combination of two factors: three types of water (supply water-ABAST, effluent of a constructed wetland system -WETLAND and upflow of anaerobic reactor effluent followed by constructed wetland system -UASB + WETLAND, and two drip irrigation systems (surface and subsurface, set in a completely randomized design, with four replications. The results indicated that the pH, suspended solids, total iron and coliforms of the WETLAND and UASB + WETLAND treatments represented a severe risk of clogging of drippers; the flow of the emitters increased as the service pressure was increased; values of CUC and CUD in surface and subsurface drip were classified as excellent in ABAST and WETLAND treatments. The degree of clogging reduced as pressure under surface and subsurface drip was increased.

Treatment of Fournier's Gangrene with Combination of Vacuum-Assisted Closure Therapy, Hyperbaric Oxygen Therapy, and Protective Colostomy

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Giovanni Zagli

2011-01-01

Full Text Available Fournier's gangrene is a rare process which affects soft tissue in the genital and perirectal area. It can also progress to all different stages of sepsis, and abdominal compartment syndrome can be one of its complications. Two patients in septic shock due to Fournier gangrene were admitted to the Intensive Care Unit of Emergency Department. In both cases, infection started from the scrotum and the necrosis quickly involved genitals, perineal, and inguinal regions. Patients were treated with surgical debridement, protective colostomy, hyperbaric oxygen therapy, and broad-spectrum antibacterial chemotherapy. Vacuum-assisted closure (VAC therapy was applied to the wound with the aim to clean, decontaminate, and avoid abdominal compartmental syndrome development. Both patients survived and were discharged from Intensive Care Unit after hyperbaric oxygen therapy cycles and abdominal closure.

An experimental study on the grape orchard: Effects comparison of two irrigation systems

Directory of Open Access Journals (Sweden)

Kadbhane Sharad J.

2017-03-01

Full Text Available Table grape (Vitis vinifera cultivars is a major cash crop in the Nashik district of India, which requires irrigation water throughout the year as per demand instantly. Canal irrigation is the adopted irrigation systems in the study area, but canal irrigation has got several serious disadvantages, such as mismatching rotation schedules and crop water demands, water allotment system and restrictions on the use of efficient irrigation methods. The storing the canal water in the farm pond instead of directly applying to the field using the free flooding method is alternate solution to overcome the disadvantages of the canal irrigation system. Once the canal water storing in the pond, it increases the possibilities to use the advance irrigation system like drip, subsurface, sprinkler etc. to enhance water use efficiency. The comparative study between the canal water directly applying for the field and canal water storing in the farm pond then use for irrigation, executed through the field experiments carried out on the grape orchard during a period April 2013 to March 2016. Results have been evaluated based on grape yield, water-productivity, berry size, and biomass. Water productivity (kg·m-3 with respect to water delivery to crop through the pond irrigation method was found 37% higher than the canal irrigation method during the study period. Based on the results, this study recommended the use of the farm pond to store the canal water and use it as per crop demand using advance irrigation systems.

Condensation irrigation a system for desalination and irrigation

International Nuclear Information System (INIS)

Lindblom, J.; Nordell, B

2006-01-01

condensation irrigation is a system for both desalination and irrigation. The principles is that humidified air is let into an underground horizontal pipe system, where the air is cooled by the ground and humidity falls out as fresh water. The humidification could e.g. be achieved by evaporation of seawater in solar stills or any other heat source. By using drainage pipes for underground air transportation the water percolates into the soil, thereby irrigating the land. This study focuses on drinking water production, which means that humid air is led into plan pipes where the condensed water is collected at the pipe endings. Numerical simulations gave a study-state diurnal mean water production of 1.8 kg per meter of pipe over a 50 m pipe. Shorter pipes result in a greater mean production rate. Since the heat transfer of drainage pipes would be greater, current study indicates that condensation irrigation is a promising method for desalination and irrigation. Performed studies in condensation irrigation started at LTU in 2003. Current paper reports the initial theoretical work on the system.(Author)

Radiation interception and radiation use efficiency of potato affected by different N fertigation and irrigation regimes

DEFF Research Database (Denmark)

Zhenjiang, Zhou; Andersen, Mathias Neumann; Plauborg, Finn

2016-01-01

Three years of field experiments were carried out to explore the response of potato dry matter production, accumulated intercepted photosynthetic active radiation (Aipar) and radiation use efficiency (RUE) to five N levels providing 0, 60, 100, 140 and 180 kg N ha−1 and three drip irrigation...... strategies, which were full, deficit and none irrigation. Results showed that, irrespective of years, dry matter production and Aipar were increased by prolonged N fertigation, even though N fertigation was carried out from middle to late growing season. The highest total and tuber dry matter and accumulated...... fertilization occurred when most N was applied early in the growing season and the latest N fertilization should be applied no later than 41–50 days after emergence. Deficit irrigation, which received ca.70% of irrigation applied to full irrigation, did not reduce radiation interception and radiation use...

EFFICACY OF DIFFERENT ENDODONTIC IRRIGATION PROTOCOLS IN CALCIUM HYDROXIDE REMOVAL

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Elka N. Radeva

2016-10-01

Full Text Available Introduction: Calcium hydroxide is widely used in the field of endodontics as a temporary root canal filling. This medicament significantly increases pH and optimizes the treatment outcome. Its total removal before final obturation is very important. Otherwise it could affect the hermetic filling and respectively the endodontic success. Aim: To evaluate the most effective irrigation protocol of calcium hydroxide removal from root canals. Materials and methods: In this study 36 single root canal teeth were observed. They were randomly divided into three groups (n=10 each group according to the technique applied for calcium hydroxide removal - manual irrigation, irrigation and Revo-S rotary instrumentation; and passive ultrasonic irrigation, and a control group (n=6 – irrigation with distilled water only. After calcium hydroxide removals following the procedures above, teeth were separated longitudinally in a buccal-lingual direction and remnants of medicaments were observed in the apical, middle and coronal part of each tooth. Then all of the specimens were observed using scanning electron microscopy and evaluated by a specified scale. The results have undergone statistical analysis. Results: In the case of calcium hydroxide in the apex and in the middle with highest average is Revo-S, followed by Ultrasonic and irrigation. In the coronal part the highest average belongs to Revo-S, irrigation and Ultrasonic. In all groups the highest average is represented by control group. Conclusion: There is not a universal technique for removal of intracanal medicaments and applying more than one protocol is required.

Converting Surface Irrigation to Pressurized Irrigation Systems and its Effecton Yield of OrangeTrees (Case Study:North of Khouzestan

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M. Khorramian

2017-01-01

Full Text Available Introduction: North of the Khouzestan is one of the most important citrus production center. Usually border irrigation is used to irrigate citrus in this area. This system has generally low application efficiency. Several investigations in other arid region have demonstrated in addition to improved irrigation efficiency with low-volume pressurized irrigation systems, citrus trees have adapted with these new irrigation systems. However limited information exists on the performance of mature orchards converted from border surface irrigation to pressurized irrigation systems. Therefore, the current research was conducted to evaluate the feasibility of converting surface irrigation to pressurized irrigation systems on mature citrus trees in climate conditions of North Khouzestan. Materials and Methods: This study was conducted during three years at Safiabad Agricultural Research Center to evaluate the yield of citrus trees and the quality of fruits for two Marss and Valencia varieties which grow 7 years previously with surface irrigation and converted to pressurized irrigation systems. The treatments consisted of six irrigation methods including Overhead sprinkle irrigation (OHSI, Under tree sprinkle irrigation(UTSI, Trickle irrigation(TI(six 8 L/h Netafim emitters, Microjet irrigation (MI(two 180 microjet were located under canopy near of the trunk at opposite sides of trunk,Bubbler irrigation(BI(a single located under the canopy of each treeandSurface irrigation(SI method.Soil texture was clay loam well drained without salinity(ECe=0.69ds m-1, with 1.25 percent organic carbon. The experimental design was completely randomized design. The trees were irrigated during spring and summer seasons. For calculating irrigation water depth in TI, MI and BI systems, daily evaporation from a class A evaporation pan of the Safiabad weather station (nearby the experimental field was collected, and evapotranspiration of the citrus trees was calculated applying a

Review of ultrasonic irrigation in endodontics: increasing action of irrigating solutions

Science.gov (United States)

Mozo, Sandra; Llena, Carmen

2012-01-01

Introduction: Effective irrigant delivery and agitation are prerequisites for successful endodontic treatment. Ultrasonic irrigation can be performed with or without simultaneous ultrasonic instrumentation. Existing literature reveals that ultrasonic irrigation may have a very positive effect on chemical, biological and physical debridement of the root canal system as investigated in many in vitro studies. Objective: The purpose of this review article was to summarize and discuss the available information concerning ultrasonic irrigation in endodontics. Methods: This article presents an overview of ultrasonic irrigation methods and their debridement efficacy. In this paper the relevant literature on passive ultrasonic irrigation is reviewed. Information from original scientific papers or reviews listed in MEDLINE and Cochrane were included in the review. Results: The use of ultrasound in the irrigation procedure results in improved canal cleanliness, better irrigant transfer to the canal system, soft tissue debridement, and removal of smear layer and bacteria. There are many in vitro studies, but there is a need to standardize protocols, and correlate the clinical efficacy of ultrasonic devices with improved treatment outcomes. Understanding the basis of ultrasonic irrigation is fundamental for clinicians and researchers to improve the design and use of ultrasonic irrigation. Key words:Ultrasonic irrigation, ultrasound, smear layer, endodontics. PMID:22143738

Yield, nitrogen uptake and nitrogen use efficiency by tomato, pepper, cucumber, melon and eggplant as affected by nitrogen rates applied with drip-irrigation under greenhouse conditions

International Nuclear Information System (INIS)

Halitligil, M.B.; Akin, A.I.; Kislal, H.; Ozturk, A.; Deviren, A.

2002-01-01

A number of experiments were conducted to investigate the influence of different N rates applied through drip irrigation on the growth and N uptake by tomato, pepper, cucumber, melon and eggplant under greenhouse conditions. It was found that, for tomato, the % NUE was significantly increased by applying the N fertilizer through fertigation (53.9%) as compared to the soil application (34.0%) at 100 mg N/L. In general, any further increase of N fertilizer did not have an improving effect on the tomato yield. With pepper, the % NUE was significantly increased by applying the N fertilizer in the irrigation water (49.2%) as compared to the soil application (33.9%) at the same N level (140 mg N/L), being the optimum N rate under our greenhouse conditions. At a fertilization level of 100 mg N/L with fertigation, the % NUE was significantly increased as compared to the soil application. With respectively cucumber, melon and eggplant; the % NUE with fertigation was 63.4, 21.4 and 50.8%, while with soil application it was 34,0 11.0 and 18.8%. (author)

Irrigation and Autocracy

DEFF Research Database (Denmark)

Bentzen, Jeanet Sinding; Kaarsen, Nicolai; Wingender, Asger Moll

We show that societies with a history of irrigation-based agriculture have been less likely to adopt democracy than societies with a history of rainfed agriculture. Rather than actual irrigation, the empirical analysis is based on how much irrigation potentially can increase yields.Irrigation pot...

Complication related to colostomy orifice: intestinal evisceration

Directory of Open Access Journals (Sweden)

Valdemir José Alegre Salles

2011-12-01

Full Text Available Intestinal evisceration at the site of a stoma is a rare event, with high morbimortality. Its clinical manifestation often occurs between the sixth and seventh days after surgery. The risk factors most frequently related to evisceration are: increased intra-abdominal pressure, digestive tract cancer surgery, emergency surgery and stomas in the surgical incision. The authors report the case of a male patient, aged 62, suffering from adenocarcinoma of the rectum with obstructive acute abdomen, who underwent loop transversotomy for decompression. On the fourth day after surgery, he had a bronchospasm crisis, with evisceration of ileum and colon through the colostomic hole. The association of some triggering factors, such as emergency surgery, colorectal malignant neoplasm, increased intra-abdominal pressure and technical failure of colostomy were decisive in the development of this rare peri-colostomy complication.A evisceração intestinal desenvolvida no sítio de um estoma é um evento raro, tendo elevada morbimortalidade. Sua manifestação clínica ocorre frequentemente entre o sexto e o sétimo dias de pós-operatório. Os fatores de risco mais frequentemente relacionados à evisceração são: aumento da pressão intra-abdominal, câncer do aparelho digestório, cirurgia de urgência e estomias na incisão cirúrgica. Os autores relatam o caso de um paciente do sexo masculino, com 62 anos, portador de adenocarcinoma do reto médio com abdômen agudo obstrutivo, sendo submetido à transversostomia em alça, com finalidade descompressiva. No quarto dia de pós-operatório com crise de broncoespasmo, apresentou evisceração do cólon e íleo pelo orifício abdominal colostômico. A associação de alguns fatores desencadeantes, como a cirurgia de urgência, a doença neoplásica colorretal maligna, o aumento da pressão intra-abdominal e a falha técnica na confecção da colostomia, foram determinantes para o desenvolvimento desta rara

CT colonography after colostomy - clinical application and technical feasibility

International Nuclear Information System (INIS)

Nedevska, A.

2013-01-01

Full text:Introduction: The aim of this study was to evaluate the clinical application and technical implementation of computed tomographic (CT ) colonoscopy in patients undergoing sigmoid or rectal resection and following sigmoid colostomy in the course of standard diagnostic postoperative follow-up and prior to the reconstructive colon surgery. Materials and Methods: The study included 48 patients who underwent anterior abdomen-perineal or rectal resection and subsequent sigmoid colostomy in case of sigma or rectum carcinoma. The pre-procedure bowel preparation included a full colon cleansing and barium-based fecal tagging. The balloon catheter (18 F) is placed in the colonic stoma. The balloon is insufflated with 15-30 ml saline or air. The balloon was gently pulled until opening of the stoma has been closed completely. In 15 patients, a second catheter was placed in the remaining rectum. Contrast scanning in supination was done for all patients. An additional scanning in left and right lateral position was necessary for 9 patients. Results: All studies were carried out without any major complications. All patients tolerated the intubation and insufflation of air into the intestinal lumen. Two patients (4%) have evaluated the examination as uncomfortable. In 6 patients (12.5 %) it was impossible to evaluate the intestinal segments because due to a collapse of the wall. Five of them were localized in the descending colon. In 5 patients there was a significant amount of residual intestinal contents. The fecal tagging and intravenous contrast enhancing allowed the assessment of these intestinal segments. The rectal residue was correctly assessed in all patients in terms of length, position and wall changes. Conclusion: CT colonoscopy is applicable after sigmostoma in patients with abdomen-perineal and anterior rectal resection. Further in-depth studies are needed to determine the clinical indications and reliability of the method

Drip irrigation using a PLC based adaptive irrigation system

OpenAIRE

Shahidian, S.; Serralheiro, R. P.; Teixeira, J. L.; Santos, F. L.; Oliveira, M. R. G.; Costa, J. L.; Toureiro, C.; Haie, Naim; Machado, R. M.

2009-01-01

Most of the water used by man goes to irrigation. A major part of this water is used to irrigate small plots where it is not feasible to implement full-scale Evapotranspiration based irrigation controllers. During the growth season crop water needs do not remain constant and varies depending on the canopy, growth stage and climate conditions such as temperature, wind, relative humidity and solar radiation. Thus, it is necessary to find an economic irrigation controller that can adapt the dail...

The maximum economic depth of groundwater abstraction for irrigation

Science.gov (United States)

Bierkens, M. F.; Van Beek, L. P.; de Graaf, I. E. M.; Gleeson, T. P.

2017-12-01

Over recent decades, groundwater has become increasingly important for agriculture. Irrigation accounts for 40% of the global food production and its importance is expected to grow further in the near future. Already, about 70% of the globally abstracted water is used for irrigation, and nearly half of that is pumped groundwater. In many irrigated areas where groundwater is the primary source of irrigation water, groundwater abstraction is larger than recharge and we see massive groundwater head decline in these areas. An important question then is: to what maximum depth can groundwater be pumped for it to be still economically recoverable? The objective of this study is therefore to create a global map of the maximum depth of economically recoverable groundwater when used for irrigation. The maximum economic depth is the maximum depth at which revenues are still larger than pumping costs or the maximum depth at which initial investments become too large compared to yearly revenues. To this end we set up a simple economic model where costs of well drilling and the energy costs of pumping, which are a function of well depth and static head depth respectively, are compared with the revenues obtained for the irrigated crops. Parameters for the cost sub-model are obtained from several US-based studies and applied to other countries based on GDP/capita as an index of labour costs. The revenue sub-model is based on gross irrigation water demand calculated with a global hydrological and water resources model, areal coverage of crop types from MIRCA2000 and FAO-based statistics on crop yield and market price. We applied our method to irrigated areas in the world overlying productive aquifers. Estimated maximum economic depths range between 50 and 500 m. Most important factors explaining the maximum economic depth are the dominant crop type in the area and whether or not initial investments in well infrastructure are limiting. In subsequent research, our estimates of

Response of potato to drip and gun irrigation systems

DEFF Research Database (Denmark)

Zhenjiang, Zhou; Andersen, Mathias Neumann; Plauborg, Finn

2015-01-01

The objective of this study was to evaluate effects of different irrigation and N fertilization regimes by gun irrigation and drip-fertigation on potato production, and subsequently optimize the supply of water and N fertilizer to the growth condition of the specific season and minimize nitrate......-fertigation system (DFdsNds) and two gun irrigation systems (GIdsN120 and GIaN120) to display the differences on growth, yield and water use efficiency of potato. All treatments were irrigated according to model simulated soil water content. For fertilization all treatments received a basic dressing at planting of P......, K, Mg and micronutrients, and in addition 120 kg N/ha in the gun irrigated treatments and 36 kg N/ha in the drip-fertigated. For the latter, portion of 20 kg N/ha was applied whenever plant N concentration approached a critical value as simulated by the Daisy model. As a result differences in soil...

SEBAL Model Using to Estimate Irrigation Water Efficiency & Water Requirement of Alfalfa Crop

Science.gov (United States)

Zeyliger, Anatoly; Ermolaeva, Olga

2013-04-01

The sustainability of irrigation is a complex and comprehensive undertaking, requiring an attention to much more than hydraulics, chemistry, and agronomy. A special combination of human, environmental, and economic factors exists in each irrigated region and must be recognized and evaluated. A way to evaluate the efficiency of irrigation water use for crop production is to consider the so-called crop-water production functions, which express the relation between the yield of a crop and the quantity of water applied to it or consumed by it. The term has been used in a somewhat ambiguous way. Some authors have defined the Crop-Water Production Functions between yield and the total amount of water applied, whereas others have defined it as a relation between yield and seasonal evapotranspiration (ET). In case of high efficiency of irrigation water use the volume of water applied is less than the potential evapotranspiration (PET), then - assuming no significant change of soil moisture storage from beginning of the growing season to its end-the volume of water may be roughly equal to ET. In other case of low efficiency of irrigation water use the volume of water applied exceeds PET, then the excess of volume of water applied over PET must go to either augmenting soil moisture storage (end-of-season moisture being greater than start-of-season soil moisture) or to runoff or/and deep percolation beyond the root zone. In presented contribution some results of a case study of estimation of biomass and leaf area index (LAI) for irrigated alfalfa by SEBAL algorithm will be discussed. The field study was conducted with aim to compare ground biomass of alfalfa at some irrigated fields (provided by agricultural farm) at Saratov and Volgograd Regions of Russia. The study was conducted during vegetation period of 2012 from April till September. All the operations from importing the data to calculation of the output data were carried by eLEAF company and uploaded in Fieldlook web

Coil irrigation in sugar cane (Saccharum officinarum

Directory of Open Access Journals (Sweden)

Jesús Sánchez Gutiérrez

2016-01-01

Full Text Available This study was made at the Basic Seed Bank of the Local Sugar Cane Research Station for the Mideastern Cuba, based in Camaguey, on brown carbonate soil, between 2013 and 12014. Coil irrigation was applied to meet the water requirements for the crop, according to the edafoclimatic conditions and the different phenological phases it has. The Savo method was used to determine useful rain water. Adjustment and complementation of the irrigation program was based on indicators that characterize the exploitation scheme. The machine´s working parameters were determined to meet the water needs, and increase crop´s overall yields. The evaluations and results achieved have contributed to new proposals for management and operation of coil irrigation, and they are important to increase its efficiency.

Irrigation methods for efficient water application: 40 years of South ...

African Journals Online (AJOL)

The purpose of an irrigation system is to apply the desired amount of water, at the correct application rate and uniformly to the whole field, at the right time, with the least amount of non-beneficial water consumption (losses), and as economically as possible. We know that irrigated agriculture plays a major role in the ...

Leaf, woody, and root biomass of Populus irrigated with landfill leachate

Science.gov (United States)

Jill A. Zalesny; Ronald S., Jr. Zalesny; D.R. Coyle; R.B. Hall

2007-01-01

Poplar (Populus spp.) trees can be utilized for ecological leachate disposal when applied as an irrigation source for managed tree systems. Our objective was to evaluate differences in tree height, diameter, volume, and biomass of leaf, stem, branch, and root tissues of Populus trees after two seasons of irrigation with municipal...

Optimization of irrigation water in stone fruit and table grapes

Science.gov (United States)

de la Rosa, Jose Mª; Castillo, Cristina; Temnani, Abdel; Pérez-Pastor, Alejandro

2017-04-01

In water scarcity areas, it must be highlighted that the maximum productions of the crops do not necessarily imply maximum profitability. Therefore, during the last years a special interest in the development of deficit irrigation strategies based on significant reductions of the seasonal ET without affecting production or quality has been observed. The strategies of regulated deficit irrigation (RDI) are based on the reduction of water supply during non critical periods, the covering of water needs during critical periods and maximizing, at the same time, the production by unit of applied water. The main objective of this experiment was to implement, demonstrate and disseminate a sustainable irrigation strategy based on deficit irrigation to promote its large scale acceptance and use in woody crops in Mediterranean agroecosystems, characterized by water scarcity, without affecting the quality standards demanded by exportation markets. Five demonstration plots were established in representative crops of the irrigating community of Campotejar (Murcia, Spain): i) Peach trees, cv. catherina in the "Periquitos" farm; ii) Apricot trees, cv. "Red Carlet" in "La Hoya del Fenazar" farm; iii) Nectarine trees, cv. Viowhite in "Agrícola Don Fernando" farm; iv) Table grape, cv "Crimson Seedless" in "La Hornera" farm; and v) Paraguayan cv. carioca in "The Hornera" farm. In each demonstration plot, at least two irrigation treatments were established: i) Control (CTL), irrigated to ensure non-limiting water conditions (120% of crop evapotranspiration) and ii) Regulated deficit irrigation (RDI) irrigated as CTL during critical periods and decreasing irrigation in non-critical periods. The plant water status indicators evaluated were midday stem water potential and Trunk Diameter Fluctuation derived indices: maximum daily shrinkage (MDS) and trunk daily growth rate (TGR); vegetative growth of the different crops from trunk diameter and pruning dry weight, fruit growth and fruit

Posterior sagittal anorectoplasty in vestibular fistula: with or without colostomy.

Science.gov (United States)

Karakus, Suleyman Cuneyt; User, Idil Rana; Akcaer, Vedat; Ceylan, Haluk; Ozokutan, Bulent Hayri

2017-07-01

The aim of this study is to compare the results and complications of one- and three-stage repairs in females with vestibular fistula (VF) and make contribution to the discussion of whether the disadvantages outweigh the protective effect of a colostomy from wound infection and wound dehiscence following posterior sagittal anorectoplasty (PSARP). Patients with a diagnosis of VF who underwent PSARP between October 2009 and November 2015 were retrospectively reviewed. The patients were divided into two groups: Group 1-patients treated by one-stage procedure (n = 30); Group 2-patients treated by three-stage procedure (n = 16). There were no statistically significant differences between the groups with respect to wound infection, recurrence of fistula and rectal mucosal prolapse. Minor wound dehiscence occurred slightly more common in Group 1, even if p value is not significant. No wound dehiscence has been observed since we switched to the protocol of keeping the child nil per oral for 5 postoperative days and loperamide (0.1 mg/kg) administration for 7 postoperative days. The mean time before resuming oral intake was 2.87 ± 1.7 and 1.19 ± 0.4 days in Group 1 and Group 2, respectively (p = 0.001). None developed major wound disruption or anal stenosis in either group. There were no statistical differences between the groups in terms of voluntary bowel movements, soiling and constipation. PSARP performed without a protective colostomy in patients with VF has low morbidity, good continence rates and obvious advantages for both the patients and their parents.

IRRIGATION SCHEDULING CALCULATOR (ISC TO IMPROVE WATER MANAGEMENT ON FIELD LEVEL IN EGYPT

Directory of Open Access Journals (Sweden)

Samiha Abou El-Fetouh Hamed Ouda

2017-10-01

Full Text Available The developed model is MS excel sheet called “Irrigation Scheduling Calculator, ISC”. The model requires to input daily weather data to calculate daily evapotranspiration using Penman-Monteith equation. The model calculates water depletion from the root zone to determine when to irrigate and how much water should be applied. The charge from irrigation pump is used to calculate how many hours should the farmer run the pump to deliver the needed amount of water. ISC model was used to developed irrigation schedule for wheat and maize planted in El-Gharbia governorate. The developed schedules were compared to the actual schedules for both crops. Furthermore, CropSyst model was calibrated for both crops and run using the developed schedules by ISC model. The simulation results indicated that the calculated irrigation amount by ISC model for wheat was lower than actual schedule by 6.0 mm. Furthermore, the simulated wheat productivity by CropSyst was higher than measured grain and biological by 2%. Similarly, the calculated applied irrigation amount by ISC model for maize was lower than actual schedule by 79.0 mm and the productivity was not changed.

Transport of oxytetracycline, chlortetracycline, and ivermectin in surface runoff from irrigated pasture.

Science.gov (United States)

Bair, Daniel A; Popova, Ina E; Tate, Kenneth W; Parikh, Sanjai J

2017-09-02

The transport of oxytetracycline, chlortetracycline, and ivermectin from manure was assessed via surface runoff on irrigated pasture. Surface runoff plots in the Sierra Foothills of Northern California were used to evaluate the effects of irrigation water application rates, pharmaceutical application conditions, vegetative cover, and vegetative filter strip length on the pharmaceutical discharge in surface runoff. Experiments were designed to permit the maximum potential transport of pharmaceuticals to surface runoff water, which included pre-irrigation to saturate soil, trimming grass where manure was applied, and laying a continuous manure strip perpendicular to the flow of water. However, due to high sorption of the pharmaceuticals to manure and soil, less than 0.1% of applied pharmaceuticals were detected in runoff water. Results demonstrated an increase of pharmaceutical transport in surface runoff with increased pharmaceutical concentration in manure, the concentration of pharmaceuticals in runoff water remained constant with increased irrigation flow rate, and no appreciable decrease in pharmaceutical runoff was produced with the vegetative filter strip length increased from 30.5 to 91.5 cm. Most of the applied pharmaceuticals were retained in the manure or within the upper 5 cm of soil directly beneath the manure application sites. As this study evaluated conditions for high transport potential, the data suggest that the risk for significant chlortetracycline, oxytetracycline, and ivermectin transport to surface water from cattle manure on irrigated pasture is low.

ROOT CANAL IRRIGANTS AND IRRIGATION TECHNIQUES: A REVIEW

OpenAIRE

Aniketh; Mohamed; Geeta; Nandakishore; Gourav Kumar; Patrick Timothy; Jayson Mathew; Sahle Abdul

2015-01-01

Root canal irrigation is not much emphasised in endodontic therapy. Most articles discussed are on root canal shaping and obturation not much emphasis is given for irrigation. There are many irrigation solutions which are introduced into market. The primary objective of root canal therapy is the ret ention of the pulpless or pulpally involved tooth with its associated periapical tissues in a healthy state. Achievement of this objective requires that the pulpal spaces and con...

Regulated deficit irrigation as a water management strategy in Vitis vinifera production

International Nuclear Information System (INIS)

Wample, R.L.; Smithyman, R.

2002-01-01

An initial six-year study in a commercial vineyard located in the Columbia River Valley of Washington State, United States of America, examined the management practices and potential benefits of regulated deficit irrigation (RDI) on Vitis vinifera cv. Sauvignon blanc. The objective of the treatments was to evaluate the effect of deficit irrigation prior to, compared with after, veraison. Each of four irrigation treatments was applied to 1.6 ha and replicated four times for a total 27.0 ha. Irrigation treatments were based on desired soil moisture levels in the top metre of the profile where most of the root system is found. Soil moisture was monitored using a neutron probe and the information was combined with calculations of evaporative demand to determine the irrigation required on a weekly basis. Vine growth, yield, fruit quality and cold hardiness were monitored throughout the study. The results indicated that RDI prior to veraison was effective in controlling shoot growth, as determined by shoot length and elongation rate, as well as pruning weights. Sixteen wine lots, each of approximately 12,000 litres, were prepared each season. Although there was some effect on berry weight, yield was not always significantly reduced. Full irrigation prior to veraison resulted in excessive shoot growth. RDI applied after veraison to vines with large canopies resulted in greater water deficit stress. Fruit quality was increased by pre-veraison RDI compared to postveraison RDI based on wines made. Regulated deficit irrigation applied at anytime resulted in better early-season lignification of canes and cold hardening of buds. There was a slight improvement in mid-winter cold hardiness of vines subjected to RDI. However, this effect was inconsistent. Studies on Cabernet Sauvignon and White Riesling are underway to confirm these results and to investigate the impact of RDI on fruit quality and winemaking practices. (author)

The effects of different irrigation levels on flowering and flower ...

African Journals Online (AJOL)

Water usage is a vital issue for all agricultural crops as well as for ornamental crops. To obtain high quality flowers, it is essential to supply water when it is required. A problem which is common with cut flower growers are determining when to irrigate and the amount of water to apply. The effect of two irrigation intervals (I1: ...

Analysis of Irrigation Water Quality at Kadawa Irrigation Project for Improved Productivity

Directory of Open Access Journals (Sweden)

AR Sanda

2014-09-01

Full Text Available In the face of water scarcity and the several negative consequences, such as water wastage, flooding, water logging, soil losses and production losses, conserving the finite amount of fresh water is a must. The quality of irrigation water must therefore be ascertained. The chemical quality of three sources of irrigation water from canal and drainage water, namely drainage water, fresh irrigation water from canal, and drainage/irrigation water mixture, were analyzed from Kadawa irrigation Project for year 2013 and 2014 cropping seasons, with the view to evaluating the potential risks associated with their use in irrigation and hence their suitability or otherwise for irrigation purposes. The analysis revealed that the use of drainage water alone for irrigation may result in problems associated with salinity, while a blend of drainage/irrigation water in the ratio of 1:1 is a viable means of water conservation and a good means of crop production. DOI: http://dx.doi.org/10.3126/ije.v3i3.11082 International Journal of Environment Vol.3(3 2014: 235-240

Soil capacitance sensors and stem dendrometers. Useful tools for irrigation scheduling of commercial orchards?

Energy Technology Data Exchange (ETDEWEB)

Bonet, L.; Ferrer, P.; Castel, J. R.; Intrigliolo, D. S.

2010-07-01

Irrigation scheduling is often performed based on a soil water balance, where orchard evapotranspiration is estimated using the reference evapotranspiration (ETo) times the crop coefficient (Kc). This procedure, despite being widely spread, has some uncertainties. Because of this, plant and soil water status monitoring could be alternatively or complementarity used to schedule irrigation. The usefulness of capacitance probes was evaluated during several seasons in large irrigation districts where irrigation practices were changed over years from the ETo * Kc model to the analysis of soil water status trend. This area corresponds to drip irrigated orchards planted with citrus, peach, nectarine and persimmon. Around 25% less irrigation was applied with no substantial yield penalty when the information provided by capacitance probes was correctly applied for irrigation management. On the other hand, the usefulness of stem dendrometers for continuously monitoring plant water status was evaluated in a young plum experimental orchard. Over two years, irrigation was scheduled using exclusively trunk shrinkage via the signal intensity approach by means of a baseline equation previously obtained in the orchard. Results showed that it was not always possible to schedule irrigation based on the trunk shrinkage signal intensity due to the temporal changes in the reference values that occurred as trees aged. Overall, results obtained are discussed in terms of the possible extrapolation at field level of both capacitance probes and stem dendrometers. Advantages and drawbacks of each technique are analyzed and discussed. (Author) 34 refs.

A user-oriented and quantifiable approach to irrigation design.

NARCIS (Netherlands)

Baars, E.; Bastiaansen, A.P.M.; Menenti, M.

1995-01-01

A new user-oriented approach is presented to apply marketing research techniques to quantify perceptions, preferences and utility values of farmers. This approach was applied to design an improved water distribution method for an irrigation scheme in Mendoza, Argentina. The approach comprises two

Green and blue water footprint reduction in irrigated agriculture: effect of irrigation techniques, irrigation strategies and mulching

Science.gov (United States)

Chukalla, A. D.; Krol, M. S.; Hoekstra, A. Y.

2015-12-01

Consumptive water footprint (WF) reduction in irrigated crop production is essential given the increasing competition for freshwater. This study explores the effect of three management practices on the soil water balance and plant growth, specifically on evapotranspiration (ET) and yield (Y) and thus the consumptive WF of crops (ET / Y). The management practices are four irrigation techniques (furrow, sprinkler, drip and subsurface drip (SSD)), four irrigation strategies (full (FI), deficit (DI), supplementary (SI) and no irrigation), and three mulching practices (no mulching, organic (OML) and synthetic (SML) mulching). Various cases were considered: arid, semi-arid, sub-humid and humid environments in Israel, Spain, Italy and the UK, respectively; wet, normal and dry years; three soil types (sand, sandy loam and silty clay loam); and three crops (maize, potato and tomato). The AquaCrop model and the global WF accounting standard were used to relate the management practices to effects on ET, Y and WF. For each management practice, the associated green, blue and total consumptive WF were compared to the reference case (furrow irrigation, full irrigation, no mulching). The average reduction in the consumptive WF is 8-10 % if we change from the reference to drip or SSD, 13 % when changing to OML, 17-18 % when moving to drip or SSD in combination with OML, and 28 % for drip or SSD in combination with SML. All before-mentioned reductions increase by one or a few per cent when moving from full to deficit irrigation. Reduction in overall consumptive WF always goes together with an increasing ratio of green to blue WF. The WF of growing a crop for a particular environment is smallest under DI, followed by FI, SI and rain-fed. Growing crops with sprinkler irrigation has the largest consumptive WF, followed by furrow, drip and SSD. Furrow irrigation has a smaller consumptive WF compared with sprinkler, even though the classical measure of "irrigation efficiency" for furrow

Evaluation of dripper clogging using magnetic water in drip irrigation

Science.gov (United States)

Khoshravesh, Mojtaba; Mirzaei, Sayyed Mohammad Javad; Shirazi, Pooya; Valashedi, Reza Norooz

2018-06-01

This study was performed to investigate the uniformity of distribution of water and discharge variations in drip irrigation using magnetic water. Magnetic water was achieved by transition of water using a robust permanent magnet connected to a feed pipeline. Two main factors including magnetic and non-magnetic water and three sub-factor of salt concentration including well water, addition of 150 and 300 mg L-1 calcium carbonate to irrigation water with three replications were applied. The result of magnetic water on average dripper discharge was significant at ( P ≤ 0.05). At the final irrigation, the average dripper discharge and distribution uniformity were higher for the magnetic water compared to the non-magnetic water. The magnetic water showed a significant effect ( P ≤ 0.01) on distribution uniformity of drippers. At the first irrigation, the water distribution uniformity was almost the same for both the magnetic water and the non-magnetic water. The use of magnetic water for drip irrigation is recommended to achieve higher uniformity.

Root canal irrigants

OpenAIRE

Kandaswamy, Deivanayagam; Venkateshbabu, Nagendrababu

2010-01-01

Successful root canal therapy relies on the combination of proper instrumentation, irrigation, and obturation of the root canal. Of these three essential steps of root canal therapy, irrigation of the root canal is the most important determinant in the healing of the periapical tissues. The primary endodontic treatment goal must thus be to optimize root canal disinfection and to prevent reinfection. In this review of the literature, various irrigants and the interactions between irrigants are...

Tumour- and treatment-related colostomy rates following mitomycin C or cisplatin chemoradiation with or without maintenance chemotherapy in squamous cell carcinoma of the anus in the ACT II trial.

Science.gov (United States)

Glynne-Jones, R; Kadalayil, L; Meadows, H M; Cunningham, D; Samuel, L; Geh, J I; Lowdell, C; James, R; Beare, S; Begum, R; Ledermann, J A; Sebag-Montefiore, D

2014-08-01

Squamous cell carcinoma of the anus (SCCA) is highly sensitive to chemoradiation (CRT) which achieves good loco-regional control and preserves anal function. However, some patients require permanent stoma formation either as a result of surgery on relapse, poor anal function or treatment-related symptoms. Our aim was to determine patient, tumour and treatment-related colostomy rates following CRT and maintenance chemotherapy in the ACT II trial. The ACT II trial recruited 940 patients comparing 5FU-based CRT using cisplatin (CisP) or mitomycin C (MMC) with or without additional maintenance chemotherapy. We investigated the association between colostomy-free survival (CFS) and progression-free survival (PFS) with age, gender, T-stage, N-stage, treatment and baseline haemoglobin. The median follow-up was 5.1 years (n = 884 evaluable/940); tumour site canal (84%), margin (14%); stage T1/T2 (52%), T3/T4 (46%); N+ (32%), N0 (62%). Twenty out of 118 (17%) colostomies fashioned before CRT were reversed within 8 months. One hundred and twelve patients had a post-treatment colostomy due to persistent disease (98) or morbidity (14). Fifty-two per cent (61/118) of all pre-treatment colostomies were never reversed. The 5-year CFS rates were 68% MMC/Maint, 70% CisP/Maint, 68% MMC/No-maint and 65% CisP/No-maint. CRT with CisP did not improve CFS when compared with MMC (hazard ratio: 1.04, 95% confidence interval: 0.82-1.31, P = 0.74). The 5-year CFS rates were higher for T1/T2 (79%) than T3/T4 (54%) tumours and higher for node-negative (72%) than node-positive (60%) patients. Significant predictors of CFS were gender, T-stage and haemoglobin, while treatment factors had no impact on outcome. Similar associations were found between PFS and tumour/treatment-related factors. The majority (52%) of pre-treatment colostomies were never reversed. Neither CRT with 5FU/CisP nor maintenance chemotherapy impacted on CFS. The low risk of colostomy for late effects (1.7%) is likely to be

[Yeast irrigation enhances the nutritional content in hydroponic green maize fodder].

Science.gov (United States)

Bedolla-Torres, Martha H; Palacios Espinosa, Alejandro; Palacios, Oskar A; Choix, Francisco J; Ascencio Valle, Felipe de Jesús; López Aguilar, David R; Espinoza Villavicencio, José Luis; de Luna de la Peña, Rafael; Guillen Trujillo, Ariel; Avila Serrano, Narciso Y; Ortega Pérez, Ricardo

2015-01-01

The objective of this study was to evaluate the effect of irrigation with yeasts (Debaryomyces hansenii var. Fabry, Yarowia lipolytica YIBCS002, Yarowia lipolytica var. BCS and Candida pseudointermedia) on the final nutritional content of hydroponic green maize fodder (Zea Zea mays L.), applied at different fodder growth stages (1. seed-seedling stage, 2. seedling-plant 20cm, 3. during all the culture). Irrespective of the fodder growth stages at which they were applied, all yeasts tested enhanced the content of raw protein, lipids, ash, moisture and energy. The percentage of electrolytes (Na, K, Cl, sulphates, Ca and Mg) showed different responses depending on the kind of yeast applied; D. hansenii exhibited the highest increment in all electrolytes, except for phosphorous. We conclude that the addition of yeasts belonging to the genera Debaryomyces, Candida and Yarowia to the irrigation solution of hydroponic systems enhances the nutrient content of green fodder. This kind of irrigation can be applied to generate high commercial value cultures in limited spaces. Copyright © 2014 Asociación Argentina de Microbiología. Publicado por Elsevier España, S.L.U. All rights reserved.

Determinants of farmers' participation in collective maintenance of irrigation infrastructure in KwaZulu-Natal

Science.gov (United States)

Sharaunga, S.; Mudhara, M.

2018-06-01

The decentralization framework and the Dublin Principles on Integrated Water Resource Management (IWRM) emphasize the need for a participatory approach to irrigation water management. This study identifies the factors influencing farmers' decision to, and extent of participation in the maintenance of irrigation infrastructure in KwaZulu-Natal province, South Africa based on cross-section data collected from 320 randomly selected smallholder irrigating farmers. A two-step Heckman regression model was applied in the analysis. It was established that households whose heads were older, block committee members, with larger irrigation plots, good soil quality and experiencing severe irrigation water shortages are more likely to participate in maintenance of irrigation infrastructure. On the other hand, farmers with insecure land tenure and with no access to irrigation water were less likely to make the decision to participate. Farmers who were members of the farming cooperative as well as block committee members and those paying irrigation water costs were likely to intensively participate in maintaining irrigation infrastructure. Therefore, decentralization alone cannot lead to improved irrigation outcomes. Several factors are necessary for households to participate intensively in the maintenance of irrigation infrastructure. Governments should address these challenges before handing irrigation schemes to their beneficiaries.

Phosphorus distribution in sandy soil profile under drip irrigation system

International Nuclear Information System (INIS)

El-Gendy, R.W.; Rizk, M.A.; Abd El Moniem, M.; Abdel-Aziz, H.A.; Fahmi, A.E.

2009-01-01

This work aims at to studying the impact of irrigation water applied using drip irrigation system in sandy soil with snap bean on phosphorus distribution. This experiment was carried out in soils and water research department farm, nuclear research center, atomic energy authority, cairo, Egypt. Snap bean was cultivated in sandy soil and irrigated with 50,37.5 and 25 cm water in three water treatments represented 100, 75 and 50% ETc. Phosphorus distribution and direction of soil water movement had been detected in three sites on the dripper line (S1,S2 and S3 at 0,12.5 and 25 cm distance from dripper). Phosphorus fertilizer (super phosphate, 15.5% P 2 O 5 in rate 300 kg/fed)was added before cultivation. Neutron probe was used to detect the water distribution and movement at the three site along soil profile. Soil samples were collected before p-addition, at end developing, mid, and late growth stages to determine residual available phosphorus. The obtained data showed that using 50 cm water for irrigation caused an increase in P-concentration till 75 cm depth in the three sites of 100% etc treatment, and covered P-requirements of snap bean for all growth stages. As for 37.5 and 25 cm irrigation water cannot cover all growth stages for P-requirements of snap bean. It could be concluded that applied irrigation water could drive the residual P-levels till 75 cm depth in the three sites. Yield of the crop had been taken as an indicator as an indicator profile. Yield showed good response according to water quantities and P-transportation within the soil profile

An integrated crop and hydrologic modeling system to estimate hydrologic impacts of crop irrigation demands

Science.gov (United States)

R.T. McNider; C. Handyside; K. Doty; W.L. Ellenburg; J.F. Cruise; J.R. Christy; D. Moss; V. Sharda; G. Hoogenboom; Peter Caldwell

2015-01-01

The present paper discusses a coupled gridded crop modeling and hydrologic modeling system that can examine the benefits of irrigation and costs of irrigation and the coincident impact of the irrigation water withdrawals on surface water hydrology. The system is applied to the Southeastern U.S. The system tools to be discussed include a gridded version (GriDSSAT) of...

Estimating irrigation water use in the humid eastern United States

Science.gov (United States)

Levin, Sara B.; Zarriello, Phillip J.

2013-01-01

develop the models as well as two independent validation datasets from Georgia and Virginia that were not used in model development. Irrigation water-use estimates from the logistic regression method more closely matched mean reported irrigation rates than estimates from the crop-water-demand model when compared to the irrigation data used to develop the equations. The root mean squared errors (RMSEs) for the logistic regression estimates of mean annual irrigation ranged from 0.3 to 2.0 inches (in.) for the five crop types; RMSEs for the crop-water-demand models ranged from 1.4 to 3.9 in. However, when the models were applied and compared to the independent validation datasets from southwest Georgia from 2010, and from Virginia from 1999 to 2007, the crop-water-demand model estimates were as good as or better at predicting the mean irrigation volume than the logistic regression models for most crop types. RMSEs for logistic regression estimates of mean annual irrigation ranged from 1.0 to 7.0 in. for validation data from Georgia and from 1.8 to 4.9 in. for validation data from Virginia; RMSEs for crop-water-demand model estimates ranged from 2.1 to 5.8 in. for Georgia data and from 2.0 to 3.9 in. for Virginia data. In general, regression-based models performed better in areas that had quality daily or weekly irrigation data from which the regression equations were developed; however, the regression models were less reliable than the crop-water-demand models when applied outside the area for which they were developed. In most eastern coastal states that do not have quality irrigation data, the crop-water-demand model can be used more reliably. The development of predictive models of irrigation water use in this study was hindered by a lack of quality irrigation data. Many mid-Atlantic and New England states do not require irrigation water use to be reported. A survey of irrigation data from 14 eastern coastal states from Maine to Georgia indicated that, with the exception

New soil water sensors for irrigation management

Science.gov (United States)

Effective irrigation management is key to obtaining the most crop production per unit of water applied and increasing production in the face of competing demands on water resources. Management methods have included calculating crop water needs based on weather station measurements, calculating soil ...

Factors affecting irrigant extrusion during root canal irrigation: a systematic review

NARCIS (Netherlands)

Boutsioukis, C.; Psimma, Z.; van der Sluis, L.W.M.

2013-01-01

The aim of the present study was to conduct a systematic review and critical analysis of published data on irrigant extrusion to identify factors causing, affecting or predisposing to irrigant extrusion during root canal irrigation of human mature permanent teeth. An electronic search was conducted

Revision of loop colostomy under regional anaesthesia and sedation.

Science.gov (United States)

Ng, Oriana; Thong, Sze Ying; Chia, Claramae Shulyn; Teo, Melissa Ching Ching

2015-05-01

Patients presenting for emergency abdominal procedures often have medical issues that cause both general anaesthesia and central neuraxial blockade to pose significant risks. Regional anaesthetic techniques are often used adjunctively for abdominal procedures under general anaesthesia, but there is limited published data on procedures done under peripheral nerve or plexus blocks. We herein report the case of a patient with recent pulmonary embolism and supraventricular tachycardia who required colostomy refashioning. Ultrasonography-guided regional anaesthesia was administered using a combination of ilioinguinal-iliohypogastric, rectus sheath and transversus abdominis plane blocks. This was supplemented with propofol and dexmedetomidine sedation as well as intermittent fentanyl and ketamine boluses to cover for visceral stimulation. We discuss the anatomical rationale for the choice of blocks and compare the anaesthetic conduct with similar cases that were previously reported.

Pricing Unmetered Irrigation Water under Asymmetric Information and Full Cost Recovery

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Alban Lika

2016-12-01

Full Text Available The objective of this study is to define an efficient pricing scheme for irrigation water in conditions of unmetered water use. The study is based on a principal-agent model and identifies a menu of contracts, defined as a set of payments and share of irrigated area, able to provide incentives for an efficient use of the resource by maximizing social welfare. The model is applied in the case study of the Çukas region (Albania where irrigation water is not metered. The results demonstrate that using a menu of contracts makes it possible to define a second best solution that may improve the overall social welfare derived from irrigation water use compared with the existing pricing structure, though, in the specific case study, the improvement is small. Furthermore, the results also suggest that irrigation water pricing policy needs to take into account different farm types, and that appropriate contract-type pricing schemes have a potential role in providing incentives to farmers to make irrigation choices to the social optimum.

Sustainable management after irrigation system transfer : experiences in Colombia - the RUT irrigation district

NARCIS (Netherlands)

Urrutia Cobo, N.

2006-01-01

Colombiais a tropical country located in South America. It has a total area of 114 million ha. In Colombia two irrigation sectors are distinguished: the small-scale irrigation and the large-scale irrigation sector. The small-scale irrigation sector is developed on lands

New definition of Regulated Deficit Irrigation phases in pistachio: more sustainable, more efficient

Science.gov (United States)

Pérez-López, David; Moreno, Marta M.; Memmi, Houssem; Guerrero, Julián; Galindo, Alejandro; Centeno, Ana; Corell, Mireilla; Giron, Ignacio; José Martín-Palomo, María; Gijón, Mª Carmen; Moreno, Carmen; Torrecillas, Arturo; Moriana, Alfonso

2017-04-01

Regulated Deficit Irrigation (RDI) is an irrigation methodology in which a water stress is imposed by irrigation withholding in function of fruit growth phases. The objective of this method is to found phases where water stress has no effect on yield or only a slight effect. RDI in pistachio has been demonstrated as an efficient tool to save water without negative effect on yield, or even the contrary, a slight water stress has produced pistachios more appreciated by consumers opposite to well irrigated. Phases of fruit growth are widely defined as: Phase I, from leaf out to full shell expansion; Phase II, from full shell expansion to the onset of rapid kernel growth; Phase III, from rapid growth to harvest. Water stress applied in Phase II does not affect yield. Traditionally Phase II had been considered interchangeable with shell hardening; however, recent studies have showed that shell hardening extends for two weeks from the beginning of the kernel growth. In this assay, conducted in Ciudad Real (Spain) in 2015 and 2016, different irrigation treatments were applied on a pistachio crop in order to check if shell hardening can be considered as phase II instead the previous definition. The T1 treatment consisted of water stress during the shell hardening, always trying to maintain a stem water potential (SWP) of -1.5 MPa during this phase. The T2 treatment was severely water stressed, in this case trying to maintain -2 MPa during the phase II, as previous definition. In the rest of the season, both treatments were irrigated in order to have no water stress. Additionally, a control treatment (T0), irrigated following FAO methodology, was stablished to evaluate the loss of yield. Water irrigation applied in T0 was 596 and 505 mm in 2015 and 2016, respectively. In T1, 317 and 245 mm were applied, respectively, which means an average water save about 270 mm year-1. In T2, water irrigation was 396 and 272 mm, respectively, higher amounts than in T1, which an average

Identification of Water Usage Efficiency for Corn(Zea mays L.Lines Irrigated with Drip Irrigation Under Green House Conditions asPer Plant Water Stress Index Evaluations

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Ali Beyhan UÇAK

2017-02-01

Full Text Available The present study was conducted as a greenhouse study under Çukurova conditions during the years2011-2012. Two different dent corn lines (5A2-B and 22K were used as the plant material of the experiments. Crop water stress index (CWSI values determined through leaf canopy temperature measurements performed ahead of irrigations were used to find outwater use efficiencies. Experiments were conducted in randomized blocks-split plots experimental design with three replications. Drip irrigation was used for irrigations and two different irrigation programs were created as of I100(supplying 100% of depleted water in every seven days and I75(applying 75% of depleted water. The amount of irrigation water applied for in the interaction of I100irrigation and corn lines (5A2-B and22K in the first and second year were respectively varied between 253.0-274.0and between 238.0-261.0mm, seasonal plant water consumptions varied between 294.0-305.0and between 284.6-302.6 mm, kernel yields varied between 2950.0-2990.0 and between 3130.0-3186.0kgha-1. With regard to (in the interaction irrigation treatments xcorn lines, the lowest and the highest CWSI values were observed in the interaction full irrigation (I100 and of the line 22K as 0.22 and in deficit irrigation treatment (I75 of the line 5A2-B as 0.41in the first year; in full irrigation treatment (I100 of the line 22K as 0.20 and in deficit irrigation treatment (I75 of the line 5A2-B as 0.36. The greatest and the lowest chlorophyll contents (in the interaction irrigation treatments x corn lines were respectively observed in I100treatment of the line 22K as 58.3 spad and in I75treatment of the line 5A2-Bas 50.9 spad in the first year; in I100treatment of the line 22K as 59.1 SPAD and in I75treatment of the line 5A2-B as 55.1 spad. While the effects of irrigation treatments on average dry matter contents of the lines were not found to be significant, significant differences were observed in water use efficiency

Irrigation Training Manual. Planning, Design, Operation, and Management of Small-Scale Irrigation Systems [and] Irrigation Reference Manual. A Technical Reference to Be Used with the Peace Corps Irrigation Training Manual T0076 in the Selection, Planning, Design, Operation, and Management of Small-Scale Irrigation Systems.

Science.gov (United States)

Salazar, LeRoy; And Others

This resource for trainers involved in irrigated agriculture training for Peace Corps volunteers consists of two parts: irrigation training manual and irrigation reference manual. The complete course should fully prepare volunteers serving as irrigation, specialists to plan, implement, evaluate and manage small-scale irrigation projects in arid,…

More crop per drop - Increasing input efficiency in sprinkler irrigated potatoes.

Science.gov (United States)

Kostka, Stan; Fang, Lisa; Ren, Haiqin; Glucksman, Robert; Gadd, Nick

2014-05-01

Water scarcity, climate change, and population growth are significant global challenges for producing sufficient food, fiber, and fuel in the 21st century. Feeding an increasingly hungry world necessitates innovative strategies and technologies to maximize crop production outputs while simultaneously increasing crop water productivity. In the 20th century, major advances in precision irrigation enabled producers to increase productivity while more efficiently applying water to crops. While pressurized irrigation systems can deliver water effectively to the soil surface, the efficiency of rootzone delivery may be compromised by intrinsic heterogeneities in soil wetting characteristics related to organic matter, biofilms, and hydrophobic coatings on soil particles and aggregates. Efficiently delivering applied irrigation water throughout the soil matrix is critical to increasing crop productivity. We propose that management of soil water access by surfactants is a viable management option to maintain or increase yields under deficit irrigation. Potato yield and tuber quality under sprinkler irrigation were evaluated under standard production practices or with the inclusion of an aqueous nonionic surfactant formulation (10 wt% alkoxylated polyols and 7% glucoethers) applied at 10L ha-1 between emergence and tuberization. Crop responses from multi-year evaluations conducted on irrigated potatoes in Idaho (USA) were compared to multi-year on farm grower evaluations in Australia and China. Surfactant treatment resulted in statistically significant increases in yield (+5%) and US No. 1 grades (+8%) while reducing culls (-10%) in trials conducted in Idaho, USA. Similar responses were observed in commercial grower evaluations conducted in Australia (+8% total yield, +18% mean tuber weight) and in China in 2011 (+8% total yield and +18% premium, -12% culls). Under diverse production conditions, a single application of the surfactant formulation improved crop water

Efficacy of Prophylactic Mesh in End-Colostomy Construction: A Systematic Review and Meta-analysis of Randomized Controlled Trials.

Science.gov (United States)

Wang, Shuanhu; Wang, Wenbin; Zhu, Bing; Song, Guolei; Jiang, Congqiao

2016-10-01

Parastomal hernia is a very common complication after colostomy, especially end-colostomy. It is unclear whether prophylactic placement of mesh at the time of stoma formation could prevent parastomal hernia formation after surgery for rectal cancer. A systematic review and meta-analysis were conducted to evaluate the efficacy of prophylactic mesh in end-colostomy construction. PubMed, Embase, and the Cochrane Library were searched, covering records entered from their inception to September 2015. Randomized controlled trials (RCTs) comparing stoma with mesh to stoma without mesh after surgery for rectal cancer were included. The primary outcome was the incidence of parastomal hernia. Pooled risk ratios (RR) with 95 % confidence intervals (CI) were obtained using random effects models. Six RCTs containing 309 patients were included. Parastomal hernia occurred in 24.4 % (38 of 156) of patients with mesh and 50.3 % (77 of 153) of patients without mesh. Meta-analysis showed a lower incidence of parastomal hernia (RR, 0.42; 95 % CI 0.22-0.82) and reoperation related to parastomal hernia (RR, 0.23; 95 % CI 0.06-0.89) in patients with mesh. Stoma-related morbidity was similar between mesh group and non-mesh group (RR, 0.65; 95 % CI 0.33-1.30). Prophylactic placement of a mesh at the time of a stoma formation seems to be associated with a significant reduction in the incidence of parastomal hernia and reoperation related to parastomal hernia after surgery for rectal cancer, but not the rate of stoma-related morbidity. However, the results should be interpreted with caution because of the heterogeneity among the studies.

Management of malignant left colonic obstruction: is an initial temporary colostomy followed by surgical resection a better option?

Science.gov (United States)

Chéreau, N; Lefevre, J H; Lefrancois, M; Chafai, N; Parc, Y; Tiret, E

2013-11-01

The surgical management of obstructed left colorectal cancer (OLCC) is still a matter of debate, and current guidelines recommend Hartmann's procedure (HP). The study evaluated the results of the surgical management with a focus on a strategy of initial colostomy (IC) followed by elective resection. All patients operated on for OLCC were reviewed. Clinical, surgical, histological, morbidity and long-term results were noted. From 2000-11, 83 patients (48 men) with a mean age of 70.3 ± 15.1 years underwent surgery for OLCC. Eleven (13.3%) had a subtotal colectomy owing to a laceration of the caecal wall. Eleven had a HP for tumour perforation (n = 6) or as palliation in a severely ill patient (n = 5). The remaining 61 (73.5%) patients had an IC, with the intention of performing an elective resection shortly after recovery. Postoperative complications occurred in six (9.8%) and there were two (3.3%) deaths. Fifty-nine operation survivors had a colonoscopy shortly afterwards which showed a synchronous cancer in two (3.4%). Twelve of the 59 patients had synchronous metastases. The subsequent elective resection including the colostomy site could be performed in 45 (74%) patients during the same admission at a median interval of 11 (7-17) days. The overall median length of hospital stay was 20 days and the 30-day mortality was 3/61 (5%). IC followed by surgical resection is a technically simple strategy, allowing initial abdominal exploration with a short period of having a colostomy, and permitting elective surgery with a low morbidity and full oncological lymphadenectomy. Colorectal Disease © 2013 The Association of Coloproctology of Great Britain and Ireland.

Cultivar Mixture Cropping Increased Water Use Efficiency in Winter Wheat under Limited Irrigation Conditions.

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Yunqi Wang

Full Text Available The effects of cultivar mixture cropping on yield, biomass, and water use efficiency (WUE in winter wheat (Triticum aestivum L. were investigated under non-irrigation (W0, no irrigation during growth stage, one time irrigation (W1, irrigation applied at stem elongation and two times irrigation (W2, irrigation applied at stem elongation and anthesis conditions. Nearly 90% of cultivar mixture cropping treatments experienced an increase in grain yield as compared with the mean of the pure stands under W0, those for W1 and W2 were 80% and 85%, respectively. Over 75% of cultivar mixture cropping treatments got greater biomass than the mean of the pure stands under the three irrigation conditions. Cultivar mixture cropping cost more water than pure stands under W0 and W1, whereas the water consumption under W2 decreased by 5.9%-6.8% as compared with pure stands. Approximately 90% of cultivar mixtures showed an increase of 5.4%-34.5% in WUE as compared with the mean of the pure stands, and about 75% of cultivar mixtures had 0.8%-28.5% higher WUE than the better pure stands under W0. Similarly, there were a majority of mixture cropping treatments with higher WUE than the mean and the better one of the pure stands under W1 and W2. On the whole, proper cultivar mixture cropping could increase yield and WUE, and a higher increase in WUE occurred under limited irrigation condition.

LandCaRe-DSS - model based tools for irrigation management under climate change

Science.gov (United States)

Dotterweich, Markus; Wilkinson, Kristina; Cassel, Martin; Scherzer, Jörg; Köstner, Barbara; Berg, Michael; Grocholl, Jürgen

2015-04-01

Climate change is expected to have a strong influence on agricultural systems in the future. It will be important for decision makers and stakeholders to assess the impact of climate change at the farm and regional level in order to facilitate and maintain a sustainable and profitable farming infrastructure. Climate change impact studies have to incorporate aspects of uncertainty and the underlying knowledge is constantly expanding and improving. Decision support systems (DSS) with flexible data bases are therefore a useful tool for management and planning: different models can be applied under varying boundary conditions within a conceptual framework and the results can be used e.g. to show the effects of climate change scenarios and different land management options. Within this project, the already existing LandCaRe DSS will be further enhanced and improved. A first prototype had been developed for two regions in eastern Germany, mainly to show the effects of climate change on yields, nutrient balances and farm economy. The new model version will be tested and applied for a region in north-western Germany (Landkreis Uelzen) where arable land makes up about 50% of overall land-use and where 80 % of the arable land is already irrigated. For local decision makers, it will be important to know how water demand and water availability are likely to change in the future: Is more water needed for irrigation? Is more water actually available for irrigation? Will the existing limits for ground water withdrawal be sufficient for farmers to irrigate their crops? How can the irrigation water demand be influenced by land management options like the use of different crops and varieties or different farming and irrigation techniques? The main tasks of the project are (I) the integration of an improved irrigation model, (II) the development of a standardized interface to apply the DSS in different regions, (III) to optimize the graphical user interface, (IV) to transfer and

Defining Efficient Deficit Irrigation for Winegrape Cultivars Merlot and Cabernet Sauvignon under Semiarid Conditions

Science.gov (United States)

Efficient deficit irrigation balances enhanced berry attributes with acceptable reduction in yield. The present study relates pre and post-veraison midday leaf water potential with the growth and composition of east and west-facing berries. Two deficit irrigation treatments were applied over four g...

Distribution of the root system of peach palm under drip irrigation

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Adriano da Silva Lopes

2014-07-01

Full Text Available The incorporation of technologies has resulted in increased productivity and the more rational management of peach palm, with irrigation being an important tool for certain regions. Thus, studies leading to proper crop management are extremely important, such as the estimate of the effective depth of the root system, which is indispensable for proper irrigation management. The objective of this study was to evaluate the effects of different irrigation depths, as applied by drip irrigation, on the distribution of the root system of peach palm. This experiment was conducted in Ilha Solteira, São Paulo State, Brazil, with drip irrigation, with the two systems (flow of 0.0023 m3 h-1 consisting of four irrigation treatments corresponding to 0, 50, 100 and 150% of Class ‘A’ pan evaporation. After five years, an analysis of the Bactris gasipaes root system was performed at a distance of 0.0, 0.5 and 1.0 meters from the trunk, collecting sampling at two depths (0.0 to 0.3 m and 0.3 to 0.6 m via the auger method (volumetric analysis. We concluded that the effective depth of the root system used for irrigation management should be a maximum of 0.3 meters.

Changes in cholinergic and nitrergic systems of defunctionalized colons after colostomy in rabbits.

Science.gov (United States)

Moralıoğlu, Serdar; Vural, İsmail Mert; Özen, İbrahim Onur; Öztürk, Gökçe; Sarıoğlu, Yusuf; Başaklar, Abdullah Can

2017-01-01

This study was designed to assess smooth muscle function and motility in defunctionalized colonic segments and subsequent changes in pathways responsible for gastrointestinal motility. Two-month-old New Zealand rabbits were randomly allocated into control and study groups. Sigmoid colostomies were performed in the study group. After a 2-month waiting period, colonic segments were harvested in both groups. For the in vitro experiment, the isolated circular muscle strips which were prepared from the harvested distal colon were used. First, contraction responses were detected using KCl and carbachol; relaxation responses were detected using papaverine, sodium nitroprusside, sildenafil, and l-arginine. The neurologic responses of muscle strips to electrical field stimulation (EFS) were evaluated in an environment with guanethidine and indomethacin. EFS studies were then repeated with atropine, Nω-nitro-l-arginine methyl ester, atropine, and Nω-nitro-l-arginine methyl ester-added environments. Although macroscopic atrophy had developed in the distal colonic segment of the colostomy, the contraction and relaxation capacity of the smooth muscle did not change. EFS-induced nitrergic-peptidergic, cholinergic-peptidergic, and noncholinergic nonnitrergic responses significantly decreased at all frequencies (0.5-32 Hz) in the study group compared with those in the control group (P < 0.05). Although the contraction capacity of the smooth muscle was not affected, the motility of the distal colon deteriorated owing to the defective secretion of presynaptic neurotransmitters such as acetylcholine, nitric oxide, and neuropeptides. Copyright © 2016 Elsevier Inc. All rights reserved.

Do geography and resources influence the need for colostomy in Hirschsprung's disease and anorectal malformations? A Canadian association of paediatric surgeons: association of paediatric surgeons of Nigeria survey.

Science.gov (United States)

Abdur-Rahman, Lukman O; Shawyer, Anna; Vizcarra, Rachel; Bailey, Karen; Cameron, Brian H

2014-01-01

This survey compared surgical management of Hirschsprung's disease (HD) and anorectal malformations (ARM) in high and low resource settings. An online survey was sent to 208 members of the Canadian Association of Paediatric Surgeons (CAPS) and the Association of Paediatric Surgeons of Nigeria (APSON). The response rate was 76.8% with 127 complete surveys (APSON 34, CAPS 97). Only 29.5% of APSON surgeons had frozen section available for diagnosis of HD. They were more likely to choose full thickness rectal biopsy (APSON 70.6% vs. CAPS 9.4%, P colostomy for HD (APSON 23.5% vs. CAPS 0%, P colostomy in females with vestibular fistula varied widely independent of geography. APSON surgeons were less likely to have enterostomal therapists and patient education resources. Local resources which vary by geographic location affect the management of HD and ARM including colostomy. Collaboration between CAPS and APSON members could address resource and educational needs to improve patient care.

Aerial thermal images to assess irrigation efficiency in 'Vitis vinifera' cv. Albariño

Science.gov (United States)

Gonzalez, Xesús Pablo; Fandiño, María; Rey, Benjamín J.; José Cancela, Javier

2017-04-01

Canopy temperature was defined as key data to irrigation management and to detect crop water stress (Jackson, 1982). Recently, temperature camera was installed on board in a Unmanned Aerial Vehicle (UAV), thus heterogeneity within field could be determined. Pereira et al. (2012) have defined the conceptual and terminological study of crop water use indicators, mainly water use efficiency (WUE) and water productivity (WP). Actually, it is crucial achieve higher WP and WUE, where crop yield variability between years must be reduced with the smallest irrigation water, but with a correct management of crop water stress during the season. In this study, Albariño cultivar grapevine, priority in Galicia (Spain) in Designation of Origen 'Rías Baixas', was assessed in relation to water productivity index, focus on irrigation treatments aspects, during 2016. Albariño vineyard was planted in 1996 on 110-Richter at a spacing of 3 × 2 m (1667 vines ha-1) (41°57 6 N, 8°49 26 W, elevation 101 m). Vines were trained to a vertical trellis system on a Guyot oriented in the East-West direction. Three irrigation treatments were applied: irrigation from budburst to maturation (T1), from flowering to maturation (T2), and from veraison to maturation (T3), moreover a rain-fed treatment was implemented. All WP index was referred to farm yield level (kg ha-1); where the denominator applied to WP TWUfarm, introduced rainfall and irrigation depth; to WP Irrig, only irrigation depth applied; was used. Moreover, crop water stress index (CWSI) was used to determine homogenize areas within experimental plot, using an UAV with a thermal camera (ThermoMAP, senseFly, SW) to achieve a final map with 14 cm per pixel resolution. During August 11th, at the end of veraison, camera was installed in an 'eBee Ag' UAV (senseFly, SW) with a median flight altitude of 75 m over ground level. Yield per hectare were recorded and total irrigation depth per treatment during the growing season from March to

Effect of different levels of nitrogen fertilizer on yield and quality of sugar beet Beta vulgaris irrigated with saline groundwater (fertigation and surface irrigation) and grown under saline conditions

International Nuclear Information System (INIS)

Janat, M.

2009-07-01

In a field experiment Sugar beet Beta vulgaris was grown as a spring crop during the growing seasons of 2004 and 2006, in salt affected soil, previously planted with sesbania and barley (2005 and 2003) to evaluate the response of sugar beet to two irrigation methods, (drip fertigation and surface irrigation), different levels of nitrogen fertilizer and its effect on yield and quality. Different rates of nitrogen fertilizers (0, 50, 100, 150 and 200 kg N/ ha) as urea (46% N) were injected for drip irrigation or broadcasted for the surface-irrigated treatments in four equally split applications. The 15 N labelled urea was applied to sub-plots of 1.0 m 2 in each experimental unit in a manner similar to that of unlabeled urea. Irrigation scheduling was carried out using the direct method of neutron scattering technique. Sugar beet was irrigated when soil moisture in the upper 25 cm was 80% of the field capacity (FC) and such practice continued until the six leaf stage. From the latter stage until harvest, sugar beet was irrigated when soil moisture in the upper 50 cm reached 80% of the FC. The amount of irrigation water applied, electrical conductivity of the soil paste, dry matter and fresh roots yield, total nitrogen uptake and N derived from fertilizer were also determined. Furthermore, Nitrogen use as well as water use-efficiencies for dry matter and roots yield were also calculated. Results revealed that sugar beets and dry matter yield increased with increasing N input up to 100-150 kg N/ha which was indicated by the higher dry matter yield, and sugar beet yield. Sugar percentage was also increased relative to the average percentage recorded in Syria. Crop water use efficiencies, for both the drip-fertigated and surface-irrigated treatments were increased in most cases with increasing rate of nitrogen fertilizer. During the course of this study, small increases in soil salinity under both irrigation methods were observed. Higher increases in soil salinity was

Enhancing Adoption of Irrigation Scheduling to Sustain the Viability of Fruit and Nut Crops in California

Science.gov (United States)

Fulton, A.; Snyder, R.; Hillyer, C.; English, M.; Sanden, B.; Munk, D.

2012-04-01

Enhancing Adoption of Irrigation Scheduling to Sustain the Viability of Fruit and Nut Crops in California Allan Fulton, Richard Snyder, Charles Hillyer, Marshall English, Blake Sanden, and Dan Munk Adoption of scientific methods to decide when to irrigate and how much water to apply to a crop has increased over the last three decades in California. In 1988, less than 4.3 percent of US farmers employed some type of science-based technique to assist in making irrigation scheduling decisions (USDA, 1995). An ongoing survey in California, representing an industry irrigating nearly 0.4 million planted almond hectares, indicates adoption rates ranging from 38 to 55 percent of either crop evapotranspiration (ETc), soil moisture monitoring, plant water status, or some combination of these irrigation scheduling techniques to assist with making irrigation management decisions (California Almond Board, 2011). High capital investment to establish fruit and nut crops, sensitivity to over and under-irrigation on crop performance and longevity, and increasing costs and competition for water have all contributed to increased adoption of scientific irrigation scheduling methods. These trends in adoption are encouraging and more opportunities exist to develop improved irrigation scheduling tools, especially computer decision-making models. In 2009 and 2010, an "On-line Irrigation Scheduling Advisory Service" (OISO, 2012), also referred to as Online Irrigation Management (IMO), was used and evaluated in commercial walnut, almond, and French prune orchards in the northern Sacramento Valley of California. This specific model has many features described as the "Next Generation of Irrigation Schedulers" (Hillyer, 2010). While conventional irrigation management involves simply irrigating as needed to avoid crop stress, this IMO is designed to control crop stress, which requires: (i) precise control of crop water availability (rather than controlling applied water); (ii) quantifying crop

IRRIMET: a web 2.0 advisory service for irrigation water management

Science.gov (United States)

De Michele, Carlo; Anzano, Enrico; Colandrea, Marco; Marotta, Luigi; Mula, Ileana; Pelosi, Anna; D'Urso, Guido; Battista Chirico, Giovanni

2016-04-01

Irrigation agriculture is one the biggest consumer of water in Europe, especially in southern regions, where it accounts for up to 70% of the total water consumption. The EU Common Agricultural Policy, combined with the Water Framework Directive, imposes to farmers and irrigation managers a substantial increase of the efficiency in the use of water in agriculture for the next decade. Irrigating according to reliable crop water requirement estimates is one of the most convincing solution to decrease agricultural water use. Here we present an innovative irrigation advisory service, applied in Campania region (Southern Italy), where a satellite assisted irrigation advisory service has been operating since 2006. The advisory service is based on the optimal combination of VIS-NIR high resolution satellite images (Landsat, Deimos, Rapideye) to map crop vigour, and high resolution numerical weather prediction for assessing the meteorological variables driving the crop water needs in the short-medium range. The advisory service is broadcasted with a simple and intuitive web app interface which makes daily real time irrigation and evapotranspiration maps and customized weather forecasts (based on Cosmo Leps model) accessible from desktop computers, tablets and smartphones.

Single-port access laparoscopic abdominoperineal resection through the colostomy site: a case report

DEFF Research Database (Denmark)

Lauritsen, Morten; Bulut, O

2012-01-01

Single-port access (SPA) laparoscopic surgery is emerging as an alternative to conventional laparoscopic and open surgery, although its benefits still have to be determined. We present the case of a 87-year-old woman who underwent abdominoperineal resection (APR) with SPA. The abdominal part...... of the operation was performed with a SILS port inserted through the marked colostomy site, and the specimen was removed through the perineum after intersphincteric dissection. Operating time was 317 min. Bleeding was negligible. The specimen measured 26 cm in length. Thirteen lymph nodes were found, 2...

Regulated deficit irrigation can decrease soil CO2 emissions in fruit orchards

Science.gov (United States)

Zornoza, Raul; Acosta, José Alberto; Martínez-Martínez, Silvia; De la Rosa, Jose M.°; Faz, Angel; Pérez-Pastor, Alejandro

2016-04-01

Irrigation water restrictions in the Mediterranean area have created a growing interest in water conservation. Apart from environmental and economic benefits by water savings, regulated deficit irrigation (RDI) may contribute to reduce soil CO2 emissions and enhance C sequestration in soils, by decreasing microbial and root activity in response to decreased soil moisture levels. An experiment was established in four orchards (peach, apricot, Saturn peach and grape) to investigate the effects of regulated deficit irrigation (RDI) on soil CO2 emissions. Two irrigation treatments were assayed: full irrigation (FI), and RDI, irrigated as FI except for postharvest period (peach, apricot, Saturn peach) or post-veraison period (grape) were 50% of FI was applied. The application of deficit caused a significant decrease in CO2 emission rates, with rates in average of 90 mg CO2-C m-2 h-1, 120 mg CO2-C m-2 h-1, 60 mg CO2-C m-2 h-1 and 60 mg CO2-C m-2 h-1 lower than FI during the period when deficit was applied for peach, apricot, Saturn peach and grape. This confirms the high effectiveness of the RDI strategies not only to save water consumption but also to decrease soil CO2 emissions. However, monitoring during longer periods is needed to verify that this trend is long-term maintained, and assess if soil carbon stocks are increase or most CO2 emissions derive from root respiration. Acknowledgements This work has been funded by the European Union LIFE+ project IRRIMAN (LIFE13 ENV/ES/000539).

Drip irrigation and fertigation of potato under light-textured soils of cappadocia region

International Nuclear Information System (INIS)

Halitgil, M. B.; Onaran, H.; Munsuz, N.; Kislal, H.; Akin, A.; Unlenen, A. L.; Cayci, G.; Kutuk, C.

2002-01-01

In order to evaluate potato response to drip irrigation and N fertigation; and also to improve nitrogen and water use efficiencies of potato and eventually to obtain less nitrogen polluted surface and water, 10 field experiments were carried out at three different locations in Cappadocia Region of Turkey in 1997, 1998, 1999 and 2000 growing seasons. Nitrogen as ammonium sulphate ((NH 4 ) 2 So 4 ), was supplied by drip irrigation water (fertigation) at rates of 0, 30, 60 and 90 kg N/da. Also, soil N application treatment equivalent to the fertigation treatment of 60kg N/da was included. These five treatments were investigated in a completely randomized block design with four replicants. Agria potato variety was used in all experiments and potato was planted in mid May and harvested at the end of October.''1''5N-labelled ammonium sulphate fertilizer were applied in isotope-sub plots within the macroplots for each treatment, in order to determine the amount of nitrogen taken up by the plant, nitrogen use efficiency and the distribution of residual nitrogen at different depths in the soil profile. Each year, during the growth period, total 12 irrigations were done and 50 mm of water was applied at each irrigation. At harvest, plant samples (tuber and leaf+vein) and soil samples were taken from each plot and N%, ''1''5N% atom excess (''1''5N% a.e.) and Ndff% determinations were done. Soil water contents at differrent soil depths were determined by soil moisture neutron probe at plantingand at harvest period so that water contents at different soil layers and water use efficiencies were calculated for each treatment. The results obtained showed that 3350 kg/da mean total marketable tuber yield was obtained with application of 600 mm irrigation water. Also,it was found that water did not move below 90 cm of soil layer in drip irrigation-fertigation system, which showed clearly that no nitrogen movement occured beyond 90 cm soil depth. Tuber yields and %Ndff increased when

Water Use and Crop Coefficients in Sprinkler Irrigated Rice

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Antonino Spanu

Full Text Available Field experiments were carried out during the years 2002, 2004, 2005 and 2006 to analyze water-soil-atmosphere interactions in sprinkler irrigated rice. The research was carried out in Sardinia (39º 59’ N; 8º 40’ E, at altitude 15 m. The cultivars used in the experiments, respectively in 2002 and in 2004-2005-2006, were Irat 212 and Eurosis. In each year cultivars were subjected to the same crop management. Irrigation was applied since the emergence with the sprinkler method, taking into account the loss of water from ‘Class A’ pan evaporation. Soil water content was monitored at 0.10 m intervals until 1.00-m depth using a ‘Diviner 2000’ (Sentek. In 2002 seven irrigation scheduling treatments were compared. In 2004, 2005, 2006 irrigation treatments provided for optimal soil water conditions during the growing season. In 2002 the results highlighted: 1 0-0.20 m depth was the most important layer for crop water uptake and the best correlated layer with rice rough yield; 2 the positive relationship between yield and water supply was significant until 6500 m3 ha-1 of water applied. Further seasonal irrigation volumes did not increase significantly yield. In 2004, 2005 and 2006 the analysis of the soil water balance at different crop phenological stages allowed to estimate crop coefficients (Kc using the Penman-Monteith equation and the ‘Class A’ pan evaporation (Kcev. Kc varied over the three-year period on average from 0.90 to 1.07 and 0.97, respectively for the emergence-end of tillering, end of tillering-heading and heading-maturing periods, while crop coefficients as a ratio between maximum crop evapotranspiration (ETc and Epan, Kcev ranged from 0.78 to 0.92 and 0.81 for the same time periods.

Costs and benefits of satellite-based tools for irrigation management

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Francesco eVuolo

2015-07-01

Full Text Available This paper presents the results of a collaborative work with farmers and a cost-benefit analysis of geospatial technologies applied to irrigation water management in the semi-arid agricultural area in Lower Austria. We use Earth observation (EO data to estimate crop evapotranspiration (ET and webGIS technologies to deliver maps and irrigation advice to farmers. The study reports the technical and qualitative evaluation performed during a demonstration phase in 2013 and provides an outlook to future developments. The calculation of the benefits is based on a comparison of the irrigation volumes estimated from satellite vs. the irrigation supplied by the farmers. In most cases, the amount of water supplied was equal to the maximum amount of water required by crops. At the same time high variability was observed for the different irrigation units and crop types. Our data clearly indicates that economic benefits could be achieved by reducing irrigation volumes, especially for water-intensive crops. Regarding the qualitative evaluation, most of the farmers expressed a very positive interest in the provided information. In particular, information related to crop ET was appreciated as this helps to make better informed decisions on irrigation. The majority of farmers (54% also expressed a general willingness to pay, either directly or via cost sharing, for such a service. Based on different cost scenarios, we calculated the cost of the service. Considering 20,000 ha regularly irrigated land, the advisory service would cost between 2.5 and 4.3 €/ha per year depending on the type of satellite data used. For comparison, irrigation costs range between 400 and 1000 €/ha per year for a typical irrigation volume of 2,000 cubic meters per ha. With a correct irrigation application, more than 10% of the water and energy could be saved in water-intensive crops, which is equivalent to an economic benefit of 40-100 €/ha per year.

Irrigating The Environment

Science.gov (United States)

Adamson, D.

2017-12-01

Water insecurity and water inequality are international issues that reduce economic growth. Countries are adopting alternative approaches to rebalance the share of water between all users to mitigate economic loss for this and future generations. However, recent reforms have struggled to provide the necessary arguments to obtain political protection of the process. In the absence of proof, rent-seeking arguments have challenged the benefit of restoring environmental flows by arguing that policy design fails to maximise the environmental benefits. This is a problem in Australia's Murray-Darling Basin (MDB), where despite establishing 3,200GL of environmental water, the policy is still under threat. Applied water economic policy advice fails, when it does not deal with uncertainty. The state-contingent analysis approach can map how individual decision makers can adapt to alternative states of water supply (i.e. drought, normal and wet) by reallocating inputs to obtain state-described outputs. By modelling changes to the states, or the frequency of the states occurring, climate change can modelled, and decision management responses explored. By treating the environment as another set of production systems, lessons learnt from managing perennial and annual agricultural production systems during the Millennium Drought in the MDB can be applied to explore the limits of irrigating the environment. The demand for water by a production system is a combination of state-general (must be irrigated every year e.g. perennial crop or permanent wetland) and state specific inputs (irrigate in response to the realise state). In simple terms, the greater the component of state-general water requirements a production system has, the less resilience it has when water supply is highly variable and if water is not available then production systems are irreversibly lost. While production systems that only need state-allocable water can adapt to alternative levels of scarcity without

The Temporal Variation of Leaf Water Potential in Pistachio under Irrigated and Non-Irrigated Conditions

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Yusuf AYDIN

2014-09-01

Full Text Available The present study was carried out in the experimental field of Pistachio Research Institute on pistachio trees which has uzun variety that was 30 years old. The aim of this research was to determine the Leaf Water Potential (LWP of Pistacia vera L. under irrigated and non-irrigated conditions. In the study, the leaf water potential of pistachio was investigated under fully irrigated and non irrigated conditions. The leaf water potential values were measured one day before and after irrigation by using pressure chamber technique at the beginning, mid and end of irrigation season. According to the results obtained from measurements, the LWP value at the beginning of the irrigation season was -3.7 MPa at noon time due to relatively high temperature for both treatments. At the time of pre-dawn and sunset, this value increased and reached to - 1.6 MPa due to relatively low temperature. In general, the LWP values during the mid of irrigation season, in the irrigated treatments, reached to almost -2.5 MPa in the non-irrigated treatment and the value was measured as -3.68 MPa.

Effect of low-cost irrigation methods on microbial contamination of lettuce irrigated with untreated wastewater

DEFF Research Database (Denmark)

Keraita, Bernard; Konradsen, Flemming; Drechsel, P.

2007-01-01

OBJECTIVE: To assess the effectiveness of simple irrigation methods such as drip irrigation kits, furrow irrigation and use of watering cans in reducing contamination of lettuce irrigated with polluted water in urban farming in Ghana. METHODS: Trials on drip kits, furrow irrigation and watering...... cans were conducted with urban vegetable farmers. Trials were arranged in a completely randomised block design with each plot having all three irrigation methods tested. This was conducted in both dry and wet seasons. Three hundred and ninety-six lettuce, 72 soil, 15 poultry manure and 32 water samples...... were analysed for thermotolerant coliforms and helminth eggs. RESULTS: Lettuce irrigated with drip kits had the lowest levels of contamination, with, on average, 4 log units per 100 g, fewer thermotolerant coliforms than that irrigated with watering cans. However, drip kits often got clogged, required...

Impact of long-term wastewater irrigation on sorption and transport of atrazine in Mexican agricultural soils

OpenAIRE

Muller, K.; Duwig, Céline; Prado, B.; Siebe, C.; Hidalgo, C.; Etchevers, J.

2012-01-01

In the Mezquital Valley, Mexico, crops have been irrigated with untreated municipal wastewater for more than a century. Atrazine has been applied to maize and alfalfa grown in the area for weed control for 15 years. Our objectives were to analyse (i) how wastewater irrigation affects the filtering of atrazine, and (ii) if the length of irrigation has a significant impact. We compared atrazine sorption to Phaeozems that have been irrigated with raw wastewater for 35 (P35) and 85 (P85) years wi...

Irrigation water quality as indicator of sustainable rural development

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Trajković Slaviša

2004-01-01

Full Text Available The sustainable rural development more and more depends on the efficient usage of water resources. Most often, at least in one part of the year, the rain is not sufficient for plant growth and rain plant production significantly depends on the yearly precipitation variation. The increase and stability of the agricultural production is possible in the irrigation conditions. The most part (around 70% of the global water resources is used for food production. Irrigation water quality indicator is used to show if the available water resources have the required quality for application in agriculture. Irrigation is characterised by the complex water-plant-soil relationship, and in that eco-system the man as the end user of the irrigated fields occupies a very important place. That explains the difficulties in producing one universal classification of irrigation water quality. The paper analyses numerous water quality classifications from the aspect of the applicability on the quantifying of this indicator. The adopted classification should possess understandable, qualified and internationally comparable indicator. Thus, local classifications (Neigebauer, Miljkovic cannot be used for this indicator. United Nation Food and Agricultural Organization (FAO and US Salinity Laboratory (USSL classifications are used for the evaluation of the irrigation water quality throughout the world. FAO classification gives the complex picture of the usability of the irrigation water from the point of its influence on the soil and the plants. However, the scope of the analyses is not often suited to the needs of that classification, which makes it difficult to apply. The conclusion is that the USSL (US Salinity Laboratory classification is best suited to this range of chemical water analyses. The evaluation of the irrigation water quality indicator in the Juzna Morava river basin, upstream from the Toplica river estuary is given in this paper. Based on the obtained

IRRIGATION USING SOLAR PUMP

OpenAIRE

Prof. Nitin P.Choudhary*1 & Ms. Komal Singne2

2017-01-01

In this report the described design of a PV and soil moisture sensor based automated irrigation system is introduced. This project aims to provide a human friendly, economical and automated water pumping system which eliminates the problems of over irrigation and helps in irrigation water optimization and manage it in accordance with the availability of water. Our project not only tries to modernize the irrigation practices and ensure the optimum yield by carefully fulfilling the requirements...

Produced water irrigation changes the soil mesofauna community in a semiarid agroecosystem.

Science.gov (United States)

Ferreira, Raimundo Nonato Costa; Weber, Olmar Baller; Crisóstomo, Lindbergue Araujo

2015-08-01

The scarcity of water in semiarid regions requires alternative sources for irrigation to improve agricultural production. Here, we aimed to evaluate the effects of produced water from oil exploration on the structure of soil mesofauna during the dry and rainy seasons in irrigated sunflower and castor bean fields in a Brazilian semiarid region. Three irrigation treatments were applied on plots cultivated with castor beans and sunflowers: produced water treated by filtration (filtrated) or treated by reverse osmosis (reverse osmosis) and groundwater. The mesofauna under the biofuel crops was collected and identified during the dry and rainy seasons. Although the abundance and richness of the total fauna did not differ between seasons in sunflower plots, the community was altered. In castor beans, the abundance, richness, and community of mesofauna observed in plots irrigated with produced water differed from the groundwater treatment. Irrigation with produced water promotes important changes in soil fauna community that justify their assessment for the maintenance and monitoring of agroecosystems.

Antegrade Colonic Lavage in Acute Colonic Obstruction

OpenAIRE

Foster, Michael E.; Johnson, Colin D.

1986-01-01

Conventional management of acute left sided colonic obstruction employs some form of proximal colostomy. Intraoperative antegrade colonic irrigation relieves proximal faecal loading and may permit safer primary resection and anastomosis. The results of a pilot study are presented, and are shown to be favourable.

Soil salinity under deficit drip irrigation of potato and millet in in an arid environment

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Kamel Nagaz

2017-06-01

Full Text Available The influence of deficit irrigation (DI with saline water on soil salinity in a drip-irrigated potato and millet fields was investigated. We had compared proportional soil salinity developed under Full and DI under drip irrigation. For both experiments, the treatments were (1 Full, control treatment where rooting zone soil water content was increased to field capacity at each irrigation; (2 DI80; (3 DI60 and DI40; 20, 40 and 60% deficit irrigation compared to Full treatment were applied, respectively. Soil salinity was assessed using the isosalinity maps constructed with grid soil sampling of plant root zone at harvest. Results show that high spatial variability was observed in salinity along soil profiles when applying saline water with drip irrigation for potato. For the DI40 and DI60 treatments, high soil salinity was recorded in the upper soil layer close to the emitter. Increase of soil salinity within soil depths of 30 cm or below was also observed under DI60 and DI40 treatments. The lowest increase was noted under the full treatment. Surface soil salinity was somewhat higher under DI60 and DI40 compared with that of full and DI80 irrigation treatments. The distribution of salts around the dripper changes during the crop season according to applied irrigation treatments, with overall higher concentrations between the drippers and towards the margin of wetted band. Iso-salinity maps at harvest of potato showed that the surface layer of 30 cm depth had the lowest salinity which gradually increased at deeper zones irrespective of the treatment. Salt accumulation essentially occurred at wetting front between the drippers and the plant row. Although salt accumulation was relatively highest along the row under DI treatments, the area of accumulation was relatively shifted toward the center between the rows and the drip line. The results also show the importance of the potato cropping season to benefit from the leaching of soluble salts with the

Coordinated research project of the use of nuclear and related techniques in assessment of irrigation schedules of field crops to increase effective use of water in irrigation projects

International Nuclear Information System (INIS)

Anac, M.S.; Tuzel, I.H.; Anac, D.

1995-01-01

The study aimed at determining the followings; water consumptions. irrigation water requirements of new cotton variety N 84; specific growth stages of cotton which are less sensitive to stress so that the irrigation could be avoided without significant yield decrease; and interactions between deficit irrigation and nitrogen fertilizer use. The experiment was set up with 6 irrigation and three nitrogen fertilizer (0.60 , 120 kg.ha sup -1 ) treatments. The irrigation treatments employed single stress at vegetative, flowering and boll formation stages, in addition to full irrigation, continuous stress and the traditional practice. In stress conditions available soil water depleted to 75 - 80 %, whereas in normal irrigation the depletion was 40 % in 0.90 m. of root zone. In full irrigation treatment 8 irrigations were applied, whereas 3 or 4 irrigations were needed in continuous stress conditions. The number of irrigations were 6 or 7 for other stress treatments. Irrigation water applications varied form 424 to 751 mm. Seasonal ET were ranged between 659 and 899 mm. The highest monthly ET in august for all of the treatments. Daily ET were found to vary from 2.2 to 12.1 mm/day. The seed cotton yields, ky values and yield - N indices have indicated that the vegetative state was more sensitive to water stress. The stress at boll formation stage had slight effects on these parameters. Under limited water resource conditions, vegetative growth period of cotton should be given preference for irrigation, followed by flowering period. Omitting irrigation in boll formation period would result in 4.3 to 9.1 % water savings. Yield changes with respect to N rates showed that high N doses are accompanied by high yields. Nitrogen recoveries either from fertilizers or soil revealed high uptakes in full irrigation conditions. Nitrogen use efficiencies were also high in these conditions. Average of three years put forth that 19% of N in stress conditions and 29% in full irrigation were

Methods to estimate irrigated reference crop evapotranspiration - a review.

Science.gov (United States)

Kumar, R; Jat, M K; Shankar, V

2012-01-01

Efficient water management of crops requires accurate irrigation scheduling which, in turn, requires the accurate measurement of crop water requirement. Irrigation is applied to replenish depleted moisture for optimum plant growth. Reference evapotranspiration plays an important role for the determination of water requirements for crops and irrigation scheduling. Various models/approaches varying from empirical to physically base distributed are available for the estimation of reference evapotranspiration. Mathematical models are useful tools to estimate the evapotranspiration and water requirement of crops, which is essential information required to design or choose best water management practices. In this paper the most commonly used models/approaches, which are suitable for the estimation of daily water requirement for agricultural crops grown in different agro-climatic regions, are reviewed. Further, an effort has been made to compare the accuracy of various widely used methods under different climatic conditions.

Automation of irrigation systems to control irrigation applications and crop water use efficiency

Science.gov (United States)

Agricultural irrigation management to slow water withdrawals from non-replenishing quality water resources is a global endeavor and vital to sustaining irrigated agriculture and dependent rural economies. Research in site-specific irrigation management has shown that water use efficiency, and crop p...

Collective action and participation in irrigation water management: A ...

African Journals Online (AJOL)

A case study of Mooi River Irrigation Scheme in KwaZulu-Natal. Province ..... Seven principal components were extracted using Pearson cor- relations. By applying the ..... OLSON M (1965) The Logic of Collective Action: Public Goods and the.

Ghana - Agriculture - Irrigation

Data.gov (United States)

Millennium Challenge Corporation — The Millennium Development Authority (MiDA) financed the construction of a new irrigation scheme in Kpong and the renovation of two irrigation schemes in Botanga and...

TRANSPORT OF SOLUTES IN THE FIELD AS AFFECTED BY IRRIGATION

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Alessandro Comegna

2007-09-01

Full Text Available This study documents and compares the transport of a conservative solute in near saturated soil profiles under flood and sprinkler irrigation. The experiments were carried out on a clay Vertic-Usthortens soil located near Potenza (Italy. Two 2x2 m2 plots were clipped of their native grass vegetation. After spraying on the surface a Cl- pulse as KCl salt; water was applied in five increments over two months as flood irrigation on the first plot and as sprinkler irrigation on the second one. Chloride resident concentration Cr, was sampled by soil coring at four different days after chemical application. Cr(z,t profiles were analyzed by spatial moment method. The recovered mass of Cl- and location of center of mass were comparable for the two types of irrigation. The spread around the center of mass, however, was higher for the flood-irrigated plot. In the flood-irrigated plot, more mass leached below the depth of 90 cm. The velocity of the center of mass was consistently 10-20% larger than the piston displacement velocity. To evaluate the nature of transport, the Cr(z,t distributions were modelled using quasi-steady solution of convection-dispersion equation(CDE. At the scale of our experiments the profiles of Cl- resident concentration are well-simulated.

Irrigation management in Mediterranean salt affected agriculture: how leaching operates

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Angela Libutti

2012-03-01

Full Text Available In the frame of a crop rotation currently applied in a farm of the Apulian Tavoliere (Southern Italy, this paper reports the effect of brackish water irrigation on soil, outlines the corresponding salinity balance, formulates quantitative relations to model salt outflow below the soil root-layer and defines operational criteria to optimize irrigation management at farm level in order to control soil salinity through leaching. The general aim is to contribute to a sustainable use of the available water resources and a proper soil fertility conservation. A three-year trial (2007-2010 was carried out on a farm located close to the coast of the Manfredonia gulf (Mediterranean - Adriatic sea, where irrigation with brackish water is frequently practiced due to seawater intrusion into the groundwater. An especially designed experimental field-unit was set-up: the bottom of three hydraulically insulated plots was covered with a plastic sheet to intercept the percolating water and collect it into tanks by means of drain tubes. Each year a double crop cycle was applied to the soil; a spring-summer crop (tomato, zucchini and pepper, respectively was followed by a fall-winter crop (spinach, broccoli and wheat. Short “fallow” periods (completely bare soil were inserted between two crop cycles. Irrigation or rain completely restored crop water consumptions (with the exception of wheat, considered a rainfed crop and leaching was performed both unintentionally (by rainfalls or intentionally (supplying higher irrigation volumes whenever the soil electrical conductivity exceeded a fixed threshold. The soil electrical conductivity was periodically measured together with volume and electrical conductivity of irrigation and drainage water. All these measures allowed to draw-up the salt-balance of the soil, respectively at the beginning and the end of each crop cycle. Absolute and relative variations in soil salt content were interpreted with respect to absolute

Kalanchoe crop development under different levels of irrigation

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Fátima Cibele Soares

Full Text Available ABSTRACT Despite its importance in the floriculture sector, irrigation management of kalanchoe is characterized by empiricism, being necessary further studies on the use of water by this crop. Thus, the objective of this study is to analyze the several effects of irrigation levels on the growth of kalanchoe crop conducted in greenhouse in the municipality of Alegrete, state of Rio Grande do Sul. The experiment was conducted in a 7 x 15 m protected environment. The experimental design was completely randomized, with four treatments (irrigation levels corresponding to 40, 60, 80 and 100% of the pot water retention capacity - PC and four repetitions, totaling sixteen plots. The crop cycle was 224 days after transplanting and the applied average depths were: 451.82; 367.38; 282.94; 198.51 mm for treatments: 100; 80; 60 and 40% of PC, respectively. Canopy area and number of leaves per plant were evaluated over the crop cycle. In the end of the cycle, the canopy diameter, number of inflorescences per plant and the number of flowers per plant were evaluated. No significant differences were found only to the canopy area, by the F test. Irrigation water depths between 40 and 70% of the pot capacity were more appropriate for the crop growth in the study region. The cultivar presented the best development at irrigation levels below the maximum vessel water retention capacity, that is, it is resistant to drought.

Assessment of water use and its productivity in the Spanish irrigation district "Río Adaja"

Science.gov (United States)

Rodriguez-Sinobas, Leonor; Naroua, Iliassou; Sánchez-Calvo, Raúl

2015-04-01

A study of the assessment of the irrigation water use has been carried out in the Spanish irrigation District "Río Adaja" that has analyzed the water use efficiency and the water productivity indicators for the main crops during the first three years of operation (2010/2011, 2011/2012 and 2012/2013). A soil water balance model was applied taking into account climatic data for the nearby weather station and soil properties. Crop water requirements were calculated by the FAO Penman-Monteith with the application of the dual crop coefficient and by considering the readily available soil water content (RAW) concept. Likewise, productivity was measured by the indexes: annual relative irrigation supply (ARIS), annual relative water supply (ARWS), relative rainfall supply (RRS), the water productivity (WP), the evapotranspiration water productivity (ETWP), and the irrigation water productivity (IWP). The results show that the irrigation district applied deficit irrigation in most crops (ARIS<1), and also improved water productivity. This was higher in 2010/2011 which showed the highest effective precipitation Pe. The IWP (€/m3) index varied among crops with the highest values for onion (4.14), potato (2.79), carrot (1.37) and barley (1.21) for the first year and, onion (1.98), potato (1.69), carrot (1.70) and barley (1.16) in the second year. Thus, these crops would be a proper cropping pattern to maximize the gross income in the irrigation district.

Applying CSM-CERES-Maize to define a sowing window for irrigated maize crop - The Riacho´s Farm case study

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Denise Freitas Silva

2011-08-01

Full Text Available Irrigation use constitutes an alternative to improve maize production in Central Minas Gerais State, Brazil. However, even under adequate water supply conditions, other environmental factors may influence maize crop growth and development and may, ultimately, affect grain yield. This study aimed to establish a sowing window for irrigated maize crop, based on simulation results obtained with the decision support model CSM-CERES-Maize. Simulations were made for crop management conditions of Riacho´s Farm, located in Matozinhos, Minas Gerais State, Brazil. It was employed the model´s seasonal tool, along with a data set containing 46 years of weather data records, to simulate maize yield for weekly sowing scenarios, starting on August 1st and ending on July 24th of each year. One defined an irrigated maize sowing window, taking into account the yield break risk that a farmer would be willing to take. The model proved to be an interesting tool to assist in decision making, regarding crop and irrigation management, for an irrigated maize production system. Assuming a 10% yield break in the expected average maximum maize yield, it was defined as sowing window, the period from January 23rd to March 6th, with February 20th as the best sowing date. Other sowing windows may be established according to the risk that the farmer would be willing to take.

Effect of irrigation frequency and application levels of sulphur ...

African Journals Online (AJOL)

Administrator

2011-09-21

Sep 21, 2011 ... both years of experimentation, application of two irrigations significantly increased the India ... marginal lands with poor fertility under rainfed conditions. ... and 40 kg K20 ha-1 as muriate of potash was applied to each plot.

Hydrological drought index insurance for irrigation districts in Spain

Energy Technology Data Exchange (ETDEWEB)

Maestro, T.; Bielza, M.; Garrido, A.

2016-11-01

Hydrological droughts are a major risk for irrigated agriculture in many regions of the world. The aim of this article is to propose an insurance tool to help irrigators manage the risk of water scarcity in the framework of the Spanish Crop Insurance System (SCIS). Only the United States Insurance System provides this type of coverage, but has very restrictive conditions. To determine the type of insurance scheme that better fits with the SCIS and to the Spanish irrigated agriculture, an expert panel was held with the participation of all stakeholders involved in crop insurance. Following the expert panel conclusions, an hydrological drought index insurance (HDII) addressed to irrigation districts (ID) is proposed. It would compensate water deficits suffered in the whole ID. We detail the conditions that the ID should fulfill to be eligible for HDII. HDII is applied to the Bardenas Irrigation District V (ID-V) in Spain, and the hedging effectiveness of the instrument is analyzed comparing ID-V’s gross margins with and without the insurance contract. Results suggest that the proposed insurance scheme could provide an effective means of reducing farmers’ vulnerability to water shortages and there is no major impediment for it to be included as a new line in the SCIS. This type of insurance can be generalized to any ID fulfilling the conditions mentioned in this paper. (Author)

Delayed presentation of a sigmoid colon injury following blunt abdominal trauma: a case report

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Ertugrul Gokhan

2012-08-01

Full Text Available Abstract Introduction The low incidence of colon injury due to blunt abdominal trauma and the lack of a definitive diagnostic method for the same can lead to delays in diagnosis and treatment, subsequently resulting in high morbidity and mortality. Case presentation A 66-year-old woman with sigmoid colon injury was admitted to our emergency department after sustaining blunt abdominal trauma. Her physical examination findings and laboratory results led to a decision to perform a laparotomy; exploration revealed a sigmoid colon injury that was treated by sigmoid loop colostomy. Conclusions Surgical abdominal exploration revealed gross fecal contamination and a perforation site. Intra-abdominal irrigation and a sigmoid loop colostomy were performed. Our patient was discharged on post-operative day six without any problems. Closure of the sigmoid loop colostomy was performed three months after the initial surgery.

[Quality of life of the colostomized person with or without use of methods of bowel control].

Science.gov (United States)

Cesaretti, Isabel Umbelina Ribeiro; Santos, Vera Lúcia Conceição Gouveia; Vianna, Lucila Amaral Carneiro

2010-01-01

To evaluate and to compare the quality of life (QoL) of colostomy people, using or not using the bowel control methods (BCM), in other words, the colostomy irrigation and the plug system, considering the hypothesis that people who used them had better QoL. This study was carried out in the Heliópolis Hospital Outpatient Department, after the project approval for the Ethical and Research Committee, using the WHOQoL-bref. The sample was constituted of two groups: 50 colostomy people with BCM and 50, without BCM. The Group with BCM had a QoL significantly higher, being this observed in all the Domains and in the Overall QoL, than those of the Group without BCM. The study confirmed the hypothesis that the QoL of the Group with BCM is better than the Group without BCM.

Development and validation of a quality of life questionnaire for patients with colostomy or ileostomy

Directory of Open Access Journals (Sweden)

Juul Kristian

2005-10-01

Full Text Available Abstract Background Quality of life of stoma patients is increasingly being addressed in clinical trials. However, the instruments used in the majority of these studies have not been validated specifically for stoma patients. The aim of this paper is to describe the development and validation of a quality-of-life instrument, "Stoma-QOL", specifically for patients with colostomy or ileostomy. Methods Potential items were formulated in English on the basis of the results of a series of semi-structured interviews with 169 adult stoma patients. The process resulted in a preliminary 37-item version, which was translated into French, German, Spanish and Danish, and administered repeatedly to 182 patients with colostomy or ileostomy. A psychometric selection of items was performed through Rasch Analysis. The measurement properties of the final questionnaire version were subsequently tested. Results The 20 items in the final questionnaire covered four domains – sleep, sexual activity, relations to family and close friends, and social relations to other than family and close friends. These items were found to define a unidimensional variable according to Rasch specifications (Infit MNSQ 0.88 (p Conclusion Given the adequacy of the metric properties of the Stoma-QOL suggested by the psychometric analyses, this study confirms the suitability of the instrument in clinical practice and in clinical research.

Traditional Irrigation Management in Betmera-Hiwane, Ethiopia: The Main Peculiarities for the Persistence of Irrigation Practices

Institute of Scientific and Technical Information of China (English)

Solomon Habtu; Kitamura Yoshinobu

2006-01-01

Traditional irrigation, as part of the ancient agricultural practices in northern Ethiopia (Tigray), has persisted for long time since 500 B.C.,while many newly introduced irrigation projects have usually failed there. The main objective of this study is thus to investigate the peculiarities pertinent to irrigation management and those having contributed for the persistence of traditional irrigation practices for a long period of time. The experience gained from such areas can definitely help make irrigation management system of new irrigation schemes sustainable. Betmera-Hiwane, one of the ancient traditional irrigation areas in Tigray region, was selected for the field study. Direct observations through field visits accompanied by interviews to farmers, local officials, local knowledgeable individuals and higher officials were made. After analyzing the collected primary and secondary information, the main peculiarities that contributed to the persistence of traditional irrigation areas were identified, and they are: the presence of communally constructed local rules, locally designed hydraulic control structures, ownership feeling of the irrigators and accountability of water distributors to the irrigation management, the culture for mobilizing communal resources and the culture of self-initiating local water management strategies.

Modernized Irrigation Technologies in West Africa

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Hakan Büyükcangaz

2017-12-01

Full Text Available Crop production in West Africa is mostly dependent upon rainfed agriculture. Irrigation is a vital need due to uneven distribution of rainfall and seasonality of water resources. However, management and sustainability of irrigation are under risk due to notably weak database, excessive cost, unappropriate soil or land use, environmental problems and extreme pessimism in some quarters since rainfed agriculture is seen as potentially able to support the present population. This paper focuses on modernized irrigation technologies and systems that utilize less water. Information about irrigation systems in Ghana and Liberia were gathered through: 1 Irrigation development authorities in both countries, by reviewing past literatures, online publications, reports and files about irrigation in West Africa, specifically Ghana and Liberia; 2 International Food Policy Research Institute (IFPRI; 3 Collation of information, reports and data from Ghana Irrigation Development Authority (GIDA and 4 International Water Management Institute (IWMI. The result shows that both countries have higher irrigation potential. However, the areas developed for irrigation is still a small portion as compare to the total land available for irrigation. On the other hand, as seen in the result, Liberia as compare to Ghana has even low level of irrigation development.

Irrigation in endodontic treatment.

Science.gov (United States)

Basrani, Bettina

2011-01-01

The primary endodontic treatment goal is to optimize root canal disinfection and to prevent reinfection. Successful root canal therapy relies on the combination of proper instrumentation, irrigation, and obturation of the root canal system. In this review of the literature, various irrigants and the interactions between irrigants are discussed and new delivery systems are introduced.

Wheat-yield response to irrigation and nitrogen

International Nuclear Information System (INIS)

Kirda, C.; Derici, R.; Kanber, R.; Yazar, A.; Koc, M.; Barutcular, C.

2000-01-01

Wheat-yield responses to the application of different rates of N fertilizer, under irrigated and rainfed conditions, were evaluated over four growing seasons. Nitrogen applied at tillering was utilized more effectively with proportionately less residual in the soil compared to that applied at planting. Subsequent crops of maize or cotton were positively affected by residual fertilizer N. Volatilization and leaching losses of applied N were small. Crop-water consumption showed strong positive associations with N rate. No wheat-grain-yield benefits accrued from irrigation, although straw yields were increased. Tiller production increased with N-fertilizer usage, however, tiller survival decreased at high N and was highest at 160 kg N ha -1 . Higher N rates produced higher stomatal conductance, increased rates of CO 2 assimilation and higher water-use efficiency. The CERES-Wheat growth-simulation model predicted rather closely the progress of dry-matter production, leaf area index, seasonal evapotranspiration, phenological development and of many other plant-growth attributes. The data indicated that the rate of 160 kg N ha -1 , which is commonly used by the farmers of the region, is acceptable, not only for optimum grain yields but also to minimize the risks of leaching NO 3 - to groundwater. (author)

The effect of irrigation time and type of irrigation fluid on cartilage surface friction.

Science.gov (United States)

Stärke, F; Awiszus, F; Lohmann, C H; Stärke, C

2018-01-01

It is known that fluid irrigation used during arthroscopic procedures causes a wash-out of lubricating substances from the articular cartilage surface and leads to increased friction. It was the goal of this study to investigate whether this effect depends on the time of irrigation and type of fluid used. Rabbit hind legs were used for the tests. The knees were dissected and the friction coefficient of the femoral cartilage measured against glass in a boundary lubrication state. To determine the influence of irrigation time and fluid, groups of 12 knees received either no irrigation (control), 15, 60 or 120min of irrigation with lactated Ringer's solution or 60min of irrigation with normal saline or a sorbitol/mannitol solution. The time of irrigation had a significant effect on the static and kinetic coefficient of friction (CoF), as had the type of fluid. Longer irrigation time with Ringer's solution was associated with increased friction coefficients (relative increase of the kinetic CoF compared to the control after 15, 60 and 120min: 16%, 76% and 88% respectively). The sorbitol/mannitol solution affected the static and kinetic CoF significantly less than either Ringer's or normal saline. The washout of lubricating glycoproteins from the cartilage surface and the associated increase of friction can be effectively influenced by controlling the time of irrigation and type of fluid used. The time of exposure to the irrigation fluid should be as short as possible and monosaccharide solutions might offer a benefit compared to salt solutions in terms of the resultant friction. Copyright © 2017 Elsevier Ltd. All rights reserved.

Making the user visible: analysing irrigation practices and farmers’ logic to explain actual drip irrigation performance

NARCIS (Netherlands)

Benouniche, M.; Kuper, M.; Hammani, A.; Boesveld, H.

2014-01-01

The actual performance of drip irrigation (irrigation efficiency, distribution uniformity) in the field is often quite different from that obtained in experimental stations. We developed an approach to explain the actual irrigation performance of drip irrigation systems by linking measured

Soil salinisation and irrigation management of date palms in a Saharan environment.

Science.gov (United States)

Haj-Amor, Zied; Ibrahimi, Mohamed-Khaled; Feki, Nissma; Lhomme, Jean-Paul; Bouri, Salem

2016-08-01

The continuance of agricultural production in regions of the world with chronic water shortages depends upon understanding how soil salinity is impacted by irrigation practises such as water salinity, irrigation frequency and amount of irrigation. A two-year field study was conducted in a Saharan oasis of Tunisia (Lazala Oasis) to determine how the soil electrical conductivity was affected by irrigation of date palms with high saline water. The study area lacked a saline shallow water table. Field results indicate that, under current irrigation practises, soil electrical conductivity can build up to levels which exceed the salt tolerance of date palm trees. The effects of irrigation practises on the soil electrical conductivity were also evaluated using model simulations (HYDRUS-1D) of various irrigation regimes with different frequencies, different amounts of added water and different water salinities. The comparison between the simulated and observed results demonstrated that the model gave an acceptable estimation of water and salt dynamics in the soil profile, as indicated by the small values of root mean square error (RMSE) and the high values of the Nash-Sutcliffe model efficiency coefficient (NSE). The simulations demonstrated that, under field conditions without saline shallow groundwater, saline irrigation water can be used to maintain soil electrical conductivity and soil water content at safe levels (soil electrical conductivity soil water content >0.04 cm(3) cm(-3)) if frequent irrigations with small amounts of water (90 % of the evapotranspiration requirements) were applied throughout the year.

Irrigation et paludisme : un couple infernal?

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Mergeai, G.

2016-01-01

water basins, as natural transmission of the disease was low in these places. There are many possible ways of attenuating the negative effects of irrigation, while maintaining agricultural productivity, such as: alternate wetting and drying of rice paddies, rotation of rice cultivation with non-irrigated crops, proper maintenance of irrigation canals, in order to prevent the formation of ponds caused by leaks, using farm animals to attract mosquitos and keeping mosquito breeding sites away from alternative food sources, such as maize pollen, on which they feed. When irrigation projects are first planned, it is vital that measures are devised, in order to limit the spread of malaria, together with systems aimed at monitoring their impact on health. As well as the above-mentioned production techniques, this also applies to initiatives in the field of education, access to mosquito nets, cautious use of pesticides, diagnosis and early treatment of disease. It is important that all stakeholders in agricultural development are made more aware of these problems. The creation of affordable health insurance systems for farmers is also a solution that will rapidly get malaria victims back on their feet. Hoping to have sensitized to this important problematic all those of you who are concerned, I wish you an excellent reading of this issue.

Review. Deficit irrigation in fruit trees and vines in Spain

Energy Technology Data Exchange (ETDEWEB)

Ruiz-Sanchez, M. C.; Domingo, R.; Castel, J. R.

2010-07-01

Water has become the most precious of natural resources in many areas of Spain and, since agriculture is the major consumer of water, improvements in water use efficiency are increasingly sought. Regulated deficit irrigation (RDI) is an irrigation strategy based on applying only a fraction of the plant water requirements during certain periods of plant development. The paper reviews the available information on RDI strategies, in woody tree crops and vines based on studies by Spanish research groups. Both the promising results obtained and the drawbacks are covered. (Author) 130 refs.

Decontamination of soils by irrigation with solutions containing complexing agents

International Nuclear Information System (INIS)

Pimpl, M.; Schuettelkopf, H.

1982-01-01

Experiments in laboratory scale were performed to increase the mobility of Pu, Am, and Cm in soil. Soil columns of 30 cm in diameter and 40 cm of length were contaminated on the surface with 5 μCi of Pu, Am, and Cm, applied as nitrates. By irrigation with 0.1 M DTPA-solution the actinides were mobilized and migrated with the irrigation solution through the columns. The migration velocity was measured and compared to the calculated one. Conclusions for the application of this procedure in field experiments are drawn. (author)

How Patients Experience Antral Irrigation

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Karin Blomgren

2015-01-01

Full Text Available Background Antral irrigation earlier had an important role in the diagnosis and treatment of rhinosinusitis. Nowadays, it is often considered too unpleasant. However, the experience of patients of this procedure has been very seldom evaluated. Nor has the effect on pain in rhinosinusitis been evaluated. The aim of this study was to evaluate patients’ experience of discomfort and pain during antral irrigation. We also assessed facial pain caused by rhinosinusitis before the procedure and pain soon after the procedure. Methods Doctors and 121 patients completed their questionnaires independently after antral irrigation in a university clinic, in a private hospital, and at a communal health center. Results Patients experienced mild pain during antral irrigation (mean and median visual analog scale score: <3. Their experience of pain during antral irrigation was closely comparable to pain during dental calculus scaling. Facial pain assessed before antral irrigation decreased quickly after the procedure. Conclusions Antral irrigation was well tolerated as an outpatient procedure. The procedure seems to relieve facial pain caused by the disease quickly. The role of antral irrigation in the treatment of acute rhinosinusitis will need further investigation.

Modernisation Strategy for National Irrigation Systems in the Philippines: Balanac and Sta. Maria River Irrigation Systems

NARCIS (Netherlands)

Delos Reyes, M.L.F.

2017-01-01

This book examines the nature and impact of irrigation system rehabilitation on increasing the actual area irrigated by the publicly funded canal irrigation systems of the Philippines. It proposes a system diagnosis approach for the development of a more appropriate and climate-smart irrigation

Irrigation water quality influences heavy metal uptake by willows in biosolids.

Science.gov (United States)

Laidlaw, W Scott; Baker, Alan J M; Gregory, David; Arndt, Stefan K

2015-05-15

Phytoextraction is an effective method to remediate heavy metal contaminated landscapes but is often applied for single metal contaminants. Plants used for phytoextraction may not always be able to grow in drier environments without irrigation. This study investigated if willows (Salix x reichardtii A. Kerner) can be used for phytoextraction of multiple metals in biosolids, an end-product of the wastewater treatment process, and if irrigation with reclaimed and freshwater influences the extraction process. A plantation of willows was established directly onto a tilled stockpile of metal-contaminated biosolids and irrigated with slightly saline reclaimed water (EC ∼2 dS/cm) at a wastewater processing plant in Victoria, Australia. Biomass was harvested annually and analysed for heavy metal content. Phytoextraction of cadmium, copper, nickel and zinc was benchmarked against freshwater irrigated willows. The minimum irrigation rate of 700 mm per growing season was sufficient for willows to grow and extract metals. Increasing irrigation rates produced no differences in total biomass and also no differences in the extraction of heavy metals. The reclaimed water reduced both the salinity and the acidity of the biosolids significantly within the first 12 months after irrigation commenced and after three seasons the salinity of the biosolids had dropped to metal extraction. Reclaimed water irrigation reduced the biosolid pH and this was associated with reductions of the extraction of Ni and Zn, it did not influence the extraction of Cu and enhanced the phytoextraction of Cd, which was probably related to the high chloride content of the reclaimed water. Our results demonstrate that flood-irrigation with reclaimed water was a successful treatment to grow willows in a dry climate. However, the reclaimed water can also change biosolids properties, which will influence the effectiveness of willows to extract different metals. Copyright © 2015 Elsevier Ltd. All rights

Manejo da irrigação em pastagem irrigada por pivô-central Irrigated pasture: water management under center pivot irrigation

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Alexandre C. Xavier

2004-12-01

Full Text Available A aplicação de lâminas de irrigação em pastagem irrigada sob pivô-central é, de maneira geral, realizada sem um critério técnico pertinente ao sistema, pois se deve considerar que para um mesmo período a pastagem se encontra em diferentes estádios de desenvolvimento em cada parcela, apresentando taxas de evapotranspiração diferenciadas dentro da área irrigada; todavia, usualmente se aplica uma única lâmina para toda a área. Neste trabalho foi desenvolvido um modelo para aplicação de lâminas de irrigação distinta para cada parcela do pivô o qual, de modo geral, considera: i a capacidade do pivô-central de aplicar lâminas distintas na área; ii o nível de desenvolvimento da cultura em cada parcela; iii o período de retorno do gado a determinada parcela (ciclo de pastejo; e iv o potencial de desenvolvimento da pastagem de certa região. Para modelar o coeficiente de cultura (Kc foram utilizadas duas metodologias, a primeira com taxa de variação do Kc constante com o número de dias em que a parcela está em descanso (k, e a segunda, com taxa de variação do Kc na forma senoidal com k. O modelo foi aplicado para pastagens hipotéticas nas regiões de Piracicaba e Pereira Barreto, para avaliação e, como resultado, observou-se que o modelo se mostrou sensível ao nível de desenvolvimento de cada parcela e às condições de variação do clima de cada região.The application of irrigation depths in irrigated pasture under center pivot machines, in a general way, is accomplished without a pertinent technical criterion, because it should be considered that for any time period, the pasture plots are at different development stages (rotary pasture, presenting different evapotranspiration rates inside the irrigated area. Furthermore, farmers usually apply a single irrigation depth for the whole area. In this study a model was developed for the application of different irrigation depths in each portion of the pivot (pizza

Regulated deficit irrigation effects on yield, fruit quality and vegetative growth of Navelina citrus trees

Energy Technology Data Exchange (ETDEWEB)

Gasque, M.; Granero, B.; Turegano, J. V.; Gonzalez-Altozano, P.

2010-07-01

An experiment on regulated deficit irrigation (Redi) was performed during two growing seasons (2007 and 2008) in a drip-irrigated orchard of Navelina/Cleopatra in Senyera (Valencia, Spain). Two RDI treatments, where water application was reduced to 40% and 60% of the irrigation dose (ID), were carried out during the initial fruit enlargement phase (Stage II, 17th July to 2nd September). The rest of the year they were irrigated at 110% ID. These treatments were compared with a control, where irrigation was applied without restriction during the whole year at 110% ID. The ID was obtained from the evapotranspiration data, as well as from the characteristic variables of drip irrigation for the specific experimental orchard. The effects of the treatments on yield, fruit quality, and vegetative growth are discussed in relation to tree water status (midday stem water potential, ?st). Minimal ?st values reached in the treatment with the highest stress intensity were -1.71 and - 1.60 MPa in 2007 and 2008 respectively. These ?st values reached as a consequence of the water reduction in the RDI summer treatments applied in this study did not affect yield or fruit quality, allowing water savings between 16% and 23%. In conclusion, water restriction during summer, and once June drop has finished, favours the better use of water resources by Navelina citrus trees, achieving an increase of water use efficiency (between 14% and 27% in this case), provided that an appropriate irrigation in autumn allows for tree recovery. (Author) 39 refs.

Year-Round Irrigation Schedule for a Tomato–Maize Rotation System in Reservoir-Based Irrigation Schemes in Ghana

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Ephraim Sekyi-Annan

2018-05-01

Full Text Available Improving irrigation management in semi-arid regions of Sub-Saharan Africa is crucial to respond to increasing variability in rainfall and overcome deficits in current irrigation schemes. In small-scale and medium-scale reservoir-based irrigation schemes in the Upper East region of Ghana, we explored options for improving the traditional, dry season irrigation practices and assessed the potential for supplemental irrigation in the rainy season. The AquaCrop model was used to (i assess current water management in the typical tomato-maize rotational system; (ii develop an improved irrigation schedule for dry season cultivation of tomato; and (iii determine the requirement for supplemental irrigation of maize in the rainy season under different climate scenarios. The improved irrigation schedule for dry season tomato cultivation would result in a water saving of 130–1325 mm compared to traditional irrigation practices, accompanied by approximately a 4–14% increase in tomato yield. The supplemental irrigation of maize would require 107–126 mm of water in periods of low rainfall and frequent dry spells, and 88–105 mm in periods of high rainfall and rare dry spells. Therefore, year-round irrigated crop production may be feasible, using water saved during dry season tomato cultivation for supplemental irrigation of maize in the rainy season.

Appropriate rehabilitation strategy for a traditional irrigation supply system: a case from the Babai area in Nepal.

Science.gov (United States)

Adhikari, B; Verhoeven, R; Troch, P

2009-01-01

This paper studies primary canals of three traditional irrigation systems in the southern plains of Nepal. It offers a scientific interpretation of the indigenous technology applied to the systems, which facilitates to use the same channel network for irrigation, drainage and flood management. The flood management technology of the farmers by diverting as much discharge as possible to the field channels results in the reduction of discharge towards the downstream part of the main channel. It is depicted in the simulation study that uses the river analysis program HEC-RAS 4.0. A cascade of weirs is found to be the most cost effective and user-friendly option to upgrade these systems preserving the existing irrigation, drainage as well as flood management functions. This study suggests that the conventional irrigation design principles should be applied very cautiously with full knowledge of the existing socio-institutional setting, hydro-ecological regime and indigenous technology for upgrading any traditional irrigation system successfully. The indigenous flood management technology strengthens the emerging concept that the floods in the Ganges plain are to be managed, not controlled.

Choice of root canal irrigants by Serbian dental practitioners

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Tošić Goran

2016-01-01

Full Text Available Background/Aim. Root canal treatment is considered to be the one of the most important procedures in endodontic treatment. To irrigate the root canal it is most common to use sodium hypochlorite (NaOCl, chlorhexodine, ethylenediami-netetraacetic acid (EDTA, local anesthetic solution, while the most used in Serbia is hydrogen peroxide (H2O2. The aim of this survey was to reveal the preferred root canal irrigants used by general dental practitioners in Serbia and to determine the influence of the continuing education program, delivered over the 3-year observation period, on work habits of dental practitioners. This was the first comprehensive survey of this nature carried out in Serbia. Methods. The survey was conducted in two instances, a 4-month observation period each, from November 1, 2009 to March 1, 2010 and from November 1, 2012 to March 1, 2013. Internet Web Page Survey was posted on the official web site of the Serbian Association of Private Dentists. In the first survey, 569 completed questionnaires were subjected to analysis. In the next attempt (3 years later, the survey was launched again and 615 completed questionnaires were analyzed using the same criteria. The statistical analysis was carried out with simple descriptive statistics applying the χ2 test, at a significance level of p < 0.05. Results. The first survey included 569 dental practitioners, while 3 years later the number of them was 615. Analyzing the questionnaires revealed the number of 10 to 30 interventins on the root canal montly. The most commonly used irrigant solution was H2O2 in 2009, while in 2012 it was yet H2O2, but also NaOCl, chlorhexodine, and a little less EDTA. Conclusion. This study shows significant changes in the irrigation protocol applied in Serbian dental community. After 3 years of observation, NaOCl became widely accepted as the irrigant of choice, whereas H2O2 lost its popularity.

Irrigation water sources and irrigation application methods used by U.S. plant nursery producers

Science.gov (United States)

Paudel, Krishna P.; Pandit, Mahesh; Hinson, Roger

2016-02-01

We examine irrigation water sources and irrigation methods used by U.S. nursery plant producers using nested multinomial fractional regression models. We use data collected from the National Nursery Survey (2009) to identify effects of different firm and sales characteristics on the fraction of water sources and irrigation methods used. We find that regions, sales of plants types, farm income, and farm age have significant roles in what water source is used. Given the fraction of alternative water sources used, results indicated that use of computer, annual sales, region, and the number of IPM practices adopted play an important role in the choice of irrigation method. Based on the findings from this study, government can provide subsidies to nursery producers in water deficit regions to adopt drip irrigation method or use recycled water or combination of both. Additionally, encouraging farmers to adopt IPM may enhance the use of drip irrigation and recycled water in nursery plant production.

Wireless sensor networks for irrigation management

Science.gov (United States)

Sustaining an adequate food supply for the world's population will require advancements in irrigation technology and improved irrigation management. Site-specific irrigation and automatic irrigation scheduling are examples of strategies to deal with declining arable land and limited fresh water reso...

Assessment of Irrigation Water Quality and Suitability for Irrigation in ...

African Journals Online (AJOL)

A number of factors like geology, soil, effluents, sewage disposal and other environmental conditions in which the water stays or moves and interacts are among the factors that affect the quality of irrigation water. This study was conducted to determine the quality and suitability of different water sources for irrigation purpose ...

Effect of irrigation on heavy metals content of wastewater irrigated ...

African Journals Online (AJOL)

There is an urgent need to educate farmers on the dangers of the presence of heavy metals in soils as well as the quality of irrigation water especially if it comes from tanning industries for increased crop production. Accordingly, soil and irrigation wastewater study was conducted to assess the concentrations of heavy ...

Irrigation and Autocracy

DEFF Research Database (Denmark)

Bentzen, Jeanet Sinding; Kaarsen, Nicolai; Wingender, Asger Moll

2017-01-01

. We argue that the effect has historical origins: irrigation allowed landed elites in arid areas to monopolize water and arable land. This made elites more powerful and better able to oppose democratization. Consistent with this conjecture, we show that irrigation dependence predicts land inequality...

Effect of Irrigation with Reclaimed Water on Fruit Characteristics and Photosynthesis of Olive Trees under Two Irrigation Systems

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N. Ashrafi

2016-02-01

(Ci, and stomatal conductance (gs between (09.30 – 11.30 h on a fully expanded current season leaves situated at mid canopy height. Statistical assessments of differences between mean values were performed by the LSD test at P = 0.05. Results and Discussion The results revealed that reclaimed water enhanced fruit yield, weight (15%, volume (23% and leaf photosynthesis (22% in plants compared with clear water. Recycled water was found to supply more nutrients than clear water. High nutrient concentrations in RW, compared to those in clear water, result in nutrient accumulation in the soil, making them available to plant roots to promote overall plant growth and fruit production. Improved N, P, K nutrition of wastewater-irrigated plants has been reported (Farooq et al, 2006. Olive leaves and stems represent storage organs for N and release it in response to the metabolic demands of developing reproductive and vegetative organs (Fernandez-Escobar et al., 2004. However, Al-Abasi et al. (2009 found no statistical differences. Irrigation with SLI systems increased the photosynthesis (33%, and stomatal conductance (57% when compared with surface irrigation systems. The results showed that reclaimed water had a significant effect on photosynthesis and stomatal conductance. However, fruit length and firmness had no significant difference. Substomatal CO2 decreased when the SI systems were used for irrigation. Also SLI system could enhance fruit yield (65%, weight (17%, photosynthesis (32% and chlorophyll Fluorescence (Fv/Fm (18%. The SLI systems with recycled water induced greater shoot growth, total leaf surface area, and transpiration during the entire growing period. This led to an overall positive effect on mean fruit weight and total fruit production per tree. The SLI system applying RW led to more photosynthesis by 34% as compared to the SI system. In the present study, the SLI system delivered water directly in the root zone and improved water availability, which

STUDY ON MICROBIAL COMMUNITIES AND SOIL ORGANIC MATTER IN IRRIGATED AND NON-IRRIGATED VERTISOL FROM BOIANU

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Sorina Dumitru

2012-12-01

Full Text Available Irrigation, when administered correctly, confers the producers the possibility to overcome drought effects and obtain higher yields, supplementing the quality of food for animals or human consumers. In the mean time, soil erosion, pathogens attack and nutrients or pesticides spreading can be prevented by an adequate management of irrigation water. As a consequence, soil microbial community structure, composition and activities, as well as the organic matter quality can be different from those in non-irrigated soil. Research have been carried out in order to assess changes in bacterial and fungal communities and activity in irrigated Vertisol from Boianu, as compared with non-irrigated. The paper presents the results concerning the taxonomical composition of bacterial and fungalmicroflora in the horizons of the two soil profiles, as well as the level of CO2 released by microorganisms. Chromatographic aspects of humus fractions were used to characterize the organic matter in irrigated and nonirrigated soil. Increased moisture and lowered temperature in Ap horizon of irrigated soil increased bacterial counts(18 x106 viable cells x g-1 dry soil and their metabolic activity expressed by carbon dioxide released (46.838mg CO2 x g-1 dry soil comparatively with non- irrigated soil. Fungal microflora was more abundant after 25-50cm under irrigation. Species diversity slightly increased under irrigation in both upper and lower part of soil profile. In irrigated soil, associations of species belonging to bacterial genera Pseudomonas and Bacillus were dominant in surface and white actinomycetes in the depth. Fungal consortia of Penicillium, Aspergillus and Fusarium dominated in both soil profiles.Irrigation induced changes in the quantity and quality of soil organic matter, as well as in the aspect of their migration pattern, as revealed on circular chromatograms.

Economic assessment at farm level of the implementation of deficit irrigation for quinoa production in the Southern Bolivian Altiplano

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J. Cusicanqui

2013-10-01

Full Text Available In the Southern Bolivian Altiplano recent research has suggested to introduce deficit irrigation as a strategy to boost quinoa yields and to stabilize it at 2.0 ton ha-1. In this study we carried out an economic assessment of the implementation of deficit irrigation at farm level using a hydro-economic model for simulating profit for quinoa production. As input of the model we worked with previously developed farms typology (livestock, quinoa and subsistence farms, simulated quinoa production with and without irrigation using AquaCrop model, and calculated yield response functions for four different climate scenarios (wet, normal, dry and very dry years. Results from the hydro-economic model demonstrate that maximum profit is achieved with less applied irrigated water than for maximum yield, and irrigated quinoa earned more profit than rainfed production for all farms types and climate scenarios. As expected, the benefits of irrigation under dry and very dry climate conditions were higher than those under normal and wet years, and benefits among farms types were higher for quinoa farms. In fact, profit of irrigated quinoa might be stabilized at around BOB 6500 ha-1 (about USD 920 compared with the huge differences found for rainfed conditions for all climate scenarios. Interestingly, the economic water productivity, expressed in terms of economic return for amount of applied irrigated water (BOB mm-1, reached the highest values with intermediate and low level of water availability schemes of deficit irrigation for all climate scenarios.

Uptake of pharmaceutical and personal care products by soybean plants from soils applied with biosolids and irrigated with contaminated water.

Science.gov (United States)

Wu, Chenxi; Spongberg, Alison L; Witter, Jason D; Fang, Min; Czajkowski, Kevin P

2010-08-15

Many pharmaceuticals and personal care products (PPCPs) are commonly found in biosolids and effluents from wastewater treatment plants. Land application of these biosolids and the reclamation of treated wastewater can transfer those PPCPs into the terrestrial and aquatic environments, giving rise to potential accumulation in plants. In this work, a greenhouse experiment was used to study the uptake of three pharmaceuticals (carbamazepine, diphenhydramine, and fluoxetine) and two personal care products (triclosan and triclocarban) by an agriculturally important species, soybean (Glycine max (L.) Merr.). Two treatments simulating biosolids application and wastewater irrigation were investigated. After growing for 60 and 110 days, plant tissues and soils were analyzed for target compounds. Carbamazepine, triclosan, and triclocarban were found to be concentrated in root tissues and translocated into above ground parts including beans, whereas accumulation and translocation for diphenhydramine and fluoxetine was limited. The uptake of selected compounds differed by treatment, with biosolids application resulting in higher plant concentrations, likely due to higher loading. However, compounds introduced by irrigation appeared to be more available for uptake and translocation. Degradation is the main mechanism for the dissipation of selected compounds in biosolids applied soils, and the presence of soybean plants had no significant effect on sorption. Data from two different harvests suggest that the uptake from soil to root and translocation from root to leaf may be rate limited for triclosan and triclocarban and metabolism may occur within the plant for carbamazepine.

Effect of Alternative Irrigation Strategies on Yield and Quality of Fiesta Raisin Grapes Grown in California

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Isabel Abrisqueta

2018-04-01

Full Text Available Traditionally, grapes are fully irrigated, but alternative irrigation strategies to reduce applied irrigation water may be necessary in the future as occurrences of drought increase. This study was conducted in the San Joaquin Valley (SJV of California from 2012 to 2014. Three irrigation treatments were used to study the effects on the yield and quality of Fiesta grapes. The treatments included: grower irrigation (GI weekly irrigation lasting for approximately 65 h; sustained deficit (SD equal to 80% of the GI treatment; and regulated deficit (RD equal to 50% of the GI until fruit set when it was increased to 80% of the GI through harvest and reduced to 50% of the GI after harvest. Average water use across treatments was ≈489 mm. Average yield across all treatments was 7.9 t ha−1, 9.1 t ha−1 and 11.8 t ha−1 in 2012, 2013, and 2014, respectively. Yield was sustained in SD and RD, with up to a 20% reduction in applied water use compared to GI. There were no differences in raisin quality and grade among any of the treatments in any year. The percentage of substandard grapes decreased from an average of 12.6% in 2012 to 3.6% in 2013 and 2014. Growers may use a sustained deficit approach during periods of limited water availability to minimize the effect on yield.

Quality of life after rectal resection for cancer, with or without permanent colostomy

DEFF Research Database (Denmark)

Pachler, Jørn; Wille-Jørgensen, Peer

2012-01-01

cancers, except for those cancers very close to the anal sphincter. The main reason for this has been the conviction that the quality of life for patients with a colostomy after abdominoperineal excision was poorer than for patients undergoing an operation with a sphincter-preserving technique. However......, patients having sphincter-preserving operations may experience symptoms affecting their quality of life that are different from stoma-patients.......For almost one hundred years abdominoperineal excision has been the standard treatment of choice for rectal cancer. With advances in the techniques for rectal resection and anastomosis, anterior resection with preservation of the sphincter function has become the preferred treatment for rectal...

Comparison of trans-perineal ultrasound-guided pressure augmented saline colostomy distension study and conventional contrast radiographic colostography in children with anorectal malformation.

Science.gov (United States)

Ekwunife, Okechukwu Hyginus; Umeh, Eric Okechukwu; Ugwu, Jideofor Okechukwu; Ebubedike, Uzoamaka Rufina; Okoli, Chinedu Christian; Modekwe, Victor Ifeanyichukwu; Elendu, Kelechi Collins

2016-01-01

In children with high and intermediate anorectal malformation, distal colostography is an important investigation done to determine the relationship between the position of the rectal pouch and the probable site of the neo-anus as well as the presence or absence of a fistula. Conventionally, this is done using contrast with fluoroscopy or still X-ray imaging. This, however, has the challenges of irradiation, availability and affordability, especially in developing countries. This study compared the accuracy of trans-perineal ultrasound-guided pressure augmented saline colostomy distension study (SCDS) with conventional contrast distal colostography (CCDC) in the determination of the precise location of the distal rectal pouch and in detecting the presence and site of fistulous communication between the rectum and the urogenital tract was studied. Trans-perineal ultrasound-guided pressure augmented SCDS, CCDC and intra-operative measurements were done sequentially for qualified infants with anorectal malformation and colostomy. Pouch skin distance and presence or absence of recto urinary or genital fistula was measured prospectively in each case. Statistical significance was inferred at P-value of 0.01. On its ability to detect presence or absence of a fistula: SCDS had a sensitivity of 50.0%, specificity of 100.0%, accuracy of 69.2%, negative predictive value of fistulas of 55.6% and a positive predictive value of fistulas of 100.0%. Ultrasound-guided pressure augmented SCDS can safely and reliably be used to assess the distal colonic anatomy and the presence of fistula in infants with Anorectal malformation who are on colostomy.

Prospective, Randomized Study on the Use of a Prosthetic Mesh for Prevention of Parastomal Hernia of Permanent Colostomy.

Science.gov (United States)

Vierimaa, Mika; Klintrup, Kai; Biancari, Fausto; Victorzon, Mikael; Carpelan-Holmström, Monika; Kössi, Jyrki; Kellokumpu, Ilmo; Rauvala, Erkki; Ohtonen, Pasi; Mäkelä, Jyrki; Rautio, Tero

2015-10-01

Prophylactic placement of a mesh has been suggested to prevent parastomal hernia, but evidence to support this approach is scarce. The aim of this study was to evaluate whether laparoscopic placement of a prophylactic, dual-component, intraperitoneal onlay mesh around a colostomy is safe and prevents parastomal hernia formation after laparoscopic abdominoperineal resection. This is a prospective, multicenter, randomized controlled clinical trial. This study was conducted at 2 university and 3 central Finnish hospitals. From 2010 to 2013, 83 patients undergoing laparoscopic abdominoperineal resection for rectal cancer were recruited. After withdrawals and exclusions, the outcome of 70 patients, 35 patients in each study group, could be examined. In the intervention group, an end colostomy was created with placement of a intraperitoneal, dual-component onlay mesh and compared with a group with a traditional stoma. The main outcome measures were the incidence of clinically and radiologically detected parastomal hernias and their extent 12 months after surgery. Stoma-related morbidity and the need for surgical repair of parastomal hernia were secondary outcome measures. Parastomal hernia was observed by clinical inspection in 5 intervention patients (14.3%) and in 12 control patients (32.3%; p = 0.049). Surgical repair of parastomal hernia was performed in 1 control patient (3.2%) and in none of the patients in the intervention group. CT detected parastomal hernia in 18 intervention patients (51.4%) and in 17 control patients (53.1%; p = 1.00). The extent of hernias was similar according to European Hernia Society classification (p = 0.41). Colostomy-related morbidity (32.3% vs 14.3%; p = 0.140) did not differ between the study groups. The study was limited by its small size and short follow-up time. Prophylactic laparoscopic placement of intraperitoneal onlay mesh does not significantly reduce the overall risk of radiologically detected parastomal hernia after

Socio-economic impacts of irrigated agriculture in Mbarali District of south west Tanzania

Science.gov (United States)

Mwakalila, Shadrack

Irrigation has been found to be central in curbing food scarcity not only in Tanzania but also in many other developing countries. It has been proved that continued reliability on rainfall in agriculture cannot sustain the increase in population. This study examines the impacts of smallholder irrigated agriculture in improving social and economic benefits in Igurusi Ward of Mbarali District which is located in the southern-western part of Tanzania. The study applies the Participatory Rural Appraisal Framework for data collection. The study was confined to five villages in Igurusi ward which are Majenje, Igurusi, Chamoto, Uhambule and Mahango. The study examined critically paddy production for smallholder farmers that practice irrigation and those who cultivates rain-fed paddy. The study examined both existing traditional and modern irrigation systems. It was found that, most of the respondents (79%) practice irrigated agriculture in paddy production while the remaining 21% practice rain-fed agriculture. Forty percent of households that practice irrigated agriculture harvest paddy two seasons per year. The return to labour in paddy production for smallholder farmers who irrigate their paddy fields is about US 2.5/manday which is above the poverty line of US 1.0/day. The smallest return to labour (US $ 0.85/manday) is obtained by an average smallholder farmer who cultivates rain-fed paddy using hand hoe and family labour. The potential implication of the current irrigation systems is that if irrigation is managed properly it may lead to sustainable increases in small farmer’s productivity and income, thus alleviating rural poverty.

Are There Infinite Irrigation Trees?

Science.gov (United States)

Bernot, M.; Caselles, V.; Morel, J. M.

2006-08-01

In many natural or artificial flow systems, a fluid flow network succeeds in irrigating every point of a volume from a source. Examples are the blood vessels, the bronchial tree and many irrigation and draining systems. Such systems have raised recently a lot of interest and some attempts have been made to formalize their description, as a finite tree of tubes, and their scaling laws [25], [26]. In contrast, several mathematical models [5], [22], [10], propose an idealization of these irrigation trees, where a countable set of tubes irrigates any point of a volume with positive Lebesgue measure. There is no geometric obstruction to this infinitesimal model and general existence and structure theorems have been proved. As we show, there may instead be an energetic obstruction. Under Poiseuille law R(s) = s -2 for the resistance of tubes with section s, the dissipated power of a volume irrigating tree cannot be finite. In other terms, infinite irrigation trees seem to be impossible from the fluid mechanics viewpoint. This also implies that the usual principle analysis performed for the biological models needs not to impose a minimal size for the tubes of an irrigating tree; the existence of the minimal size can be proven from the only two obvious conditions for such irrigation trees, namely the Kirchhoff and Poiseuille laws.

Fechamento de colostomias: com ou sem estudo do cólon? Colostomy closure: with or without pre-operative colon study

Directory of Open Access Journals (Sweden)

Hernán Augusto Centurión Sobral

2008-09-01

Full Text Available O estudo pré-operatório do cólon para fechamento de colostomias em alça devido a trauma vem perdendo importância nos últimos anos. A necessidade de se avaliar as alterações anatômicas pós-traumáticas do cólon vai de encontro aos custos, desconforto e morbidade dos exames. OBJETIVO: analisar a real necessidade do estudo prévio do cólon no fechamento de colostomia pós-trauma. MÉTODO: foram analisados, retrospectivamente, 98 prontuários de pacientes, no período de janeiro de 2004 a janeiro de 2006, portadores de colostomia em alça confeccionada após traumatismo e que foram alocados em dois grupos: grupo A, composto de 32 casos com estudo do cólon e o grupo B, 66 casos sem estudo colônico prévio. RESULTADOS: 94,9% dos pacientes eram do sexo masculino e a média de idade foi de 27 anos. O tempo de permanência da colostomia foi, em média, 32,8 meses, sendo o flanco esquerdo a localização mais comum em ambos os grupos. A morbidade geral foi de 7,1%, sendo 3,1% de complicações no grupo A e 9,1% no grupo B (p=0,16 e sem mortalidade. A complicação mais freqüente foi hematoma da parede abdominal em cinco casos (5,1%, e apenas um caso de infecção de ferida operatória (1%, e mais um de deiscência de anastomose (1%. CONCLUSÃO: o estudo pré-operatório do cólon para fechamento de colostomia feita após trauma colorretal é dispensável.The pre-operative study of the colon before loop colostomy closure in trauma patients has been loosing its importance since last few years. The need of evaluating the pos-traumatic anatomic alterations of the colon goes against the costs and morbidity of the examinations. OBJECTIVE: to analyze the real necessity of the colon study before colostomy closure in trauma patients. METHODS: a retrospective study of 98 patients submitted to colostomy closure after trauma, from January of 2004 to January of 2006 was carried out. They were divided in two groups: group A, composed of 32 patients with

[Animal studies on the construction of continent ileostomies and colostomies with the use of BioCarbon implants].

Science.gov (United States)

Bustamante, I; Kieninger, G; Neugebauer, W; Müller, G; Breucha, G

1977-04-01

Ring-shaped implants of BioCarbon, a recently developed vitreous carbon polymer, were used for construction of continent ileostomies and colostomies in dogs. The stoma was fashioned by suture fixation of the intestine inside the ring, which was then placed subfascially in the abdominal wall. The exterior of the implant could be hermetically sealed with a screw cap. Implantation in 19 dogs performed so far showed a high rate of incorporation of BioCarbon devices.

Using a water-food-energy nexus approach for optimal irrigation management during drought events in Nebraska

Science.gov (United States)

Campana, P. E.; Zhang, J.; Yao, T.; Melton, F. S.; Yan, J.

2017-12-01

Climate change and drought have severe impacts on the agricultural sector affecting crop yields, water availability, and energy consumption for irrigation. Monitoring, assessing and mitigating the effects of climate change and drought on the agricultural and energy sectors are fundamental challenges that require investigation for water, food, and energy security issues. Using an integrated water-food-energy nexus approach, this study is developing a comprehensive drought management system through integration of real-time drought monitoring with real-time irrigation management. The spatially explicit model developed, GIS-OptiCE, can be used for simulation, multi-criteria optimization and generation of forecasts to support irrigation management. To demonstrate the value of the approach, the model has been applied to one major corn region in Nebraska to study the effects of the 2012 drought on crop yield and irrigation water/energy requirements as compared to a wet year such as 2009. The water-food-energy interrelationships evaluated show that significant water volumes and energy are required to halt the negative effects of drought on the crop yield. The multi-criteria optimization problem applied in this study indicates that the optimal solutions of irrigation do not necessarily correspond to those that would produce the maximum crop yields, depending on both water and economic constraints. In particular, crop pricing forecasts are extremely important to define the optimal irrigation management strategy. The model developed shows great potential in precision agriculture by providing near real-time data products including information on evapotranspiration, irrigation volumes, energy requirements, predicted crop growth, and nutrient requirements.

Local land-atmosphere feedbacks limit irrigation demand

Science.gov (United States)

Decker, Mark; Ma, Shaoxiu; Pitman, Andy

2017-05-01

Irrigation is known to influence regional climate but most studies forecast and simulate irrigation with offline (i.e. land only) models. Using south eastern Australia as a test bed, we demonstrate that irrigation demand is fundamentally different between land only and land-atmosphere simulations. While irrigation only has a small impact on maximum temperature, the semi-arid environment experiences near surface moistening in coupled simulations over the irrigated regions, a feedback that is prevented in offline simulations. In land only simulations that neglect the local feedbacks, the simulated irrigation demand is 25% higher and the standard deviation of the mean irrigation rate is 60% smaller. These local-scale irrigation-driven feedbacks are not resolved in coarse-resolution climate models implying that use of these tools will overestimate irrigation demand. Future studies of irrigation demand must therefore account for the local land-atmosphere interactions by using coupled frameworks, at a spatial resolution that captures the key feedbacks.

Climate change and the water cycle in newly irrigated areas.

Science.gov (United States)

Abrahão, Raphael; García-Garizábal, Iker; Merchán, Daniel; Causapé, Jesús

2015-02-01

Climate change is affecting agriculture doubly: evapotranspiration is increasing due to increments in temperature while the availability of water resources is decreasing. Furthermore, irrigated areas are expanding worldwide. In this study, the dynamics of climate change impacts on the water cycle of a newly irrigated watershed are studied through the calculation of soil water balances. The study area was a 752-ha watershed located on the left side of the Ebro river valley, in Northeast Spain. The soil water balance procedures were carried out throughout 1827 consecutive days (5 years) of hydrological and agronomical monitoring in the study area. Daily data from two agroclimatic stations were used as well. Evaluation of the impact of climate change on the water cycle considered the creation of two future climate scenarios for comparison: 2070 decade with climate change and 2070 decade without climate change. The main indicators studied were precipitation, irrigation, reference evapotranspiration, actual evapotranspiration, drainage from the watershed, and irrigation losses. The aridity index was also applied. The results represent a baseline scenario in which adaptation measures may be included and tested to reduce the impacts of climate change in the studied area and other similar areas.

Insufficient irrigation induces peri-implant bone resorption: an in vivo histologic analysis in sheep.

Science.gov (United States)

Trisi, Paolo; Berardini, Marco; Falco, Antonello; Podaliri Vulpiani, Michele; Perfetti, Giorgio

2014-06-01

To measure in vivo impact of dense bone overheating on implant osseointegration and peri-implant bone resorption comparing different bur irrigation methods vs. no irrigation. Twenty TI-bone implants were inserted in the inferior edge of mandibles of sheep. Different cooling procedures were used in each group: no irrigation (group A), only internal bur irrigation (group B), both internal and external irrigation (group C), and external irrigation (group D). The histomorphometric parameters calculated for each implant were as follows: %cortical bone-implant contact (%CBIC) and %cortical bone volume (%CBV). Friedman's test was applied to test the statistical differences. In group A, we found a huge resorption of cortical bone with %CBIC and %CBV values extremely low. Groups B and C showed mean %CBIC and %BV values higher than other groups The mean %CBV value was significantly different when comparing group B and group C vs. group A (P bone caused massive resorption of the cortical bone and implant failure. Drilling procedures on hard bone need an adequate cooling supply because the bone matrix overheating may induce complete resorption of dense bone around implants. Internal-external irrigation and only internal irrigation showed to be more efficient than other types of cooling methods in preventing bone resorption around implants. © 2013 John Wiley & Sons A/S. Published by Blackwell Publishing Ltd.

Dynamic plant uptake model applied for drip irrigation of an insecticide to pepper fruit plants.

Science.gov (United States)

Legind, Charlotte N; Kennedy, Coleen M; Rein, Arno; Snyder, Nathan; Trapp, Stefan

2011-05-01

Drip application of insecticides is an effective way to deliver the chemical to the plant that avoids off-site movement via spray drift and minimizes applicator exposure. The aim of this paper is to present a cascade model for the uptake of pesticide into plants following drip irrigation, its application for a soil-applied insecticide and a sensitivity analysis of the model parameters. The model predicted the measured increase and decline of residues following two soil applications of an insecticide to peppers, with an absolute error between model and measurement ranging from 0.002 to 0.034 mg kg fw(-1). Maximum measured concentrations in pepper fruit were approximately 0.22 mg kg fw(-1). Temperature was the most sensitive component for predicting the peak and final concentration in pepper fruit, through its influence on soil and plant degradation rates. Repeated simulations of pulse inputs with the cascade model adequately describe soil pesticide applications to an actual cropped system and reasonably mimic it. The model has the potential to be used for the optimization of practical features, such as application rates and waiting times between applications and before harvest, through the integrated accounting of soil, plant and environmental influences. Copyright © 2011 Society of Chemical Industry.

A Simple Scheme for Modeling Irrigation Water Requirements at the Regional Scale Applied to an Alpine River Catchment

Directory of Open Access Journals (Sweden)

Pascalle C. Smith

2012-11-01

Full Text Available This paper presents a simple approach for estimating the spatial and temporal variability of seasonal net irrigation water requirement (IWR at the catchment scale, based on gridded land use, soil and daily weather data at 500 × 500 m resolution. In this approach, IWR is expressed as a bounded, linear function of the atmospheric water budget, whereby the latter is defined as the difference between seasonal precipitation and reference evapotranspiration. To account for the effects of soil and crop properties on the soil water balance, the coefficients of the linear relation are expressed as a function of the soil water holding capacity and the so-called crop coefficient. The 12 parameters defining the relation were estimated with good coefficients of determination from a systematic analysis of simulations performed at daily time step with a FAO-type point-scale model for five climatically contrasted sites around the River Rhone and for combinations of six crop and ten soil types. The simple scheme was found to reproduce well results obtained with the daily model at six additional verification sites. We applied the simple scheme to the assessment of irrigation requirements in the whole Swiss Rhone catchment. The results suggest seasonal requirements of 32 × 106 m3 per year on average over 1981–2009, half of which at altitudes above 1500 m. They also disclose a positive trend in the intensity of extreme events over the study period, with an estimated total IWR of 55 × 106 m3 in 2009, and indicate a 45% increase in water demand of grasslands during the 2003 European heat wave in the driest area of the studied catchment. In view of its simplicity, the approach can be extended to other applications, including assessments of the impacts of climate and land-use change.

Effect of Deficit Irrigation Treatments on Vegetative Characteristics and Quantity and Quality of Golden Delicious Apple

Directory of Open Access Journals (Sweden)

I. Arji

2016-07-01

as this formula Q.t = di.a, where Q is volumetric flow rate (liter/Second, t is time based on second, di is net water requirement and a is irrigated area. To evaluate irrigation effects some vegetative (shoot growth and trunk cross sectional area; reproductive (fruit volume, fruit weight and yield and quality (Total soluble solid, total sugar, nitrogen, phosphorous, potassium and calcium traits were measured. Results and Discussion: Results showed that deficit irrigation had no effect on trunk cross sectional area, but shoot growth was affected significantly by deficit irrigation by. So, regulated deficit irrigation (RDI can be used to control excessive vegetative growth in apple trees. There were no significant differences of fruit volume and weight of trees under deficit irrigation than the control exception to secondary 40% treatment. Fruit yield did not have significant differences under early and late 60% treatment in compare to the control. Where yield reduction was only 4 and 8 % in late and early 60% deficit irrigation respectively in compare to full irrigated trees. Water deficit had positive effect on qualitative traits of apple fruit, So that total soluble solids (TSS and total sugar concentration (TSC of fruit were higher in trees subjected to deficit irrigation as compared to the control. Regulated deficit irrigation led to 7-18% and 1.8-15% increase in total soluble solid and total sugar content in compare to full irrigated trees. Relative water content (RWC was significant based of the time of applying deficit irrigation. Deficit irrigation did not have significant effect on fruit minerals such as P and K in compare to the control, but N content had significant reduction in deficit irrigation treatments in compare to the control and Ca fruit content of control trees had significant different in compare to trees were subjected to early deficit irrigation (40% of water requirement.. RDI favored reproductive growth over vegetative growth by suppressing

Irrigation of steppe soils in the south of Russia: Problems and solutions (Analysis of Irrigation Practices in 1950-1990)

Science.gov (United States)

Minashina, N. G.

2009-07-01

Experience in irrigation of chernozems in the steppe zone of Russia for a period from 1950 to 1990 is analyzed. By the end of this period and in the subsequent years, the areas under irrigation reduced considerably, and the soil productivity worsened. This was caused by the improper design of irrigation systems, on the one hand, and by the low tolerance of chernozems toward increased moistening upon irrigation, on the other hand. The analysis of the factors and regimes of soil formation under irrigation conditions shows that irrigation-induced changes in the soil hydrology also lead to changes in the soil physicochemical, biochemical, and other properties. In particular, changes in the composition of exchangeable cations lead to the development of solonetzic process. In many areas, irrigation of chernozems was accompanied by the appearance of solonetzic, vertic, saline, and eroded soils. The development of soil degradation processes is described. In general, the deterioration of irrigated chernozems was related to the absence of adequate experience in irrigation of steppe soils, unskilled personnel, improper regime of irrigation, and excessively high rates of watering. In some cases, the poor quality of irrigation water resulted in the development of soil salinization and alkalization. To improve the situation, the training of personnel is necessary; the strategy of continuous irrigation should be replaced by the strategy of supplementary irrigation in the critical periods of crop development.

A decision support for an integrated multi-scale analysis of irrigation: DSIRR.

Science.gov (United States)

Bazzani, Guido M

2005-12-01

The paper presents a decision support designed to conduct an economic-environmental assessment of the agricultural activity focusing on irrigation called 'Decision Support for IRRigated Agriculture' (DSIRR). The program describes the effect at catchment scale of choices taken at micro scale by independent actors, the farmers, by simulating their decision process. The decision support (DS) has been thought of as a support tool for participatory water policies as requested by the Water Framework Directive and it aims at analyzing alternatives in production and technology, according to different market, policy and climate conditions. The tool uses data and models, provides a graphical user interface and can incorporate the decision makers' own insights. Heterogeneity in preferences is admitted since it is assumed that irrigators try to optimize personal multi-attribute utility functions, subject to a set of constraints. Consideration of agronomic and engineering aspects allows an accurate description of irrigation. Mathematical programming techniques are applied to find solutions. The program has been applied in the river Po basin (northern Italy) to analyze the impact of a pricing policy in a context of irrigation technology innovation. Water demand functions and elasticity to water price have been estimated. Results demonstrate how different areas and systems react to the same policy in quite a different way. While in the annual cropping system pricing seems effective to save the resource at the cost of impeding Water Agencies cost recovery, the same policy has an opposite effect in the perennial fruit system which shows an inelastic response to water price. The multidimensional assessment conducted clarified the trades-off among conflicting economic-social-environmental objectives, thus generating valuable information to design a more tailored mix of measures.

The correlation between ostomy knowledge and self-care ability with psychosocial adjustment in Chinese patients with a permanent colostomy: a descriptive study .

Science.gov (United States)

Cheng, Fang; Meng, Ai-feng; Yang, Li-Fang; Zhang, Yi-nan

2013-07-01

A colostomy can have a negative impact on patient quality of life. Research suggests that psychosocial adaptation is positively associated with quality of life, but few reports address this adaptation and its related factors in patients with a permanent colostomy. A 4-month, descriptive study was conducted to assess the impact of ostomy knowledge and ability to self-care on the psychosocial adjustment of 54 Chinese outpatients (47 men, 14 participants 40 to 50 years old, 40 participants 50 to 70 years old) with a permanent colostomy to investigate the correlation between stoma knowledge, self-care ability, and psychosocial adjustment. Assessment instruments included a sociodemographic data questionnaire and a Chinese translation of the Ostomy Adjustment Inventory-23 that comprises 20 items in three domains (positive emotions, negative emotions, and social life). Participants rated statements on a scale from 0 (totally disagree) to 4 (totally agree); a score of 40 indicates a low level of psychosocial adjustment. Participants also completed the Stoma-related Knowledge Scale, comprising 14 5-point Likert scale questions where low scores indicate low knowledge, and they answered one question regarding self-care ability. Data were analyzed using statistical software for social science. The average stoma-related knowledge score suggested moderate levels of knowledge (45.112 ± 13.358). Twenty (20) participants managed all stoma care aspects independently, 30 required some assistance, and four (4) required care by someone else. The three domains of psychosocial adjustment scores (positive emotions, negative emotions, and social life) were 17.60 ± 4.093,12.92 ± 3.440, and 19.15 ± 6.316, respectively. Knowledge and the three domains of psychosocial adjustment were positively correlated with positive emotion (r = .610, P = 0.001), negative emotion (r = .696, P = 0.000), and social life adjustment (r = .617, P = 0.001). A significant difference in psychosocial adjustment

Radiation use efficiency and yield of winter wheat under deficit irrigation in North China

International Nuclear Information System (INIS)

Han, H.; Li, Z.; Ning, T.; Bai, M.; Zhang, X.; Shan, Y.

2008-01-01

An experiment was conducted in North China to investigate the effects of deficit irrigation and winter wheat varieties on the photosynthetic active radiation (PAR) capture ration, PAR utilization and grain yield. Field experiments involved Jimai 20 (J; high yield variety) and Lainong 0153 (L; dryland variety) with non-irrigation and irrigated at the jointing stage. The results showed that whether irrigated at jointing stage or not, there was no significant difference between J and L with respect to the amount of PAR intercepted by the winter wheat canopies. However, significant differences were observed between the varieties with respect to the amount of PAR intercepted by plants that were 60-80 cm above the ground surface. This result was mainly caused by the changes in the vertical distributions of leaf area index. As a result, the effects of the varieties and deficit irrigation on the radiation use efficiency (RUE) and grain yield of winter wheat were due to the vertical distribution of PAR in the winter wheat canopies. During the late growing season of winter wheat, irrespective of the irrigation regime, the RUE and grain yield of J were significantly higher than those of L. These results suggest that a combination of deficit irrigation and a suitable winter wheat variety should be applied in North China

Status and Causes of Soil Salinization of Irrigated Agricultural Lands in Southern Baja California,Mexico

International Nuclear Information System (INIS)

Endo, T.; Yamamoto, S.; Fujiyama, H.; Honna, T.; Larrinaga, J.A.

2011-01-01

Selected farmlands in southern Baja California, Mexico, were surveyed to determine the levels and the causes of salinization/sodication in irrigated agricultural soil. The salt dynamics observed in profiles differed from farm to farm. Low EC and high ph levels were observed in the profiles of sandy fields, because the salt composition of these soils can easily change when salts are leached by irrigation water that contains carbonates of sodium. On the other hand, high levels of salinity and sodicity were observed in the soils of clayey fields. Soil salinization/sodication is complexly interrelated with soil characteristics, the amount and composition of salts in the soil, the quantity and quality of irrigation water applied, and the irrigation methods used. Our findings indicate that irrigation water in Baja California should be supplied at a rate that is sufficient to meet crop requirements without exacerbating salt accumulation.

Treatment of recurrent sigmoid volvulus in Parkinson's disease by percutaneous endoscopic colostomy

Science.gov (United States)

Toebosch, Susan; Tudyka, Vera; Masclee, Ad; Koek, Ger

2012-01-01

The exact aetiology of sigmoid volvulus in Parkinson's disease (PD) remains unclear. A multiplicity of factors may give rise to decreased gastrointestinal function in PD patients. Early recognition and treatment of constipation in PD patients may alter complications like sigmoid volvulus. Treatment of sigmoid volvulus in PD patients does not differ from other patients and involves endoscopic detorsion. If feasible, secondary sigmoidal resection should be performed. However, if the expected surgical morbidity and mortality is unacceptably high or if the patient refuses surgery, percutaneous endoscopic colostomy (PEC) should be considered. We describe an elderly PD patient who presented with sigmoid volvulus. She was treated conservatively with endoscopic detorsion. Surgery was consistently refused by the patient. After recurrence of the sigmoid volvulus a PEC was placed. PMID:23155325

Psychological impact of colostomy pouch change and disposal.

Science.gov (United States)

McKenzie, Frances; White, Craig A; Kendall, Sally; Finlayson, Aileen; Urquhart, Mary; Williams, Isabel

This article presents some of the findings from a multicentre cross-sectional correlational study to evaluate the relationship between colostomy pouch change and disposal practices and the patient's psychological wellbeing. Five questionnaires were used in a one-off interview with 86 patients. Patients were assessed at between one and four months postoperatively. Results from the Pouch Change and Disposal questionnaire showed that only 25% of patients found disposal of used appliances the most difficult part of their pouch change and disposal routine. Half felt that their body was out of their control and 33% reported avoiding social and leisure activities due to what was involved in their pouch change and disposal routine. Patients cited several factors, such as minimizing odour and having an appliance that could flush away, as factors which would help them to stop avoiding these activities. Stoma care nurses have a unique opportunity to improve the psychological wellbeing of their patients by considering the aspects of pouch change and disposal that pose the greatest challenge to individuals. Use of a modified version of the Pouch Change and Disposal questionnaire may be a useful tool in identifying those at risk of impaired quality of life.

Acute resection versus bridge to surgery with diverting colostomy for patients with acute malignant left sided colonic obstruction : Systematic review and meta-analysis

NARCIS (Netherlands)

Amelung, Femke J.; Mulder, C.L.J.; Verheijen, P.M.; Draaisma, W. A.; Siersema, P.D.; Consten, E. C J

2015-01-01

Background Currently, no consensus exists on the best treatment strategy for acute malignant left-sided colonic obstruction. This systematic review and meta-analysis aims to compare the outcomes following the two surgical treatment options; primary resection versus colostomy creation as bridge to

Acute resection versus bridge to surgery with diverting colostomy for patients with acute malignant left sided colonic obstruction: Systematic review and meta-analysis

NARCIS (Netherlands)

Amelung, F.J.; Mulder, C.L.; Verheijen, P.M.; Draaisma, W.A.; Siersema, P.D.; Consten, E.C.

2015-01-01

BACKGROUND: Currently, no consensus exists on the best treatment strategy for acute malignant left-sided colonic obstruction. This systematic review and meta-analysis aims to compare the outcomes following the two surgical treatment options; primary resection versus colostomy creation as bridge to

Small Scale Irrigation within Water, Energy and Food Nexus Framework in Ethiopia.

Science.gov (United States)

Gerik, T.; Worqlul, A. W.; Yihun, D.; Bizimana, J. C.; Jeong, J.; Schmitter, P.; Srinivasan, R.; Richardson, J. W.; Clark, N.

2017-12-01

This study presents the nexus of food, energy and water framework in the context of small scale irrigation for vegetable production during the dry season in an irrigated agriculture system in Ethiopia. The study is based on detailed data collected in three sites of the Innovation Lab for Small Scale Irrigation (ILSSI) project in Ethiopia. The sites were Robit, Dangishta and Lemo and detailed field data was collected in 18 households in each site. The field data collected includes crop management (such as irrigation amount and dates, fertilizer rates, tillage practices, irrigation technologies, etc.) and agricultural production (crop yield, biomass, etc.) on tomato, onion and cabbage during the dry season. Four different water lifting technologies - namely rope with pulley and bucket, rope and washer pump, solar pump and motor pump - were used for water withdrawal from shallow groundwater wells. The Soil and Water Assessment Tool (SWAT) and Agricultural Policy Environmental eXtender (APEX) models were used in an integrated manner to assess water resource potential and develop water use efficiency of vegetables, which is a relationship between amount of water applied and vegetable yield. The water use efficiency for each vegetable crops were translated into energy requirement as pumping hours and potential irrigable areas for the water lifting technologies. This integrated approach was found useful to optimize water and energy use for sustainable food production using small scale irrigation. The holistic approach will not only provide a significant contribution to achieving food self-sufficiency, but will also be effective for optimizing agricultural input. Keyword: small scale irrigation, integrated modeling, water lifting technology, East Africa

Effect of Intracanal Cryotherapy and Negative Irrigation Technique on Postendodontic Pain.

Science.gov (United States)

Al-Nahlawi, Talal; Hatab, Talaat Abo; Alrazak, Mahmoud Abd; Al-Abdullah, Ahmad

2016-12-01

To evaluate the effect of intracanal cryotherapy with negative pressure irrigation (EndoVac) on postendodontic pain after vital single-visit root canal treatment (RCT). A total of 75 single-rooted teeth with single root canal were treated endodontically. After root canal preparation with Protaper Universal rotary system and irrigation, teeth were divided randomly into three groups (n = 25) according to additional irrigation protocol as follows: Group I: No additional irrigation was applied (control); group II: A 20 mL of room temperature saline was irrigated during 5 minutes using EndoVac, and group III: A 20 mL of 2 to 4°C cold saline was irrigated during 5 minutes using EndoVac. Pain levels were assessed by visual analog scale (VAS) and verbal evaluation of pain questionnaire after 6, 12, 24, 48 hours, and 7 days of canal obturation. The data were then analyzed using Statistical Package for the Social Sciences (SPSS) 13.0 using Kruskal-Wallis and Mann-Whitney U tests at p-value of 0.05. The results showed that pain levels were high in groups I and II after 6 hours that decreased with time to almost diminish after 1 week, and on the other hand, group III showed no pain among different monitoring periods. Also pain levels in groups II were lower compared with group I after only 6 hours, with significance p cryotherapy eliminated postendodontic pain clinically. Negative pressure reduced postendodontic pain after 6 hours of treatment. The outcome of this study indicates that the use of intracanal cryotherapy technique with negative pressure irrigation eliminates postendodontic pain after single-visit RCTs.

Behavioural modelling of irrigation decision making under water scarcity

Science.gov (United States)

Foster, T.; Brozovic, N.; Butler, A. P.

2013-12-01

Providing effective policy solutions to aquifer depletion caused by abstraction for irrigation is a key challenge for socio-hydrology. However, most crop production functions used in hydrological models do not capture the intraseasonal nature of irrigation planning, or the importance of well yield in land and water use decisions. Here we develop a method for determining stochastic intraseasonal water use that is based on observed farmer behaviour but is also theoretically consistent with dynamically optimal decision making. We use the model to (i) analyse the joint land and water use decision by farmers; (ii) to assess changes in behaviour and production risk in response to water scarcity; and (iii) to understand the limits of applicability of current methods in policy design. We develop a biophysical model of water-limited crop yield building on the AquaCrop model. The model is calibrated and applied to case studies of irrigated corn production in Nebraska and Texas. We run the model iteratively, using long-term climate records, to define two formulations of the crop-water production function: (i) the aggregate relationship between total seasonal irrigation and yield (typical of current approaches); and (ii) the stochastic response of yield and total seasonal irrigation to the choice of an intraseasonal soil moisture target and irrigated area. Irrigated area (the extensive margin decision) and per-area irrigation intensity (the intensive margin decision) are then calculated for different seasonal water restrictions (corresponding to regulatory policies) and well yield constraints on intraseasonal abstraction rates (corresponding to aquifer system limits). Profit- and utility-maximising decisions are determined assuming risk neutrality and varying degrees of risk aversion, respectively. Our results demonstrate that the formulation of the production function has a significant impact on the response to water scarcity. For low well yields, which are the major concern

Irrigation water management: Basic principles and applications

OpenAIRE

Ella, Victor B.

2007-01-01

This presentation defines the term, irrigation, as well as explains the common methods of irrigation in attempt to define the fundamental principles needed to wisely design an irrigation system. It outlines a typical drip irrigation set-up, and discusses management of an irrigation system, including water volume application suggestions. LTRA-5 (Agroforestry and Sustainable Vegetable Production)

Irrigation-based livelihood challenges and opportunities : a gendered technology of irrigation development intervention in the Lower Moshi irrigation scheme Tanzania

NARCIS (Netherlands)

Kissawike, K.

2008-01-01

This thesis is a study of a modernised irrigation scheme in Tanzania. It aims to
understand how irrigation and agricultural technologies have interacted with local
society to transform production, paying particular attention to gender relations and
changes for women farmers. The

Where Does the Irrigation Water Go? An Estimate of the Contribution of Irrigation to Precipitation Using MERRA

Science.gov (United States)

Wei, Jiangfeng; Dirmeyer, Paul A.; Wisser, Dominik; Bosilovich, Michael G.; Mocko, David M.

2013-01-01

Irrigation is an important human activity that may impact local and regional climate, but current climate model simulations and data assimilation systems generally do not explicitly include it. The European Centre for Medium-Range Weather Forecasts (ECMWF) Interim Re-Analysis (ERA-Interim) shows more irrigation signal in surface evapotranspiration (ET) than the Modern-Era Retrospective Analysis for Research and Applications (MERRA) because ERA-Interim adjusts soil moisture according to the observed surface temperature and humidity while MERRA has no explicit consideration of irrigation at the surface. But, when compared with the results from a hydrological model with detailed considerations of agriculture, the ET from both reanalyses show large deficiencies in capturing the impact of irrigation. Here, a back-trajectory method is used to estimate the contribution of irrigation to precipitation over local and surrounding regions, using MERRA with observation-based corrections and added irrigation-caused ET increase from the hydrological model. Results show substantial contributions of irrigation to precipitation over heavily irrigated regions in Asia, but the precipitation increase is much less than the ET increase over most areas, indicating that irrigation could lead to water deficits over these regions. For the same increase in ET, precipitation increases are larger over wetter areas where convection is more easily triggered, but the percentage increase in precipitation is similar for different areas. There are substantial regional differences in the patterns of irrigation impact, but, for all the studied regions, the highest percentage contribution to precipitation is over local land.

Effects of fertilisation and irrigation practices on yield, maturity and storability of onions