Colostomy
A colostomy is the formation of an artifical stoma between the colon and the abdominal wall. There are several variations with different indications:
- end colostomy
- loop colostomy
- Paul-Mickulicz - double-barrelled or exteriorization resection colostomy
- Hartmann's procedure
Closure of a colostomy is best left six weeks until the inflammation and oedema associated with obstruction have settled. Fibrous adhesion makes mobilization before closure more difficult after ten weeks (1).
Reference:
- Down, G.M. & Leaper, D.J. (1994). Abdominal stomas. Surgery, 12:1, 1-7.
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