Diverting Stomas: Comparing Loop Ileostomy with Loop Transverse Colostomy.

The digestive tract ostomy is degree of difficulty which is equal to surgery for appendicitis and hernia repair.Therefore there is a need for a fixed pattern of such procedures. It is thought that the standardization of operation is to be generally accepted.There is not much difference in the maneuver and methods, and it may be almost established when some documents about loop stomy is compared. Following points need to be considered.A Preoperative stoma site marking:A few points should be marked on flat place of rectus abdominis muscle with distance from a bone. Choice of intestine: The is no tension in the induced intestine and it goes through rectus abdominis muscle and keep enough height of stoma. The height of stoma should be kept 1 cm with small intestine in mind, and 1-2 cm with colon. TheAbdominal cannel and size: The incision of peritoneum should be shorter than the skin incision and intestine should be went through rectus abdominis muscle in order to avoid prolapse and parastomal hernia.

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A loop ileostomy Design to Maintain Height and Verticality

Watanabe¹,

Kosuge²,

Ogawa³

et al. 2012

Journal of Japan Society of Coloproctology

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Results: Reasons for ileostomy were as follows: covering ileostomy, n=18; small bowel obstruction due to malignant tumor, n=6; and diverting stoma, n=2. Mean height of the oral-side outlet ( n=18 ) was 19.3 mm ( range, 5-32 mm ) , and verticality was generally maintained, but 7 cases showed a slight lean ( lateral, n=6; caudal, n=1 ) . Mean height in lateral lean cases was 24.2 mm, which was significantly higher than that in stomas without leans. Complications were observed in 4 cases ( parastomal hernia, n=2; oral-side depression/anal-side incarceration, n=1; and prolapsed stoma, n=1 ) , but none developed serious skin damage around the stoma.Conclusion: This method appears to facilitate creation of a loop ileostomy with adequate height and an acceptable lean.

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Diverting Stomas: Comparing Loop Ileostomy with Loop Transverse Colostomy.

Cited by 3 publications

References 0 publications

Temporary loop ileostomy versus transverse colostomy for laparoscopic colorectal surgery: a retrospective study

Temporary loop ileostomy versus transverse colostomy for laparoscopic colorectal surgery: a retrospective study

The Procedure of Ostomy with Double Orifices -For Standardization of Digestive Tract Ostomy-

A loop ileostomy Design to Maintain Height and Verticality

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