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

Abstract

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.