Colostomy

From Ganfyd

A hole in the colon, though usually refers to an iatrogenically created stoma formed from a loop or end limb of colon brought out on through the anterior abdominal wall. Colostomy are often formed from descending colon

Indications

• Defunctioning colostomy where:
  • No anorectum (e.g. abdomino-perineal resection)
  • Anorectal disease (e.g. severe sepsis or diverticulitis)
  • Protection of an 'at risk' anastomosis
  • Temporary diversion of faecal stream where primary anastomosis not possible (e.g. Hartmann's procedure)
• Intractable incontinence