What is a trephine colostomy?

What is a trephine colostomy?

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

What is colostomy procedure?

A colostomy is the surgery done to connect the colon to the surface of the abdomen (belly) to let stool (bowel movements) pass into a collection bag outside of the body. This is done because the rectum, anus, or the sphincter that controls the passage of stool has been removed, or is not being used.

What are the three types of colostomy?

Types of colostomy

• Sigmoid colostomy. This is the most common type.
• Transverse colostomy. The transverse colon crosses the top of the abdomen.
• Descending colostomy. The descending colon takes waste down the left side of the abdomen.
• Ascending colostomy.

What are the indications for colostomy?

The common indications for colostomy in decreasing order were gangrenous sigmoid volvulus, 102(46.6%), colorectal cancers, 46(21.0%), abdominal injuries, 28(12.8%, ileosigmoid knotting, 17(7.8%) and advanced anorectal cancers, 6(2.7%).

What is end colostomy?

With an end colostomy, 1 end of the colon is pulled out through a cut in your tummy and stitched to the skin to create a stoma. An end colostomy is often permanent. Temporary end colostomies are sometimes used in emergencies.

What is a transverse loop colostomy?

Loop Transverse Colostomy: ​This colostomy is created by bringing a loop of bowel through an incision in the abdominal wall. The loop is held in place outside the abdomen by a plastic rod slipped beneath it. An incision is made in the bowel to allow the passage of stool through the loop colostomy.

How serious is a colostomy?

damage to the bladder or other nearby organs. scar tissue. dehiscence, which is an opening of a surgical wound. problems with the colostomy, such as skin irritation.

What are the complications of a colostomy?

Common complications include poor stoma siting, high output, skin irritation, ischemia, retraction, parastomal hernia (PH), and prolapse. Surgeons should be cognizant of these complications before, during, and after stoma creation, and adequate measures should be taken to avoid them.

What are the contraindications for colostomy?

There are no contraindications to colostomy creation. They are often required when anastomosis cannot be achieved due to the emergency nature of the surgery or when the patient is not adequately nourished with inadequate serum albumin and protein levels.

Which is less invasive, a trephine stoma or a colostomy?

Trephine stoma (TS), which is a less invasive technique with less morbidity and mortality rate, was defined by Senapati firstly in 1991 as an end sigmoid colostomy and has recently been suggested to have advantages over more traditional techniques due to avoiding laparotomy [5].

Which is permanent left iliac fossa end colostomy?

The trephine colostomy: A permanent left iliac fossa end colostomy without recourse to laparotomy. (PDF Available) in Annals of The Royal College of Surgeons of England 73(5):305-6 · October 1991 with 1,076 Reads.

When was the cutaneous transverse colostomy invented?

In 1971 Turnbull described the external construction of a cutaneous transverse colostomy, using a technique similar to that of Duret, for emergency decompression of toxic megacolon, which remains an effective technique to bridge patients deemed too ill for an emergent single stage operation [5].

Is it normal to retract a colostomy in a pig?

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.