Open Loop Transverse Colostomy
The Open Loop Transverse Colostomy course will teach you:
- To create an open loop transverse colostomy for diversion of faecal flow through the abdominal wall to the outside in a controlled and hygienically manageable manner.
Special attention is paid to the following hazards you may encounter during the Open Loop Transverse Colostomy:
- Inferior epigastric vessels injury
- Width of enterostomy aperture
With the following tips you might perform the Open Loop Transverse Colostomy even better:
- Skin cylinder removal
- Aperture creation after midline incision
- Penrose drain placement
- Bowel orientation
- Stoma aperture too small
- Stoma aperture too wide
- Colon support
- Bowel vascularization check
- Colon fixation
After studying the Open Loop Transverse Colostomy course you are familiar with the most common complications:
- Retraction of the stoma
- Prolapse of the stoma
- Parastomal herniation
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Step by step
Ostomy aperture creation
Mark the pre-operatively determined colostomy site.
Incise a circular skin disk with a radius of 1.5 to 2 cm, depending on the size of the patient and the bowel.
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