Type Spotlight: Colostomy

There are three types of surgeries which can result in a stoma. A stoma is an opening from the patient's urinary or digestive system which has been brought to the surface of the abdomen. These types of surgeries are usually done when a part of the bowel or urinary system has been damaged or diseased. Sometimes ostomy surgeries are done to complement another necessary surgery, in order to allow the remaining part of the bowel to heal and rest after part of it has been removed. Different types of ostomies are designated depending on the part of the digestive tract or urinary system they involve. Ileostomies, for example, involve the ileum, while urostomies are related to the urinary tract. What does the term "colostomy" mean? Colostomies refer to ostomy surgeries which involve the colon, specifically. These surgeries occur when part of the large bowel or the digestive system below it requires removal. Part of the colon is then attached to the outer surface of the patient's abdomen. This exit is the stoma. What types of colostomy surgery are there? There are two basic types of surgery which are both considered to be colostomies: end colostomy and loop colostomies. End colostomies are either temporary or permanent, depending on what parts of the intestine remain below the stoma, and how practical reattachment is. End colostomies which are intended to be temporary are usually carried out when that remaining part of the intestine requires healing or rest prior to surgical reattachment. Sometimes this is, unfortunately, too risky to undertake; in other cases, there may simply not be enough of the intestine remaining below that point. If so, the end colostomy will be permanent. Loop colostomies are almost always intended to be temporary, and are carried out to preserve both ends of the remaining intestine and to allow the patient to safely past waste in an emergency or under acute circumstances. However, it can also be undertaken when another surgical join in the bowel requires protection, or in preparation for other surgeries. KPPkecag
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