Colostomy Definition and Procedure PDF
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This document provides a definition and description of a colostomy, a surgical procedure where the colon is shortened and its end diverted to an opening in the abdominal wall. It covers the purpose, indications, criteria for a healthy stoma, classification, and potential complications. It also describes different types of colostomies based on the stoma's location.
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Colostomy Definition: Colostomy: is a surgical procedure in which the colon is shortened to remove a damaged part and the cut end diverted to an opening in the abdominal wall. It may be temporary or permanent. Purpose of colostomy : It is applied when feces cannot progress naturally from the co...
Colostomy Definition: Colostomy: is a surgical procedure in which the colon is shortened to remove a damaged part and the cut end diverted to an opening in the abdominal wall. It may be temporary or permanent. Purpose of colostomy : It is applied when feces cannot progress naturally from the colon to the anus It is performed in any condition where the rectum or anus is nonfunctional because of disease, a birth defect or a traumatic condition. To divert the fecal flow away from an area of inflammation or around an operative area. To treat various disorders of the large intestine, including: cancer, obstruction, inflammatory bowel disease, ruptured diverticulum, ischemia (compromised blood supply), or traumatic injury. Indication: Birth defect. Inflammatory bowel disease. Injury to the colon or rectum. Partial or complete intestinal or bowel blockage. Rectal or colon cancer. Criteria of healthy stoma: 1 cm above skin level Moist Red / pink color Painless No evidence of erythema, rash, ulceration or inflammation in the surrounding skin. Classification: According to duration: A. Permanent Colostomy B. Temporary Colostomy According to stoma site: A. Ascending Colostomy B. Transverse Colostomy 1-Loop transverse 2- double-barrel transverse C- Descending Colostomy Assessment of stoma: Stoma colour: Normal---- pink / red / warm to touch Abnormal –--- black / dusky / pale /sloughy Skin : Normal---- in the post-operative period the stoma can be quite swollen. It may reduce in size for about 6 weeks after surgery. Abnormal---- Any sudden or unexplained swelling of the stoma. Bleeding stoma: Normal---- A slight smear of blood on the wipe when washing or drying the stoma. Abnormal---- Excessive bleeding when cleaning the stoma/blood in the pouch / bleeding from inside the stoma. Complications: Leakage. Prolapse Obstruction or stenosis. Stoma becomes edematous and enlarged.
