Loop transverse colostomyThe case against
作者:
Martin Winkler,
Peter Volpe,
期刊:
Diseases of the Colon & Rectum
(OVID Available online 1982)
卷期:
Volume 25,
issue 4
页码: 321-326
ISSN:0012-3706
年代: 1982
出版商: OVID
关键词: Large bowel;Stoma;Colostomy, loop, transverse
数据来源: OVID
摘要:
&NA;All large‐bowel stomas (198) performed between 1970 and 1980 in a community hospital were reviewed. Twenty‐nine stomas were loop transverse colostomies. There were five deaths, a complication rate related to the stoma of 28 per cent, and only 18 patients ever achieved colostomy closure. Our conclusions are as follows: (1) transverse colostomy is a holdover from the past; (2) “temporary” loop colostomy is a misnomer; (3) all colostomies should be end‐bearing and matured primarily; (4) blind surgery invites tragedy; (5) loop transverse colostomy is a risky first stage with little benefit; (6) every colostomy should be placed as near as possible to the disease process; and (7) resection of the disease is the ideal first stage.
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