COLOSTOMY

#DEFINITION: An artificial colo-cutaneous fistula

#SITES:
-Sigmoid colon
-Transverse colon
#NOTE: Colon used must be freely mobile i.e it must have a mesentery

#CLASSIFICATION
ACCORDING TO TYPE OF STROMA
-End colostomy
-Loop colostomy
-Double barrel colostomy
-Devine(divided colostomy)

ACCORDING TO NEED OF THE COLOSTOMY
-Temporary colostomy
-Permanent colostony

ACCORDING TO SITE OF THE COLOSTOMY
-Sigmoid colon
-Transverse colon

#INDICATIONS
-To relieve obstruction of the left side of the colon due to carcinoma,diverticulum,strictures and anorectal atresia
-To defunction an anastomosis
-To rest a severely injured sigmoid colon and rectum

CARE OF A COLOSTOMY
-Keep the area clean
-Prevent skin excoriation by applying zinc oxide cream
-Introduce the patient's mother to another woman whose child has a colostomy for emotional support

#COMPLICATION
-Prolapse
-Paracolostomy hernia
-Retraction
-Internal hernia
-Colostomy diarrhoea
-Mental depression
-Social isolation
-Stenosis of the orifice
-Necrosis of the stoma