Colostomy Procedure and Applications
In the realm of surgical procedures, colostomies play a significant role in managing various health conditions that affect the large intestine. This article aims to provide a clear and straightforward guide to the different types of colostomies and their associated procedures.
A colostomy is a surgical process that diverts part of the large intestine through an opening in the abdomen, known as a stoma. The most common types include loop, ascending, transverse, descending, sigmoid, single-barrel, and double-barrel colostomies.
The differences between these various types primarily depend on the section of the colon used and the surgical formation type. For instance, a loop colostomy is usually performed in the transverse colon and involves bringing out a loop of the colon, opening it, and dividing the bowel completely to create two separate stomas. The stool exits through one opening, while mucus exits through the other.
The location of the colostomy on the abdomen and the consistency of the stool vary depending on the section of the colon used. For example, an ascending colostomy, located on the right side of the abdomen, produces more liquid stool due to its proximity to the small intestine. In contrast, a sigmoid colostomy, near the lower left abdomen, produces well-formed stool with a more normal consistency.
The choice of colostomy type depends on the underlying disease and surgical goals, such as diversion, decompression, or treatment of bowel disease.
After a colostomy, patients typically recover in the hospital for a few days and may require an IV drip, a catheter, or an oxygen mask. It's essential to note that a loop colostomy is often temporary, and a colostomy reversal may be performed if the individual is in good health and fully recovered, usually at least three months following the initial colostomy surgery.
In a loop colostomy reversal, surgeons make an incision around the stoma to access the colon, then attach the upper section of the colon to what remains. The United Ostomy Associations of America, Inc. (UOAA) explains that a pouch attaches to the stoma to collect stools.
It's important to remember that while living with a colostomy may require adjustments, support is available. A stoma nurse will show someone how to care for their stoma, including how to empty and change the pouch and how to avoid infections. Additionally, some people may require a support device, known as a rod or bridge, to hold the loop of the colon in place while it heals.
In some cases, if a person's colon and rectum are still intact, they may sometimes feel the need to pass a bowel movement from their rectum. However, the stoma will be swollen after surgery and may take around six weeks to shrink to its final size.
Diseases such as diverticulitis, inflammatory bowel disease (IBD), cancer, obstruction or blockage, injury, and congenital disabilities can lead to a transverse colostomy, including a loop colostomy. Colostomy surgery can be performed using open or keyhole surgery.
In conclusion, understanding the different types of colostomies and their associated procedures can help individuals better prepare for and manage this life-changing surgery. As always, it's crucial to discuss any questions or concerns with a healthcare professional.
A colostomy, being a surgical intervention, falls under the umbrella of medical-conditions and health-and-wellness. The variety of colostomy types, such as loop, ascending, and sigmoid colostomies, is a result of science and advancements in therapies and treatments. Adjusting to a colostomy also includes consideration of aspects like fitness-and-exercise and nutrition, as patients need to learn how to care for their stoma and employ the proper use of equipment like a pouch or support device.
