What Happens During a Colostomy Procedure?

The so-called colostomy is an artificial opening made by the surgeon in the abdominal wall in order to treat certain intestinal diseases (such as rectal cancer, ulcerative colitis, etc.), and a section of the intestinal tube is pulled out of the opening and turned over the abdominal wall. An intestinal stoma is formed. Its role is to replace the original perineal anus to exercise the defecation function. In fact, it is the diversion of the fecal exit, which has little effect on the overall digestive function.

Colostomy

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So-called

Traditional colostomy surgery is

Although colostomy has saved many people's lives, it also brings some complications to patients, which seriously affects their quality of life. Foreign literature reports,

Choice and type of colostomy position

Choice of colostomy position

In the past, the position of the intestinal stoma was selected by the surgeon during the operation on a routine or random basis. It is difficult to judge whether the position of the stoma is reasonable, which often causes patients with postoperative complications, and it is difficult to reposition the stoma. With the in-depth understanding of intestinal stoma and clinical observations, preoperative positioning can greatly reduce the vocalization rate of postoperative complications and improve the quality of life of patients.

Type of intestinal stoma

There are different types of intestinal stoma according to different classification methods. They can be divided into temporary stoma and permanent stoma according to time, and can be divided into ileostomy, transverse colostomy and sigmoid stoma according to the site. The method can be divided into end-type stoma and -type stoma, according to the shape of the stoma can be divided into flip-shaped stoma and flat-shaped stoma.

Moderate colostomy technique

Whether it is an intraperitoneal colostomy or an extraperitoneal colostomy, due to the loss of anal sphincter sphincter sphincter function on the colostomy stump, the ability to control the stool is significantly reduced, which seriously affects the quality of life of patients. Therefore, some scholars have made a meaningful exploration in the control of reconstruction of intestinal stoma. According to its principle, the current technology can be divided into four categories: external devices, simple surgical technology, surgical technology plus passive implantation devices, surgical technology plus active implantation devices.