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Defunctionalizing a Colostomy
RICHARD F. BRODMAN, MD;
HAROLD R. BRODMAN, MD
Bronx, NY
Arch Surg. 1975;110(3):352.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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To the Editor.—Increasing use of stapling devices has prompted us to devise a simplified method for performing a defunctionalizing colostomy.
Often the loop colostomy is employed by the surgeon as a compromise for complete fecal diversion in sick patients because of its simplicity, efficiency, and lack of complications. The technique we use converts this to a completely diverting colostomy by bringing out a loop of bowel through the abdominal wall; placement of a glass rod below the loop of bowel through an avascular segment of mesentery and onto the abdominal wall; ligation of the distal part of the bowel with the 30- or 55-mm automatic stapler (Figure, A); and formation of the
A, Ligation of distal part of bowel with 30- or 55-mm automatic stapler. B, Formation of proximal limb stoma by opening bowel wall with cautery 24 to 48 hours postoperatively. proximal limb stoma by opening the bowel
. . . [Full Text PDF of this Article]
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