stomas Flashcards
what is a hartmans procedure
emergency laparotomy to remove part of the bowel and form a colostomy
what is a end colostomy
bowel brought to surface and anastomosis not done
what is a loop colostomy
to defunction a distal segment of the bowel, the back wall stays in tact
difference in appearance of a colostomy vs ileostomy
a colostomy is flushed to the skin because the contents of the gut are less alkaline and irritant here where as ileostomy is sprouted
when would you do a end ileostomy
after a panproctocolectomy
what is a ileoanal pouch
if the ileum is rejoined to the anus after a panproctocolectomy as need a storage pouch (this is known as a J pouch)
what is a ileal conduit
after a cystectomy, a section of the ileum is taken and the ureters are plumbed into it
early complications of a stoma
high output/obstruction/stenosis/infection / prolapse
late complications of a stoma
prolapse or PARASTOMAL HERNIA
