Loop transverse colostomy. The case against
| Autor: | Martin J. Winkler, Peter A. Volpe |
|---|---|
| Rok vydání: | 1982 |
| Předmět: |
medicine.medical_specialty
business.industry General surgery medicine.medical_treatment Gastroenterology Colostomy General Medicine History 20th Century Colorectal surgery Resection Surgery Loop (topology) Colonic Diseases Rectal Diseases Stoma (medicine) Loop colostomy medicine Humans Disease process Transverse colostomy business |
| Zdroj: | Diseases of the colon and rectum. 25(4) |
| ISSN: | 0012-3706 |
| Popis: | All large-bowel stomas (198) performed between 1970 and 1980 in a community hospital were reviewed. Twenty-nine stomas were loop transverse colostomies. There were five deaths, a complication rate related to the stoma of 28 per cent, and only 18 patients ever achieved colostomy closure. Our conclusions are as follows: (1) transverse colostomy is a holdover from the past; (2) “temporary” loop colostomy is a misnomer; (3) all colostomies should be end-bearing and matured primarily; (4) blind surgery invites tragedy; (5) loop transverse colostomy is a risky first stage with little benefit; (6) every colostomy should be placed as near as possible to the disease process; and (7) resection of the disease is the ideal first stage. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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