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Laparoscopic Ileostomy and Colostomy for Faecal Diversion

  • James Ansell
  • Daniel Hughes
  • Jared TorkingtonEmail author
Chapter
Part of the Springer Surgery Atlas Series book series (SPRISURGERY)

Abstract

The formation of an ileostomy or colostomy may provide therapeutic benefits in patients with abdominal pathology, complicated pelvic infections, faecal incontinence, rectovaginal fistula, perianal sepsis, perianal Crohn’s disease (CD), radiation proctitis, advanced colorectal cancers or J-pouch-related complications (Brand and Dujovny, Clin Colon Rectal Surg 21:5–16, 2008). The laparoscopic approach is a safe and effective option with the advantage of reduced pain, quicker recovery time, shorter hospital stay and improved cosmesis (Shin and Rafferty, Clin Colon Rectal Surg 23:42–50, 2010). Sound surgical technique is needed when creating ostomies to avoid the complications that a poorly constructed stoma can have on a patient’s quality of life (Dabirian et al., Patient Prefer Adherence 5:1–5, 2011; Krstic et al., World J Emerg Surg 9:52, 2014). The main indications for faecal diversion can be broadly divided into elective and emergency procedures, which may be intended to be temporary and reversible or to be permanent depending upon the reason for stoma formation.

Keywords

Laparoscopy Stoma formation Ileostomy Colostomy 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.University Hospital of WalesCardiffUK

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