For routine cases of left colon obstruction, with the diagnosis confirmed by barium enema radiography, the colon may be approached through a small transverse incision in the right rectus muscle. This incision should be made for the colostomy alone; the rest of the abdominal cavity does not have to be explored. Exceptions to this policy should be made for patients with a sigmoid volvulus, those suspected to have ischemic colitis or perforation, and those in whom an advanced obstruction threatens cecal rupture.


Transverse Colon Rectus Muscle Ischemic Colitis Transverse Incision Loop Colostomy 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Abcarian H, Pearl RK. Stomas. Surg Clin North Am 1988; 68:1295.PubMedGoogle Scholar
  2. Bergren CT, Laws HL. Modified technique of colostomy bridging. Surg Gynecol Obstet 1990;170:453.PubMedGoogle Scholar
  3. Doberneck RC. Revision and closure of the colostomy. Surg Clin North Am 1991;71:193.PubMedGoogle Scholar
  4. Fitzgibbons RJ Jr, Schmitz GD, Bailey RT Jr. A simple technique for constructing a loop enterostomy which allows immediate placement of an ostomy appliance. Surg Gynecol Obstet 1987;164:78.PubMedGoogle Scholar
  5. Gooszen AW, Geelkerken RH, Hermans J, Lagaay MB, Gooszen HG. Temporary decompression after colorectal surgery: randomized comparison of loop ileostomy and loop colostomy. Br J Surg 1998;85:76.CrossRefPubMedGoogle Scholar
  6. Kyzer S, Gordon PH. Hidden colostomy. Surg Gynecol Obstet 1993;177:181.PubMedGoogle Scholar
  7. Majno PE, Lees VC, Goodwin K, Everett WG. Siting a transverse colostomy. Br J Surg 1992;79:576.CrossRefPubMedGoogle Scholar
  8. Morris DM, Rayburn D. Loop colostomies are totally diverting in adults. Am J Surg 1991;161:668.CrossRefPubMedGoogle Scholar
  9. Ng WT, Book KS, Wong MK, Cheng PW, Cheung CH. Prevention of colostomy prolapse by peritoneal tethering. J Am Coll Surg 1997;184:313.PubMedGoogle Scholar
  10. Turnball RB Jr, Weakly FL. Atlas of Intestinal Stomas. St. Louis, Mosby, 1967.Google Scholar

Copyright information

© Springer Science+Business Media, LLC 2006

Personalised recommendations