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.
KeywordsTransverse Colon Rectus Muscle Ischemic Colitis Transverse Incision Loop Colostomy
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- Turnball RB Jr, Weakly FL. Atlas of Intestinal Stomas. St. Louis, Mosby, 1967.Google Scholar