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Atlas of Intestinal Stomas pp 151–158Cite as

Ostomies in Trauma

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Abstract

Injuries to the colon represent a challenging and controversial facet of trauma surgery. Historically, diversion was considered to be the standard of care for all colon injuries. Recently, however, significant data have emerged that has demonstrated the safety of performing primary anastomoses after colonic injuries. This chapter reviews indications for performing a colostomy in injured patients. There are also unique anatomic and physiologic issues that surgeons must consider when performing a colostomy for trauma. Injured patients are more likely to require an “open abdomen” and are more likely to have devascularization secondary to blast effects or vessel trauma. These situations require special attention to diversion of fecal contents away from the open wound as well as accurate appreciation of the extent of devascularization. This chapter reviews the techniques for performing a colostomy that are germane to injured patients.

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Authors and Affiliations

  1. Department of Surgery, University of Minnesota, Minneapolis, MN, USA

    Matthew C. Byrnes & Greg J. Beilman

Authors
  1. Matthew C. Byrnes
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  2. Greg J. Beilman
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Corresponding author

Correspondence to Matthew C. Byrnes .

Editor information

Editors and Affiliations

  1. Digestive Disease Institute, Department of Colorectal Surgery, Cleveland Clinic Foundation, Euclid Ave. 9500, Cleveland, 44195, Ohio, USA

    Victor W. Fazio

  2. Digestive Diseases Institute, Department of Colorectal Surgery, Cleveland Clinic Foundation, Euclid Ave. 9500, Cleveland, 44195, Ohio, USA

    James M. Church

  3. Digestive Disease Institute, Department of Colorectal Surgery, Cleveland Clinic Foundation, Euclid Ave. 9500, Cleveland, 44195, Ohio, USA

    James S. Wu

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Byrnes, M.C., Beilman, G.J. (2012). Ostomies in Trauma. In: Fazio, V., Church, J., Wu, J. (eds) Atlas of Intestinal Stomas. Springer, Boston, MA. https://doi.org/10.1007/978-0-387-78851-7_13

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  • DOI: https://doi.org/10.1007/978-0-387-78851-7_13

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-0-387-78850-0

  • Online ISBN: 978-0-387-78851-7

  • eBook Packages: MedicineMedicine (R0)

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