• Mark Cheetham


The earliest stomas were almost certainly the result of battlefield trauma leading to a colocutaneous fistula. It was only late in the eighteenth century that surgeons attempted to create a stoma deliberately. Stomas were used only to palliate an obstructing cancer of the sigmoid or rectum. While this was effective in relieving the obstruction, the lack of useful stoma appliances meant that quality of life for these patients was often poor. It was not until comparatively late in the twentieth century that advances in surgical technique and stoma appliances improved the outlook for patients with stomas.


Loop Ileostomy Parastomal Hernia Restorative Proctocolectomy Posterior Rectus Sheath Stoma Care 
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Copyright information

© Springer-Verlag London Limited 2012

Authors and Affiliations

  1. 1.Department of General SurgeryRoyal Shrewsbury HospitalShrewsburyUK

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