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Colostomy short notes (point osce)
1.
DR SOMA -
COLOSTOMY PROCEDURE ( AS FOR SHORT CASE) Colostomy:artificialopeningmade incolontoexteriorskintoadvertfecesandflatus Types: - temporary - permenant Temporary - usedin:conditionforfacilitate healingof distal rectumorcolon Site:rt hypochondrium/leftiliacfossa Indication : -congenital megacolon - anorectal malformation - sigmoidvalvulus -perforatedleftsidedcolon - trauma to leftside growth Permanant Site:leftiliacfossa,6cmabove andmedial toASIS indication : - APresection -ca anal canal - afterHartmann’soperation:resectionof rectosigmoidcolon ( inca colon/inflammationie diverticulitis)
2.
Colostomy 1. Diversioncolostomy 2. Decompression 3.
Irrigation Colostomycare 1. Dailylife asusual 2. Avoidirritandsolutiontostoma 3. Prepare additional stomabag 4. Stoma societies - forupdate onappliance available 5. Normal diet,highinplentyof waterdiet 6. Regularconsultationandfollowup 7. Care for skin 8. Managing leak, odourand discomfort Complicationof colostomy 1. Prolapse of mucosa(commonest) 2. Retraction 3. Necrosis 4. Stenosis 5. Herniation 6. Bleeding 7. Dirrhea 8. Enteritis 9. Skinexcoriation
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