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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