Ileo-colostomy

Ileocolostomy

Indications

In cases of:

•   In poor risk patients with obstruction due to ileocecal tuberculosis

•   Unresectable growth of transverse of descending colon

•   Ileotransverse Colostomy to bypass the obstruction because of unresectable cancer of cecum or ascending colon.

Position

Supine.

Anesthesia

General.

Procedure

1.  An upper or lower paramedian or midline incision.

2.  Take a mobile loop of terminal ileum and bring it in apposition to transverse or sigmoid colon as the case may be.

3.  Incise ileum and colon between clamps.

4.  Carry out a two layer anastomosis using continuous or interrupted sutures making a 4 cm stoma.

Instruments

•   General set, 1

•   Gastrointestinal set, 1

•   Dennis anastomosis clamp (Fig. 9.21).

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