A method and the results of loop colostomy

Abstract

A technique of loop colostomy which avoids a sutured skin wound, employs a deep tension suture with retained polythene sleeve as a bridge, and permits routine use of standard terminal colostomy appliances is described. The clinical results in 51 patients are reported and the advantages of this method of construction discussed. All patients were able to use standard, terminal colostomy appliances routinely from the time of construction. There were no immediate postoperative complications. Delayed complications occurred in 5 (10 per cent) patients. Intraperitoneal closure was performed in 43 patients and was complicated by 1 (2.3 per cent) transient fecal leak and 4 (9.3 per cent) would infections. The absence of a sutured skin wound, the small bridge size, and the circular shape of the stoma facilitate use of accurately fitting, standard terminal colostomy appliances rather than the usual loop colostomy apparatus. This results in an improved skin seal, reduced fecal leakage, easier nursing and stoma care, and better patient morale.