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A colostomy reversal, also known as a colostomy takedown, is a reversal [1] of the colostomy process by which the colon is reattached by anastomosis to the rectum or anus, providing for the reestablishment of flow of waste through the gastrointestinal tract.
Only the proximal stoma is functioning. Most often, double-barrel colostomy is a temporary colostomy with two openings into the colon (distal and proximal). The elimination occurs through the proximal stoma. Colostomy surgery that is planned usually has a higher rate of long-term success than surgery performed in an emergency situation.
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The symptoms collectively are referred to as low anterior resection syndrome (LARS) and adversely affect quality of life, sometimes so much so that some patients even prefer to have their stoma-reversal itself reversed, and to live with a permanent colonostomy or iliostomy.
A lower anterior resection, formally known as anterior resection of the rectum and colon and anterior excision of the rectum or simply anterior resection (less precise), is a common surgery for rectal cancer and occasionally is performed to remove a diseased or ruptured portion of the intestine in cases of diverticulitis.
The Barnett continent intestinal reservoir (BCIR) is a type of an appliance-free intestinal ostomy. The BCIR was a modified Kock pouch procedure pioneered by William O. Barnett. It is a surgically created pouch, or reservoir, on the inside of the abdomen , made from the last part of the small intestine (the ileum ), [ 16 ] and is used for the ...
The Hartmann's procedure with a proximal end colostomy or ileostomy is the most common operation carried out by general surgeons for management of malignant obstruction of the distal colon. During this procedure, the lesion is removed, the distal bowel closed intraperitoneally, and the proximal bowel diverted with a stoma .
Colostomy Patient with a colostomy complicated by a large parastomal hernia, which is when tissue protrudes adjacent to the stoma tract. CT scan of same patient, showing intestines within the hernia. Parastomal hernia is the most common late complication of stomata through the abdominal wall , occurring in 10 to 25% of the patients.