a colostomy is a gap (stoma) in the large gut (colon), or the surgical operation that creates one. the opening is fashioned by means of drawing the healthy quit of the colon via an incision inside the anterior abdominal wall and suturing it into place. this commencing, often together with an attached stoma appliance, offers an alternative channel for feces to depart the frame. hence if the natural anus is not available for that process (as an instance, in cases in which it has been removed in the fight in opposition to colorectal most cancers or ulcerative colitis), an artificial anus takes over. it could be reversible or irreversible, relying at the instances.
there are many reasons for this system. a few common motives are:
a phase of the colon has been eliminated, e.g. due to colon cancer requiring a complete mesorectal excision, diverticulitis, harm, and many others., so that it is not viable for feces to exit via the anus.
a part of the colon (or massive gut) has been operated upon and desires to be 'rested' until it's miles healed. in this situation the colostomy is frequently temporary and is usually reversed at a later date, leaving the patient with a small scar in place of the stoma. kids present process surgery for substantial pelvic tumors commonly are given a colostomy in training for surgical operation to dispose of the tumor, observed by way of reversal of the colostomy.
fecal incontinence this is non-conscious of other remedies.
parastomal hernia is the maximum common late trouble of stomata via the belly wall, occurring in about forty eight% of the sufferers. prolapse of bowel wall via the stoma sometimes occurs and can require reoperation to repair.
other common hardship of colostomy are high output, skin infection, prolapse, retraction, ischemia and parastomal hernia (ph).