Colostomy

**Colostomy**

A colostomy is a surgical procedure that creates an opening (stoma) in the abdomen to bypass a portion of the colon or rectum. This is necessary when the organ is diseased or damaged. Through the stoma, waste is collected in a pouch worn on the abdomen.

**Indications:**

* Obstructed or damaged colon/rectum due to:
* Colon cancer
* Inflammatory bowel disease (e.g., ulcerative colitis, Crohn’s disease)
* Diverticular disease
* Trauma

**Types:**

* **Terminal colostomy:** The entire colon is bypassed.
* **Loop colostomy:** Only a portion of the colon is bypassed.
* **Double-barrel colostomy:** Both ends of the colon are brought out separately.

**Benefits:**

* Relieves intestinal blockage or incontinence
* Allows for healing and recovery of the diseased/damaged colon
* Improves quality of life

**Procedure:**

* General anesthesia is administered.
* An incision is made in the abdomen to access the colon.
* A portion of the colon is isolated and the stoma is created.
* The stoma is then connected to a pouch.

**Recovery:**

* Typically takes 4-8 weeks.
* Includes wound care, stoma management, and dietary adjustments.
* Physical activity should be gradually increased.

**Complications:**

* Infection
* Bleeding
* Prolapse or retraction of the stoma
* Stenosis or narrowing of the stoma
* Parastomal hernia