Diverting Loop Ileostomy and Decompressive Blowhole Colostomy

Rarely, when multiple walled-off perforations are found at laparotomy or when the patient is critically septic or with prohibitive comorbidities, in the presence of long-standing distension of the colon and in case of an inexperienced surgeon, a decompressive procedure is advocated, as described by Turnbull et al. [33]. Blowhole colostomy with loop ileostomy is also recommended during pregnancy, for high-lying splenic flexure leading to the possibility of iatrogenic perforation with diffuse faecal contamination or for sealed perforation with impending risk of disruption during bowel dissection. This surgical option can be also considered if the diagnosis has not been cleared. Turnbull's operation is contraindicated in case of free perforation, abscess or hemorrhage. This operation is essentially a temporary decompression procedure bridging to a safe, definitive procedure.

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Responses

  • Kyra
    How do you perform a blowhole ostomy?
    8 years ago
  • hending
    What is decompressive colostomy?
    8 years ago
  • robert sharon
    What is a Blowhole colostomy with loopileostomy?
    8 years ago
  • kaylin
    How long can a blowhole colostomy last?
    1 year ago
  • Tobold
    What is a blow hole ostmy?
    2 months ago

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