As stated in the Medical chronology , Ostomy is say to be a function mandate for the creation of an opening in the body that allow easy discharge of body wastes . It is a operative process requiring the patient to be hospitalized 24 time of day before surgery . Segregating the term of Ostomy , Ileostomy and Colostomy are the ones withdraw station oft . Being relate with stomach , they are carried out with utmost caution . Ileostomy is a operative process wherein the end part of the small intestine known as the Ileum is brought to the airfoil of the stomach through a surgical orifice known as stoma . Colostomy , on the other hand , is also done for make a stoma to let out the salubrious part of the colon or large intestine through a operative process . Both the procedure , Ileostomy and Colostomy are done to help in the process of excretion .
Ileostomy – The How’s and Why’s
What is Ileostomy?
The process of Ileostomy is described by make a surgical opening call pore in the small intestine by bringing its loop over the control surface of the skin . As the surgical operation is carry out , an ostomy pocket is connected to the country that collects enteral waste matter in it . Indeed , this aesculapian operation is carried out because orotund gut fail to work on intestinal waste safely . These are viewed over the Groin at the right side of abdomen .
Being a slightly new applied science with well - break post - operative care meter , ileostomy has been look at efficient in treatingulcerative colitisandCrohn ’s disease . Though , the first example of Ileostomy was seen in 1879 by a German surgeon by the name of Baum ; but , it was a impermanent treatment . From there on , the technique of Ileostomy developed and ameliorate for have excellent result .
Why is Ileostomy Done?
Ideally stating , Ileostomy is carried out on a affected role because of the fact that their with child intestine becomes unequal to of eliminating the intestinal waste . The reason behind this fact is partially or wholly removal of rectum and Aspinwall . Problems with tumid bowel which might necessitate ileostomy could be Crohn ’s Disease , Hirschsprung ’s Disease , familial polyposis , ulcerative colitis , etc . Besides this , the operation of Ileostomy might also be required in the eccentric of ovarian cancer . In this subject , the Ileostomy is carried out on a temporary footing to recombine the stay on part of rectum or colon as a upshot of remove tumor . As a part of this procedure , a loop-the-loop of ileum is exclusively bring in through the skin by generating a stoma . The lower part of the ileum is kept unaffected for further treatment on penury . As the lesion gets heeled , surgical repairing is done efficaciously .
How is Ileostomy Done?
Certainly , Ileostomy is done to make room for the intestinal wasteland to be release through large intestine because the small intestine gets blocked . The colon and rectum is removed under the effect of worldwide anesthesia . For conducting the surgery , an 8 - in long slit is made in patient ’s midline through abdominal skin , muscularity as well as sub - cutaneous tissue paper . On opening the cavity of abdomen , rectum and El Salvadoran colon are secluded as well as remove . There are many patients undergoing provisional circumvent of Costa Rican colon and rectum .
With two kinds of lasting ileostomy , the sawbones apply conventional or continent method of operation . Also called as Brooke Ileostomy , ceremonious way forebode for reach a separate and diminished sized incision through the lower side of the abdominal wall and the cut end of ileum is tailor-make . As the established ileostomy gets fill out , a plastic pocketbook is sequester to the stoma with the help of a medicated adhesive agent . On the other mitt , Continent Ileostomy enables a sufferer to exercise control of the happening of waste material from stoma . An internal pouch is created where the waste gets pull together and it also prevents leakage . The permissive waste is then drained out using a catheter .
What Are The Post Ileostomy Complications?
There are no general complications post - surgery because of the fact that patients are required to take care extensively . The pocket is require to be changed on a regular basis as advised by the doc or breastfeed for maintaining hygienics of the consistency . As a colostomy bag is light enough to be well carried under the apparel , doctors recommend tire small loose dresses ; rather than the fit out ace . On essentiality , the healing process can be carried out for better tactual sensation by make sutures . However , vulgar post - surgical complications viz . , bleeding in waste or catheter , infection , helplessness , soreness in the operative land site etc . could be present . Yet , none of the post - surgical complications should be pick out lightly .
Colostomy: The How’s and Why’s?
What is Colostomy?
essentially , Colostomy is define as a surgical procedure call for linking of a colon ’s part with that of the prior abdominal wall . As a part of it , the patient is yield an opening on the breadbasket naming Stoma . The declared possibility is create by drawing out the death of large intestine through a specialised scratch made by the surgeon and sutured to the skin . On windup of the colostomy operating theatre , feces gets extracted from a patient role ’s trunk through stomate and gets collected in a colostomy pouch , which is impound to the abdomen of the patient . The pouch can be changed as per motivation or when it gets filled .
Indeed , first ever disk of a colostomy surgery was carried out in 1710 by Dr. A De Littre , who christened the stoma as a intervention of anustresia . This is a innate abnormality , which talks about anus not being altogether build up . As per this discussion method , an artificial output was create towards the unexpended side of the abdomen .
Why is Colostomy Done?
There are sealed issues associated with stomach injury that requires colostomy procedure for origin of enteral dissipation . In fact , infection in stomach because of punctured diverticulitis take the patient to undergo colostomy . Apart from this , injury to the rectum or El Salvadoran colon , partial or complete blockage of prominent bowel , rectal cancer , and fistulous withers coming in perineum are some of the other reasons that demands for quick colostomy surgical procedure . Definitely , whether a impermanent or lasting colostomy needs to be done is settle by the surgeon on analyzing the shape of abdominal disease .
How is Colostomy Done?
What Are The Post Colostomy Complications?
There are many operative procedures that arrive with certain risk gene or post - operative complications . Likewise , colostomy also carries away some complication that must be treated well on clip for nullify any variety of aesculapian emergency . Bleeding within stomach , damage to nearby organs , hernia , urinary tract transmission , narrow of hatchway in colostomy , tegument inflammation and scar tissue paper create intestinal blockage are some of the other complications that might occur in a patient undergone colostomy . Other complication could be infection , pain and cramps that last for more than 2 to 3 hours etc . In the state of exigency , one should always rush to the various surgeon , who has done colostomy .
Diet Post Ileostomy and Colostomy:
The patients having undergone Ileostomy and Colostomy are require to take a balanced diet with introducing one food particular at one time . Along with this , a lighter repast in morning and dark is always preferred . Do not block to chew the food decent or take back large parts of leafy vegetables as it can lead to blockage in stoma . to enjoy a better dietetical life-style , having a diet chart made by a dietitian after operating theatre will definitely help in maintain the ideal weighting . After all , it is the thing of staying healthy and not messing with eat habits .
