What is the procedure for a colonostomy?

Pre-Procedure:

- Medical Evaluation: The patient undergoes a thorough medical evaluation, including tests and assessments to ensure they are fit for surgery.

- Fasting: The patient may need to fast for several hours before the surgery to reduce the risk of complications during anesthesia.

Procedure:

1. Anesthesia: The patient receives general anesthesia, which keeps them unconscious and pain-free throughout the operation.

2. Positioning: The patient lies face up on the operating table with legs slightly bent at the knees.

3. Skin Preparation: The abdominal area is cleaned and sterilized to reduce the risk of infection.

4. Incision: The surgeon makes an incision in the lower left or right side of the abdomen, depending on the location of the colostomy.

5. Exposing the Colon: The surgeon carefully locates and mobilizes a healthy section of the colon.

6. Creating the Stoma: A portion of the colon is brought out through the abdominal opening, forming the stoma. The stoma is a surgically created opening that allows waste to exit the body.

7. Attaching the Stoma: The stoma is secured to the abdominal wall using sutures to prevent it from retracting into the abdomen.

8. Stoma Opening: If necessary, the surgeon gently enlarges the stoma opening to facilitate the passage of stool.

9. Closing the Incision: The abdominal incision is meticulously closed with sutures or surgical staples.

10. Dressing: A protective dressing is applied to the stoma site.

11. Monitoring: The patient's vital signs and overall condition are closely monitored during and after the procedure.

Recovery:

- The patient stays in the hospital for a few days to recover and receive medical attention.

- They learn about stoma care, dietary modifications, and managing their new routine.

- After discharge, regular follow-up appointments with a healthcare provider are essential to monitor progress and address any concerns.