Loop transverse colostomy

Abstract
All large bowel stomas (198) performed between 1970 and 1980 in a community hospital were reviewed. Twenty-nine stomas were loop transverse colostomies. There were 5 deaths, a complication rate related to the stoma of 28% and only 18 patients ever achieved colostomy closure. Transverse colostomy is a holdover from the past. Temporary loop colostomy is a misnomer. All colostomies should be end-bearing and matured primarily. Blind surgery invites tragedy. Loop transverse colostomy is a risky 1st stage with little benefit. Every colostomy should be placed as near as possible to the disease process. Resection of the disease is the ideal 1st stage.

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