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Sitting a transverse colostomy.

P E Majno1, V C Lees, K Goodwin

  • 1Department of General Surgery, Addenbrooke's Hospital, Cambridge, UK.

The British Journal of Surgery
|June 1, 1992
PubMed
Summary
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Transverse colostomy placement is typically taught as the right upper quadrant. However, this study suggests the right iliac fossa is often the optimal site for colostomy surgery.

Area of Science:

  • Surgical oncology
  • Gastrointestinal surgery
  • Abdominal surgery

Background:

  • Traditional surgical teaching recommends right upper quadrant placement for transverse colostomies.
  • Optimal siting of colostomies is crucial for patient outcomes and stoma function.

Purpose of the Study:

  • To evaluate the traditional placement of transverse colostomies.
  • To determine the optimal site for transverse colostomy surgery.

Main Methods:

  • Retrospective analysis of 67 transverse colostomy cases.
  • Comparison of stoma sites in the right upper quadrant versus the right iliac fossa.

Main Results:

  • Out of 67 colostomies, 26 were in the right upper quadrant and 41 in the right iliac fossa.

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  • The right iliac fossa was identified as the preferred site in this cohort.

    • Conclusions:

    • Current teaching on transverse colostomy placement may not reflect optimal surgical practice.
    • Individual patient anatomy should guide colostomy siting, with the right iliac fossa frequently being the most suitable location.