Enteric diversion procedures are performed in a variety of circumstances leading to intestinal perforation, obstruction, or inflammation (Table 17–1). Standard “open” techniques for the creation of diverting ileostomies or colostomies are safe and effective and can often be performed through minimal laparotomy incisions. However, many patients requiring these procedures may have had a previous abdominal operation or have metastatic disease with peritoneal or mesenteric implants. These circumstances limit the ability of minimal incisions to create a diverting ileostomy or colostomy. Moreover, such procedures are usually complicated by postoperative ileus and longer hospitalization.
KeywordsPostoperative Ileus Previous Abdominal Operation Intestinal Perforation Loop Colostomy Stoma Site
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