Skip to main content

Laparoscopic Ileostomy and Colostomy for Faecal Diversion

  • Chapter
  • First Online:
Lower Gastrointestinal Tract Surgery: Vol.1, Laparoscopic procedures

Part of the book series: Springer Surgery Atlas Series ((SPRISURGERY))

  • 1538 Accesses

Abstract

The formation of an ileostomy or colostomy may provide therapeutic benefits in patients with abdominal pathology, complicated pelvic infections, faecal incontinence, rectovaginal fistula, perianal sepsis, perianal Crohn’s disease (CD), radiation proctitis, advanced colorectal cancers or J-pouch-related complications (Brand and Dujovny, Clin Colon Rectal Surg 21:5–16, 2008). The laparoscopic approach is a safe and effective option with the advantage of reduced pain, quicker recovery time, shorter hospital stay and improved cosmesis (Shin and Rafferty, Clin Colon Rectal Surg 23:42–50, 2010). Sound surgical technique is needed when creating ostomies to avoid the complications that a poorly constructed stoma can have on a patient’s quality of life (Dabirian et al., Patient Prefer Adherence 5:1–5, 2011; Krstic et al., World J Emerg Surg 9:52, 2014). The main indications for faecal diversion can be broadly divided into elective and emergency procedures, which may be intended to be temporary and reversible or to be permanent depending upon the reason for stoma formation.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 189.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Brand MI, Dujovny N. Preoperative considerations and creation of normal ostomies. Clin Colon Rectal Surg. 2008;21:5–16.

    Article  Google Scholar 

  2. Shin T, Rafferty JF. Laparoscopy for benign colorectal diseases. Clin Colon Rectal Surg. 2010;23:42–50.

    Article  Google Scholar 

  3. Dabirian A, Yaghmaei F, Rassouli M, Tafreshi MZ. Quality of life in ostomy patients: a qualitative study. Patient Prefer Adherence. 2011;5:1–5.

    Google Scholar 

  4. Krstic S, Resanovic V, Alempijevic T, Resanovic A, Sijacki A, Djukic V, et al. Hartmann’s procedure vs loop colostomy in the treatment of obstructive rectosigmoid cancer. World J Emerg Surg. 2014;9:52.

    Article  Google Scholar 

  5. Vujnovich A. Pre and post-operative assessment of patients with a stoma. Nurs Stand. 2008;22:50–6.

    Article  CAS  Google Scholar 

  6. Tudyka VN, Clark SK. Surgical treatment in familial adenomatous polyposis. Ann Gastroenterol. 2012;25:201–6.

    PubMed  PubMed Central  Google Scholar 

  7. Leong QM, Koh DC, Ho CK. Emergency Hartmann’s procedure: morbidity, mortality and reversal rates among Asians. Tech Coloproctol. 2008;12:21–5.

    Article  CAS  Google Scholar 

  8. Hanna M, Vinci A, Pigazzi A. Diverting ileostomy in colorectal surgery: when is it necessary? Langenbeck's Arch Surg. 2015;400:145–52.

    Article  Google Scholar 

  9. Eijsbouts Q, Sietses C, Berends F, Cuesta M. Laparoscopic techniques for stoma creation. Surg Endosc. 1997;11:750–3.

    Article  CAS  Google Scholar 

  10. Kwiatt M, Kawata M. Avoidance and management of stomal complications. Clin Colon Rectal Surg. 2013;26:112–21.

    Article  Google Scholar 

  11. Baker ML, Williams RN, Nightingale JM. Causes and management of a high-output stoma. Color Dis. 2011;3:191–7.

    Article  CAS  Google Scholar 

  12. Klink CD, Lioupis K, Binnebösel M, Kaemmer D, Kozubek I, Grommes J, et al. Diversion stoma after colorectal surgery: loop colostomy or ileostomy? Color Dis. 2011;26:4316.

    Google Scholar 

  13. Beck-Kaltenbach N, Voigt K, Rumstadt B. Renal impairment caused by temporary loop ileostomy. Int J Color Dis. 2011;26:623–6.

    Article  Google Scholar 

  14. Arenas Villafranca JJ, Abilés J, Moreno G, Tortajada Goitia B, Utrilla Navarro P, Gándara AN. High output stoma: detection and approach. Nutr Hosp. 2014;30:1391–6.

    PubMed  Google Scholar 

  15. Nightingale J, Woodward JM, Small Bowel and Nutrition Committee of the British Society of Gastroenterology. Guidelines for management of patients with a short bowel. Gut. 2006;55:iv1–12.

    Article  Google Scholar 

  16. Arenas Villafranca JJ, López-Rodríguez C, Abilés J, Rivera R, Gándara Adán N, Utrilla Navarro P. Protocol for the detection and nutritional management of high-output stomas. Nutr J. 2015;14:45.

    Article  Google Scholar 

  17. Londono-Schimmer EE, Leong AP, Phillips RK. Life table analysis of stomal complications following colostomy. Dis Colon Rectum. 1994;37:916–20.

    Article  CAS  Google Scholar 

  18. Nastro P, Knowles CH, McGrath A, Heyman B, Porrett TR, Lunniss PJ. Complications of intestinal stomas. Br J Surg. 2010;97:1885–9.

    Article  CAS  Google Scholar 

  19. Robertson I, Leung E, Hughes D, Spiers M, Donnelly L, Mackenzie I, Macdonald A. Prospective analysis of stoma-related complications. Color Dis. 2005;7:279–85.

    Article  CAS  Google Scholar 

  20. Francois Y, Dozois RR, Kelly KA, Beart RW Jr, Wolff BG, Pemberton JH, Ilstrup DM. Small intestinal obstruction complicating ileal pouch-anal anastomosis. Ann Surg. 1989;209:46–50.

    Article  CAS  Google Scholar 

  21. Shabbir J, Chaudhary BN, Dawson R. A systematic review on the use of prophylactic mesh during primary stoma formation to prevent parastomal hernia formation. Color Dis. 2012;14:931–6.

    Article  CAS  Google Scholar 

  22. Gögenur I, Mortensen J, Harvald T, Rosenberg J, Fischer A. Prevention of parastomal hernia by placement of a polypropylene mesh at the primary operation. Dis Colon Rectum. 2006;49:1131–5.

    Article  Google Scholar 

  23. Marimuthu K, Vijayasekar C, Ghosh D, Mathew G. Prevention of parastomal hernia using preperitoneal mesh: a prospective observational study. Color Dis. 2006;8:672–5.

    Article  CAS  Google Scholar 

  24. Brandsma HT, Hansson BM, V-Haaren-de Haan H, Aufenacker TJ, Rosman C, Bleichrodt RP. PREVENTion of a parastomal hernia with a prosthetic mesh in patients undergoing permanent end-colostomy; the PREVENT-trial: study protocol for a multicenter randomized controlled trial. Trials. 2012;13:226.

    Article  Google Scholar 

  25. Kann BR. Early stomal complications. Clin Colon Rectal Surg. 2008;21:23–30.

    Article  Google Scholar 

  26. Parmar KL, Zammit M, Smith A, Kenyon D, Lees NP, Greater Manchester and Cheshire Colorectal Cancer Network. A prospective audit of early stoma complications in colorectal cancer treatment throughout the Greater Manchester and Cheshire colorectal cancer network. Color Dis. 2011;13:935–8.

    Article  CAS  Google Scholar 

  27. Husain SG, Cataldo TE. Late stomal complications. Clin Colon Rectal Surg. 2008;21:31–40.

    Article  Google Scholar 

  28. Park JJ, Del Pino A, Orsay CP, Nelson RL, Pearl RK, Cintron JR, Abcarian H. Stoma complications: the Cook County Hospital experience. Dis Colon Rectum. 1999;42:1575–80.

    Article  CAS  Google Scholar 

  29. Shellito PC. Complications of abdominal stoma surgery. Dis Colon Rectum. 1998;41:1562–72.

    Article  CAS  Google Scholar 

  30. Callen JP. Pyoderma gangrenosum. Lancet. 1998;351:581–5.

    Article  CAS  Google Scholar 

  31. Powell FC, Su WPD, Perry HO. Pyoderma gangrenosum: classification and management. J Am Acad Dermatol. 1996;34:395–409.

    Article  CAS  Google Scholar 

  32. Von den Driesch P. Pyoderma gangrenosum: a report of 44 cases with follow-up. Br J Dermatol. 1997;137:1000–5.

    Article  Google Scholar 

  33. William S. Recognizing peristomal pyoderma gangrenosum. J Enterostomal Ther. 1984;11:77–9.

    Google Scholar 

  34. Hughes AP, Jackson J, Callen JP. Clinical features and treatment of peristomal pyoderma gangrenosum. JAMA. 2000;284:1546–8.

    Article  CAS  Google Scholar 

  35. Kiran RP, O'Brien-Ermlich B, Achkar JP, Fazio VW, Delaney CP. Management of peristomal pyoderma gangrenosum. Dis Colon Rectum. 2005;48:1397–403.

    Article  CAS  Google Scholar 

  36. Sheldon DG, Sawchuk LL, Kozarek RA, Thirlby RC. Twenty cases of peristomal pyoderma gangrenosum: diagnostic implications and management. Arch Surg. 2000;135:564–9.

    Article  CAS  Google Scholar 

  37. Poritz LS, Lebo MA, Bobb AD, Ardell CM, Koltun WA. Management of peristomal pyoderma gangrenosum. J Am Coll Surg. 2008;206:311–5.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Jared Torkington .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Ansell, J., Hughes, D., Torkington, J. (2019). Laparoscopic Ileostomy and Colostomy for Faecal Diversion. In: Parker, M., Hohenberger, W. (eds) Lower Gastrointestinal Tract Surgery: Vol.1, Laparoscopic procedures. Springer Surgery Atlas Series. Springer, Cham. https://doi.org/10.1007/978-3-030-05240-9_4

Download citation

  • DOI: https://doi.org/10.1007/978-3-030-05240-9_4

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-05239-3

  • Online ISBN: 978-3-030-05240-9

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics