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In a colostomy operation, part of your large bowel (colon) is brought to the surface of your abdomen to form a stoma (opening). A colostomy is usually made on the left-hand side of your abdomen, but may in some circumstances be on the right-hand side. Read more about what a stoma looks and feels like. There are two different types of colostomy surgery: end colostomy and loop colostomy.
End colostomy Healthy end colostomy - some time after operation
An end colostomy can be temporary or permanent. It is chosen as a temporary solution in situations where the diseased part of the bowel has been removed and the bowel is not yet ready to be joined together.
The most frequent types of end colostomy operations are: - Abdomino-perineal excision of rectum (APER)
- Hartman’s procedure
Loop colostomy
Loop colostomy - just after operation and with plastic bridge. In a loop colostomy, your bowel is lifted above skin level and held in place with an ostomy rod. A cut is made on the exposed bowel loop, and the ends are then rolled down and sewn onto the skin. In this way, a loop ostomy actually consists of two stomas (double-barrelled stoma) that are joined together. The loop colostomy is typically a temporary kind of colostomy and is often chosen to protect a surgical join in the bowel. The most frequent type of loop colostomy is low anterior resection.  |