TRANSVERSE COLOSTOMY

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my operations

How I did It?

Operative Technique

Ø      Patient supine under General Anesthesia

Ø      Asepsis and antisepsis technique

Ø      Sterile drapes placed

Ø      Midline incision made

Ø      Intra-operative findings noted

Ø      Transverse incision made over the middle and lateral thirds of the upper right rectus muscle; incision carried from skin through subcutaneous tissue, anterior rectus fascia incised, muscle splitting, posterior rectus sheath and peritoneum cut and opened

Ø      Transverse colon identified, including proximal and distal portions

Ø      Transverse colon exteriorized and secured with a Babcock

Ø      Midline incision closed layer by layer

Ø      Suture placed on the seromuscular layer of exteriorized colon to the fascia in 3 quadrant manner in each portion of the colon

Ø      Incision made longitudinally along the anterior wall of the colon, preferably in the taenia

Ø      Immediate maturation of colostomy done

Ø      3-point seromuscular suture made on the colon wall to the subcuticular layer of the skin using interrupted 4-0 silk sutures

Ø      Dry sterile dressing over midline incision

Ø      Colostomy bag placed