1997 Volume 1 Issue 1 Pages 19-21
Purpose: This study was undertaken to assess surgical procedures and basic considerations for stoma creating surgery. It is well known that the better stoma is are important for the better rehabilitation of ostomates.
Methods: Certain requirements in creating the end sigmoid colostomy had been described by Turnbull in 1967. These requirements were verified in this study.
Results: One of the requirements, he described that the viability of the end of the colon must be demonstrated. The viability must be assessed subjectively by surgeon. The pulsation of the margimal artery should be demonstrated. Ligation of the inferior mesenteric artery at its origin is not preferable. On the case which the high ligation was undertaken, the colon must be cut shorter and the stoma site must be located in the midline of the abdominal wall.
Conclusions: On usual Miles operation, if possible, the inferior mesenteric artery must be preserved to keep the viability of the stoma. If it is not possible, the site of the sigmoid colostomy must be located on the umbilical site.
