The reasons to construct stoma vary. It seems that procedure and technique of the construction is not so difference. However, those are thought to be some difference between institutions and or individuals. Therefore, to discuss methods of colostomy, we performed questionary survey of 43 institutions in Kyusyu.
[results] As for permanent colostomy, oval skin incision in a diameter of 2 or 3cm was performed (74%) and the front sheath of rectus abdominis muscle was done by crucial incision (77%). The bowel was lead with extraperitoneal route (79%) to the outside. The ligation of intestine to the rectus sheath was performed in about half. The handling of a needle was begun at dermis in skin and it to mucosa was done last. Finally, the height of colostoma was adjusted at 1-2cm (90%) .
[conclusions] We understood that there were some differences in methods of procedure between each institutions. However, we need to inspect scientifically which procedure becomes better stoma without complications and is easier to management.
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