Some patients require a defunctioning colostomy prior to CMT to allow safe delivery of treatment with the lowest risk of treatment interruption.
Patients who required defunctioning colostomy prior to CMT were analysed for indication of stoma, potential resectability of tumour prior to CMT, response to treatment and stoma closure rate.
Anterior resection without a defunctioning colostomy
: questions of safety.
Acute hemorrhage could imply local haemostatic treatments including topical formalin, yttriumaluminum-garnet (YAG), laser and/or surgical intervention consisting of defunctioning colostomy
in severe cases .
She had previously undergone surgery for a complicated diverticular abscess two years prior to this presentation and this had resulted in a defunctioning colostomy
. Physical examination showed no lymphadenopathy or organomegaly.
Second patient had defunctioning colostomy
after first MRI and mucin pools were only at submucosa and subserosa.
The patient was reluctant to have a defunctioning colostomy
, and continued with Foley drainage.
In view of the extensive spread of the patient's cancer, he underwent a defunctioning colostomy
and palliative chemotherapy.
* In an unstable patient, or when the surgeon is inexperienced in major colonic surgery, a defunctioning colostomy
is a safe option for emergency decompression of the bowel.
Formation of a defunctioning colostomy
in paediatric patients, although infrequent, has a definitive role in burns of the peri-anal, gluteal and upper thigh burns.