ABSTRACT

Indications Transverse loop colostomy is created for fecal diversion and/or left colon decom­

pression. It is indicated for protection of low anterior anastomoses or diversion from chronically, nonhealing anal conditions such as complex fistulas, pressure sores or chronic diverticular perforations in the presence of multiple co-morbid conditions contraindicating primary resection. It is also a remedy for left colon obstruction, espe­ cially when an obstructing lesion and a competent ileocecal valve create a closed loop.

Preop In obstructed patients, fluid and electrolyte imbalances should be corrected to the