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