Uncut Diverting End Colostomy Technique and Its Results

Special Article – End Colostomy

Austin J Surg. 2019; 6(26): 1232.

Uncut Diverting End Colostomy Technique and Its Results

Cakir M*

Department of General Surgery, Necmettin Erbakan University, Turkey

*Corresponding author: Murat Cakir, Necmettin Erbakan University, Meram Medical Faculty, Konya/ Turkey

Received: October 11, 2019; Accepted: December 03, 2019; Published: December 10, 2019


Purpose: Ostomy is anastomosis of the gastrointestinal tract to the anterior abdominal wall. Several surgical complications may develop during the closing of the end colostomy. We define a new end colostomy technique that minimizes surgical complications.

Methods: We use this technique in cases that require temporary full diversion. The distal colon segment is closed without impairing the segment where the ostomy is to be opened followed by the opening of ostomy.

Results: This technique was performed on 48 patients. No major complications developed in patients whose colostomies were opened and closed. The closure was done through an elliptic incision around the ostomy.

Conclusion: A relatively easy technique for performing and closing an end colostomy without laparotomy.

Keywords: End colostomy; Technique; Total; Diversion


Ostomy is anastomosis of the gastrointestinal tract to the anterior abdominal wall [1]. To this end, large intestine and small intestine are used. Depending on the purpose of opening, ostomy may be permanent or temporary. Ostomies are classified according to the way they are anastomosed to the anterior abdominal wall. Ostomies can be loop or end in shape.

The most significant challenge faced in end colostomy is finding the distal end during its closure. During the closure of the ostomy figuring out the anatomy generally takes a long time and undesired intestinal organ injuries may occur [2,3]. Surgery is postponed needlessly for the decrease of intra-abdominal adhesion. Time intervals required for the closure of ostomy vary. The interval for closure in loop ostomy is approximately 6-10 weeks while it is 6 months or longer in end colostomy [4-6].

We define a new end colostomy technique that alleviates the challenges of this demanding surgical dissection and rules out the possibility of failure to close the colostomy due to complications.


Forty-eight patients that presented for ostomy to our hospital between January 2015 and January 2018 were included in the study. Patients’ files were reviewed retrospectively. Surgical consent forms were obtained from all the patients following anesthesia preparation. The criterion in the selection of patients was designated to be requirement for diverting ostomy. These were the cases of patients who had undergone rectovaginal fistula and perianal area surgery for the treatment of perianal injuries and severe perianal infections such as Fournier gangrene. This study used no patient information or protected health information and was exempt from Institutional Review Board approval.

All statistical analyses were performed on Statistical Package for the Social Science, Chicago, USA version 20. Data were expressed as mean ± standard deviation.


A defect of 2-3 cm is formed in the previously marked ostomy site (Figures 1a,1b).