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Ann R Coll Surg Engl. 2009 July; 91(5): 439.
PMCID: PMC2758458
Technical Notes and Tips
Bruce Campbell, Section Editor

A Cost-Effective Transverse Colostomy

A loop transverse colostomy can be performed as an effective method of relieving acute colonic obstruction. In the setting of disseminated intra-abdominal malignancy and resultant abnormal anatomy, the procedure is frequently underestimated. By securing a coin in the right upper quadrant and obtaining a plain film of the abdomen, the location of the proposed colostomy relative to the transverse colon can be estimated pre-operatively. This facilitates less dissection of the peritoneal attachments in order to mobilise the colon to the desired site.

Figure 1

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(A) Coin secured in right upper quadrant; (B) pre-operative plain film of the abdomen; (C) loop transverse colostomy in desired site.

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England