The Hartmann's procedure with a proximal end colostomy or ileostomy is the most common operation carried out by general surgeons for management of malignant obstruction of the distal colon.
32.
Eleven days later, after only a quick lesson in managing the ileostomy, I was released in the custody of my wife, who confidently predicted we would tame this beast.
33.
This is a two-to three-step procedure in which the large bowel is removed, except for the rectal stump and anus, and a temporary ileostomy is made.
34.
When healing is complete the temporary ileostomy is then " taken down " ( or reversed ) by surgically repairing the loop of intestine which made the temporary stoma and closing the skin incision.
35.
In an " end ileostomy ", the end of the ileum is everted to create a spout and the edges are sutured under the skin to anchor the ileum in place.
36.
In the 1960s, Kock experimented on cats and dogs in an effort to develop an internal " continent bladder " which used a reservoir created from the small intestine of candidates receiving " ileostomy " surgery.
37.
An end ileostomy may be constructed temporarily if some or most of the large intestine is removed and the current state of bowel or overall health is not considered amenable to performing further surgery, such as an anastomosis to rejoin the small and large intestines.
38.
In such a case the ileostomy may be temporary, as the common surgical procedure for colorectal cancer is to reconnect the remaining sections of colon or rectum following removal of the tumor provided that enough of the rectum remains intact to preserve internal / external anal sphincter function.
39.
Temporary ileostomies are also often made as the first stage in surgical construction of an ileo-anal pouch, so fecal material doesn't enter the newly made pouch until it heals and has been tested for leaks usually requiring a period of eight to ten weeks.
40.
Soon, in radiant health for the first time in decades after her ileostomy in 1993, she was playing some of the better clubs in Manhattan and making guest appearances on network television, from " Live With Regis and Kathie Lee " to the " Today " show.
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