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MC complication of both end and loop colostomy?
Parastomal herniaQ
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MC complication of ileostomy?
Skin irritationQ
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MC early complication of ileostomy?
Ischemic necrosisQ
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MC indications of stoma formation?
- Colorectal cancer
- Chronic ulcerative colitis and
- Crohn’s diseaseQ
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Ileostomy revisions are most commonly performed for?
Crohn’s diseaseQ
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Indications of Permanent ileostomy?
For patients who require removal of the entire colon and rectum (Crohn’s disease or ulcerative colitisQ)
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Indications of loop ileostomy?
Cases where multiple and complex anastomoses must be performed distally (Crohn’s disease or CA rectumQ).
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What is Mercedes ProcedureQ?
Used when there is discrepancy between the size of the ileal loop and the ileostomy stoma.
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Mercedes benz or seagull signQ?
Rarely the centre of gallstone may contain radioluscent gas in a triradiate or biradiate fissure This gives characteristic dark shapes on radiograph.
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Mercedes sign incisionQ?
Excision of xiphoid process and downward traction on the liver provides excellent exposure of the hepatic veins and suprahepatic IVC
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Treatment of stomal necrosis?
- Necrosis extending to and beyond the fascia requires immediate reoperationQ.
- Ischemia limited to a few millimeters is observed and may not result in any long-term sequelae
- In emergencies and difficult cases such as the obese, distended bowel, and shortened mesentery, to ensure delivery of a viable stoma free of tension, the fascial aperture may be made largerQ.
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What is Guy rope Principle?
- In the creation of a permanent ileostomy, a fully everted nipple ensures a good fit of the stomal appliance.
- In normal bowel segment this may not pose a problem, but forceful attempts at eversion in diseased, thickened, and friable bowel may result in damage to the bowel segment.
- In order to prevent this, guy rope principle is used to evert the necessary length of bowelQ
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Location of ileostomy and colostomy?
- An ileostomy is usually sited in the right iliac fossaQ
- A temporary colostomy may be transverse and sited in the right upper quadrantQ
- End-colostomy is usually sited in the left iliac fossaQ
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