Colostomy Reversal

Indications
Reversal
- wait 6 weeks at least: safer and easier as swelling / inflammation has subsided.


Special Preparation
Ensure distal anastomosis is satisfactory if definitive operation was performed
And no obstruction distally.


Prep
R/B/I explained
Time out, Prophylactic ABs, prep drape in supine position

Incision
In the mucocutaneous border


Key Operative Points

Post-Operative Issues
As for any colonic anastomosis.


Complications
As for any colonic anastomosis.


Alternatives and Controversies
-