Advanced Cytoreduction Cadaveric Surgical Course Montreal 2026-Ileostomy and colostomy

Video Transcription

Video Summary

Stomas in gynecologic oncology may be used for pelvic exenteration, bowel obstruction or fistulas, and protection during cytoreductive surgery, though protective diversion is now less common. Preparation includes informed consent, counseling, and site marking over the rectus muscle, assessed while the patient is lying and sitting. The video demonstrates creating a double-barrel end colostomy, including a limited abdominal-wall opening, bowel mobilization, and full-thickness fixation to the skin. It also reviews loop ileostomy maturation, emphasizing adequate bowel protrusion, viability, and correct orientation. A bridge or probe may help prevent retraction in high-risk cases and should be removed after five days.

Asset Subtitle

Elizabeth Tremblay

Keywords

gynecologic oncology

colostomy

ileostomy

stoma creation

bowel diversion