Colostomy perforation

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Abstract
Summary and Conclusions A simple, satisfactory method of administering irrigation of colostomies periodically has been reported previously. Four instances of perforation of colostomies have been mentioned, and extra-abdominal and intra-abdominal types of perforation have been described. Owing to our experience, we have been impressed by the need for detailed instructions to colostomized patients, stressing that extreme caution and gentleness must be exercised while introducing the irrigating tube. Furthermore, the importance of these precautions should be repeated periodically and emphasized. Early colonoscopy is strongly advocated as the single most valuable diagnostic method in instances when perforation of a colostomy is suspected. Although periodic irrigation of colostomies has been utilized in the United States for many years, it is not free of danger. Nevertheless, the authors believe that judicious use of the method is of value in management of colostomies.

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