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For that class of cases, in which colostomy is indicated, for physiologic rest of the colon, the problem of efficient drainage is paramount, but the subsequent closure of the opening in the bowel is a surgical problem hardly secondary in importance to successful drainage.
Appendicostomy can not be accorded more than a limited field of usefulness, because in a great majority of cases it is diversion of the fecal current, rather than irrigation, that is the essential therapeutic aid; nor will the mere opening of the ascending colon afford sufficient drainage in the more severe types of colitis.
It is my experience that cecostomy can be so accomplished by rotating the cecum upward and outward and making the opening opposite the ileocecal aperture, then not only efficient drainage is accomplished, but, what becomes most practical in the subsequent management, the closure of the opening in
ALLISON CC. CECOSTOMY—THE OPERATION OF CHOICE FOR TEMPORARY DRAINAGE OF THE COLON. JAMA. 1909;LIII(19):1562. doi:10.1001/jama.1909.92550190035002h
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