Emergency War Surgery NATO Handbook
United States Department of Defense
Peer Review Status: Internally Peer
Reviewed

Figure 37. - A. Following severe injury to the right colon,
especially with associated sever injury to contiguous organs, right
colectomy is indicated. A matured ileostomy, which will accommodate
an ileostomy appliance and the distal mucous fistula are shown. B.
The constriction of an end colostomy and a distal mucous fistula that
allows placement of an appliance over the proximal stoma is mandatory
for diversion of the fecal stream in management of low sigmoid and
rectal injuries.
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