Virtual Naval Hospital

Emergency War Surgery NATO Handbook

Figure 37

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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