Conversion of loop colostomy to end colostomy: is dismantling necessary?

ABSTRACT

Twelve patients who had previously undergone preliminary pelvic loop colostomy were treated by conversion of loop colostomy to end colostomy by alternative technique ie without dismantling of loop and conversion to end stoma. The results of this technique were compared with those of conventional procedure which was performed in ten patients. The new technique results in a 'mature' end colostomy in situ with little pain at the stoma site, no risk of retraction and lower risk of peristomal infection. We therefore recommend this procedure for all patients needing such conversion.