bandage-green

Ostomy Reversal / Stoma Closure

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Supine, Lithotomy, arms extended, arms tucked
Time : 2-4 hours (long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : TAP, Rectus Sheath, Quadratus Lumborum
Considerations : PONV

Anesthetic Approaches

1GETT
2GETT, TIVA, Propofol Drip
3GETT, Epidural
The Surgery

Loop stoma closure, mobilization - circumstomal incision around the stoma; both limbs of bowel are freed from the abdominal wall without formally entering the peritoneum. Loop stoma closure,...

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