Name the operation in which part of large intestine is exteriorized and an opening is made in it?

BCCL kharkhanda Staff Nurse - 2015

Medical & Surgical Nursing

Easy

Appeared in: BCCL kharkhanda Staff Nurse - 2015

Explanation

A colostomy is a surgical operation that creates an opening (stoma) from the colon (large intestine) to the surface of the abdomen.
This procedure diverts fecal matter, allowing it to pass through the stoma and be collected in an external pouching system.
It is indicated for conditions like colon cancer, bowel obstruction, inflammatory bowel disease, or traumatic injury to the large intestine.
The consistency of the stool depends on the location of the colostomy within the colon (e.g., ascending, transverse, descending, or sigmoid).

Option A: An ileostomy involves bringing the ileum, which is the final section of the small intestine, to the abdominal surface. The question specifies the large intestine.
Option B: A jejunostomy creates an opening into the jejunum, a part of the small intestine. It is typically used for nutritional support (feeding tube) rather than fecal diversion.
Option C: A caecostomy is a specific type of ostomy that creates an opening into the cecum, the beginning of the large intestine. While it involves the large intestine, 'colostomy' is the more general and common term that fits the question's description of an opening in the 'large intestine'.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Surgical ostomies of the gastrointestinal tract as background academic context rather than a clinical decision trigger.
Stoma assessment is a critical nursing skill. A healthy stoma should be pink to red and moist. A pale stoma can indicate anemia, while a dark purple or black stoma suggests ischemia, which is a medical emergency.
Peristomal skin care is vital to prevent breakdown and infection. The skin around the stoma must be kept clean and dry, and the ostomy appliance should be fitted correctly to prevent leakage of effluent.
Patient education is key to promoting self-care and psychological adjustment. Nurses play a crucial role in teaching patients how to manage their ostomy, including emptying the pouch, changing the appliance, and managing diet.

How to Approach the Question

First, identify the key anatomical term in the question: 'large intestine'.
Next, review the options provided. All are types of '-ostomy' procedures, which means a surgically created opening.
Recall the anatomical location for each prefix: 'ileo-' refers to the ileum (small intestine), 'jejuno-' refers to the jejunum (small intestine), 'caeco-' refers to the cecum (part of the large intestine), and 'colo-' refers to the colon (large intestine).
Eliminate options that do not involve the large intestine (Ileostomy, Jejunostomy).
Between Caecostomy and Colostomy, recognize that Colostomy is the general term for an opening in the large intestine (colon), making it the best fit for the broad question.
Select the option that directly corresponds to creating an opening in the colon/large intestine.

Concept Tested & Keywords

QXZ7gS7S4Hnq629erChKYt

E6 Nursing Fundamentals Taylor p. 633-635

E6 Gynecology Williams pp. 298-363, 297-363