DR BARRY SLAVEN / SCIENCE PHOTO LIBRARY DR BARRY SLAVEN / SCIENCE PHOTO LIBRARY
Forming ileostomy following colon removal. Surgeon using a 3-0 Vicryl suture to create an ileostomy after a total colectomy - removal (resection) of the complete colon (large intestine) - due to ischaemic colitis. Ischaemic colitis is the inflammation and injury of the large intestine as a result of inadequate blood supply. Here, the condition had damaged the colon to such an extent that it needed to be completely removed. The end of the ileum (small intestine, red, centre) is then brought out through an incision in the abdominal wall to create a stoma, through which the bowel contents will be passed now that the colon has been removed. An ostomy bag will be affixed over the stoma to collect the bowel contents.
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