Colostomy.
The colostomy is the most commonly performed diversion of the fecal stream in the surgical management of colorectal carcinoma, diverticular disease, congenital birth defects, and trauma. The evolution of the colostomy has resulted in improved surgical techniques and a better quality of life for the patient. The clinician should be familiar with the indications for colostomy surgery, the different types of colostomies, preoperative and postoperative care, complications related to colostomy, and special diagnostic procedures required for follow-up care.