OperationNotes

General Surgery · Colorectal

Colostomy Closure (Reversal)

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Colostomy Closure (Reversal)
DATE AND TIME: [Date and time]
URGENCY: Elective / Non-elective
SURGEON: [Name]
ASSISTANT: [Name / None]
ANAESTHETIST: [Name]

OPERATION: Colostomy Closure (Reversal)
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: IV broad-spectrum antibiotics at induction including anaerobic cover
DVT PROPHYLAXIS: [Agent / mechanical / Not indicated]
POSITION: Supine. Nasogastric tube.

INDICATION:
Colostomy reversal — [loop / end colostomy] — primary condition resolved, continuity can be safely restored. Minimum 6-12 weeks since formation to allow inflammation to resolve. Pre-operative assessment: [colonoscopy / contrast enema through stoma and rectum — confirms intact distal colon / rectum with no anastomotic stricture / residual disease]. Both proximal and distal colon confirmed suitable for anastomosis.
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