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SELF/Colostomy/Surgical Procedure

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▼Created by the West African College of Surgeons for the Surgical Education Learners Forum.Please see the Terms of Use and do not edit without permission.
Instructions

Work through each question carefully to choose the best answer, and submit the quiz to view your results. After completing the quiz, read through the answer explanations to review the reasoning behind both correct and incorrect options.

1

Before induction, the nurse confirms IV access, Foley catheter, nasogastric tube, drapes, antiseptic, and all surgical instruments including the stoma template and appliance. The patient is awake, supine, and the marked site is visible above the belt line. Which statement best describes the readiness of this setup?

The stoma appliance should be applied before skin preparation
The preparation is complete and suitable for proceeding to anesthesia
The nasogastric tube should be inserted only after abdominal entry
The patient position should be changed to sitting before induction for site verification

2

A stoma site is marked while the patient is supine. After surgery, the stoma sits within a deep abdominal fold, making appliance attachment difficult. Which preoperative step was most likely missed?

Marking the site after draping
Using a larger stoma template
Checking the site in standing and sitting positions
Choosing a lower abdominal quadrant

3

During a stoma-site incision, the surgeon cuts a small circular opening that tightly grips the bowel loop after exteriorization. What complication is most likely?

Ischemia of the delivered bowel segment
Prolapse of the stoma
Mucocutaneous separation
Parastomal hernia

4

In a district hospital with limited resources, a patient with severe COPD requires fecal diversion. No general anesthesia setup is available, but a trained anesthetist can provide spinal anesthesia. What should guide the surgical plan?

Attempt the procedure under local infiltration
Proceed with spinal anesthesia if adequate abdominal relaxation can be achieved
Postpone surgery until general anesthesia becomes available
Perform the operation without anesthesia if urgent

5

During laparotomy for obstructing sigmoid cancer, viable proximal colon is identified, but the distal segment is unsalvageable. What intraoperative choice is most appropriate?

Exteriorize both ends as double-barrel colostomy
Close the proximal bowel and plan for diversion later
Proceed with loop colostomy to maintain continuity
Create an end colostomy after resection of distal bowel


Page data
Keywords surgery, health
SDG SDG03 Good health and well-being
Authors Ian-laurel, SELF Tiger Team
License CC-BY-SA-4.0
Organizations WACS, SELF
Language English (en)
Related 0 subpages, 0 pages link here
Redirects WACS Training Modules/Colostomy/Surgical Procedure
Views 1 page views (analytics)
Created November 12, 2025 by KatKor
Last edit March 9, 2026 by Ian-laurel
Cite as KatKor (2025–2026). "SELF/Colostomy/Surgical Procedure". Appropedia. Retrieved June 4, 2026.
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