What surgical procedure can create an ostomy for fecal diversion?

The creation of an ostomy for fecal diversion is specifically achieved through procedures that involve the colon or intestine. A loop colostomy or an end colostomy is designed to divert fecal matter away from the normal path of evacuation, providing an opening for the stool to exit the body.

In a loop colostomy, a loop of the colon is brought to the surface of the abdomen, allowing stool to pass through an opening created in the wall of the colon. An end colostomy is performed when the distal portion of the colon is removed or bypassed, necessitating a permanent stoma for fecal elimination. Both procedures directly address the need for fecal diversion, making them appropriate surgical options for this purpose.

In contrast, other surgical procedures listed, such as hernia repair, appendectomy, and cholecystectomy, do not involve creating an ostomy for fecal diversion. While they are important surgeries in their own right, they focus on addressing issues related to hernias, the removal of the appendix, and gallbladder removal, respectively, rather than diverting the fecal stream. Thus, the loop colostomy or end colostomy is the appropriate answer, as it directly relates to the establishment