Final answer:
An ileostomy, the creation of an opening in the abdominal wall for waste removal, is often performed in conjunction with a Total Colectomy when a new fecal pouch cannot be created.
Step-by-step explanation:
The surgical procedure often performed in conjunction with a Total Colectomy is an ileostomy. This follows when a new fecal pouch from the small intestine cannot be crafted and sutured to the anus. In this case, an ileostomy is created by bringing the distal ileum through the abdominal wall. The watery chyme is then collected in a bag-like adhesive appliance externally. This procedure is crucial since the large intestine—comprising of the colon, rectum, and anus—can be removed without significantly affecting digestion, particularly when the large intestine is impacted by conditions such as inflammatory bowel disease. During the Total Colectomy, the entire colon is removed, and depending on the necessity and the patient's condition, options such as ileostomy and colostomy are considered. While colostomy involves bringing part of the large intestine through the abdominal wall, ileostomy uses the part of the small intestine (ileum) for waste removal.