CORONERS ACT, 1975 AS AMENDED

the bridge used to keep the bowel loop in position was not sutured in place. Having regard to those deficiencies, Ms Roach was at great risk of a failure of the colostomy, spillage of bowel contents into the abdominal cavity and serious infection, a life-threatening event. For those reasons, the colostomy should have been revised at an early ... ................
................