What is the impact of colostomies or colostomy irrigation on the quality of life of ostomates pre- and post-operatively, and why is it not used routinely in in-patient surgical settings?

Evidence shows that colostomies and their management through irrigation and supportive interventions can significantly impact the quality of life of ostomates, particularly post-operatively. However, routine use in inpatient settings might be constrained by resource and logistical limitations.