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Abstract
An ileostomy that maintains its protrusion in a stable manner can be fashioned by
the technique of Brooke. However, in a significant number of patients, recession or
prolapse of the ileostomy occurs, tending to displace an appliance, A safe and effective
technique is described whereby the ileostomy is stabilized without danger. A ribbon
of fascia, obtained from the abdominal wall, is passed through the mesentery adjacent
to the bowel between vessels, at its point of exit from the peritoneum. It is neither
wrapped around the bowel nor sutured to it. The ends of the fascia are securely sutured
to the peritoneum and transversalis fascia. This secures the position of the ileostomy
without the danger of fistula from suturing the bowel wall. It may be used for recession
or prolapse. It may be supplemented by passing additional fascia or suture elsewhere
in the mesentery or into other available tissue.
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References
- Management of ileostomy, including its complications.Lancet. 1952; 2: 102
- The mesenteric sling technique.Cleve Clin Q. 1978; 45: 231-236
- Intestinal stomas.in: William Heinemann Medical Books, London1978: 70
- Long term complications and prognosis following major surgery for ulcerative colitis.Br J Surg. 1966; 53: 1014
Article info
Publication history
Accepted:
June 10,
1982
Identification
Copyright
© 1983 Published by Elsevier Inc.
