Loop ileostomy is a common procedure for temporary fecal diversion. Le
ngth of stay for ileostomy closure in many series is 3 to 6 days. Ther
e is, however, increasing pressure on surgeons to discharge patients a
s soon as possible. With attention to surgical details and careful per
ioperative management, it is possible to perform ileostomy closure as
a same-day-discharge operation. This technique was used to treat six p
atients who needed ileostomy closure. All patients were discharged the
day after or the day of the surgical intervention. There was no morbi
dity. Loop ileostomy and same-day ileostomy closure are cost-effective
procedures for temporary fecal diversion.