Ileostomy construction in complex reoperative surgery with associated abdominal wall defects

Patients who have undergone recent abdominal surgery and have generalized o bliterative adhesions provide a major management problem if they require ur gent ileostomy for sepsis or fistulization, particularly when there is an a ssociated abdominal wall defect. This report describes a technique for crea ting an ileostomy through the skin and subcutaneous tissue only, medial to the fascial edge. This minimizes the intraoperative difficulties of stoma c reation and reduces the dangers associated with mobilizing enough bowel to bring out through the fascia. (C) 2000 by Excerpta Medica,Inc.