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Abstract
In the creation of a permanent ileostomy, a fully everted nipple ensures a good fit
of the stomal appliance. In normal bowel segment this may not pose a problem, but
forceful attempts at eversion in diseased, thickened, and friable bowel may result
in damage to the bowel segment. In order to prevent this, we developed a technique
that uses the guy rope principle to evert the necessary length of bowel. The technique
described in this article may also be used to evert healthy segments of bowel during
creation of a permanent ileostomy.
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References
- Operative technique: small intestine.in: Nora PF Surgery, principles and techniques. 2nd ed. Lea & Febiger, Philadelphia1980: 428-462
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© 1989 Published by Elsevier Inc.
