`Canoe closure' of loop ileostomy gives improved cosmesis compared with conventional closure
Authors: Patel1; Frost1; Bearn1; Allan1
Source: Colorectal Disease, Volume 1, Number 3, May 1999 , pp. 155-157(3)
Publisher: Blackwell Publishing
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Abstract:
Objective The cosmetic appearance of the abdominal scar following closure of loop ileostomy can result in puckering and tethering of the skin, together with a shallow depression. A technique to improve the cosmetic result which also facilitates an easier and more secure closure is described. Patients and methods A measured elliptical incision, five times greater in length than the ileostomy diameter, is marked. The skin ellipse, subcutaneous fat and ileo- stomy are mobilized together. The skin is removed and the ileostomy is closed with a stapler. This technique is compared with conventional techniques with regard to operative stay, complications and cosmetic appearance over an 18-month period. Results The median operating time has been 50 min and post-operative stay 5 days. There have been no major complications. Conclusion This technique allows better access, improves on cosmesis and has a low complication rate.Keywords: Loop ileostomy; closure
Document Type: Technical note
DOI: 10.1046/j.1463-1318.1999.00024.x
Affiliations: 1: Department of Surgery, The Good Hope Hospital NHS Trust, Sutton Coldfield, UK
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