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`Canoe closure' of loop ileostomy gives improved cosmesis compared with conventional closure
Author(s) -
M. S. Patel,
Bearn,
; Allan
Publication year - 1999
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1046/j.1463-1318.1999.00024.x
Subject(s) - medicine , cosmesis , closure (psychology) , loop (graph theory) , ileostomy , surgery , combinatorics , market economy , economics , mathematics
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.