Ileostomy and Subtotal Colectomy Clarence Dennis, M.D., Brooklyn
In reference to A, if the ileostomy is made precisely in the belt line and in the midportion of the belly of the right reotus muscle, the intact skin around it provides a smooth and slightly convex flexible surface for the later adhesion of an ileostomy bag. It is wise to note the position of the transverse creases which form across the abdomen when the patient bends over. These creases should be avoided in placing the ileostomy, for they make secure cementing of an ileostomy bag impossible.In my first twenty-odd colectomies, careful preservation of the omentum (C) was followed by distressing evidences of adhesive obstruction in a considerable share of the cases. Since that time the omentum has been completely removed routinely with the specimen, and gratifying freedom from such complications has been observed. This experience covers a total of
MADDEN JL. Ileostomy and Subtotal Colectomy. AMA Arch Surg. 1957;74(5):814–824. doi:10.1001/archsurg.1957.01280110156022
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