Laparoscopic Ileostomy Reversal




© Springer International Publishing AG 2018
Daniel P. Geisler, Deborah S. Keller and Eric M. Haas (eds.)Operative Techniques in Single Incision Laparoscopic Colorectal Surgeryhttps://doi.org/10.1007/978-3-319-63204-9_19


19. Laparoscopic Ileostomy Reversal



Deborah S. Keller 


(1)
Division of Colorectal Surgery, Department of Surgery, University Medical Center, Dallas, TX, USA

 



 

Deborah S. Keller



Electronic Supplementary Material:

The online version of this chapter (doi:10.​1007/​978-3-319-63204-9_​19) contains supplementary material, which is available to authorized users.


Keywords
IleostomyStomaReduced port laparoscopyPurse-string closure



Steps of the Procedure




  1. 1.


    Close stoma with 2-0 PDS figure-of-eight stitch.

     

  2. 2.


    Port placement: 5 mm Optiview left hypochondriac region and 5 mm port at umbilicus.

     

  3. 3.


    Identification of the afferent and efferent limbs and dissection of the hernia sac from the stoma tunnel.

     

  4. 4.


    Circumstomal incision and dissection to free matured stoma.

     

  5. 5.


    Divide mesentery and create a side-to-side stapled end anastomosis.

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Feb 6, 2018 | Posted by in GASTROENTEROLOGY | Comments Off on Laparoscopic Ileostomy Reversal

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