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Ileostomy closure – Pores and skin incision



extra: https://www.webop.com/general-and-visceral-surgery/colorectal-surgery/Ileostomy-closure

1. Pores and skin incision:
Oval incision across the stoma with a pores and skin margin of about 2 mm broad; dissect by way of the subcutaneous tissue and probably shut the stoma by suture (right here, fixation of the proximal limb with a keep suture for higher mobilization and to keep away from wound contamination with fecal content material of the small gut).

full lecture steps on webop.de :
1. Pores and skin incision
2. Liberating and dissecting right down to the fascia
three. Liberating the small gut
four. Dissecting the mesentery
5. Stoma resection
6. Getting ready the anastomosis
7. Opening the limbs of the small gut
eight. Anastomosis
9. Shut the mesentery
10. Delivering the bowel again into the belly cavity
11. Closing the peritoneum and posterior lamina of rectus sheath
12.Closing the anterior lamina of the rectus sheath
13. Closing the wound

go to webop.com for additional steps and lots of different surgical lectures!

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