Ileostomy placement

Ideally, the marking and subsequent instruction for stoma care should be performed by specially trained stoma therapists or an experienced surgeon.

1. Trial marking on the patient who is lying down or already seated in the area of the right rectus abdominis muscle (navel height) in a 10 × 10 cm skin area, preferably without folds, scars, or bony protrusions.
2. Verification of the intended position in motion (standing, bending).
3. The chosen site should be easily visible and accessible to the patient and should be compatible with the position of the pants or belt.
4. Determining an alternative marking is recommended in case of intraoperative complications.
5. Covering the marking with a skin-friendly adhesive tape.

The position of the stoma significantly influences handling and care, and thus the patient's quality of life!

After opening the abdominal cavity or upon completion of the primary operation, the terminal ileal loop is located for the creation of a loop ileostomy. The loop selected for stoma creation should be at least 20 cm away from the ileocecal valve.