Ileostomy Reversal

Oval excision of the stoma passage site with an approximately 2 mm wide skin margin and preparation through the subcutaneous tissue, possibly suturing the stoma (here fixation of the afferent loop with a holding suture for better mobilization and to prevent wound contamination with small bowel contents).

Circular exposure of the afferent and efferent limbs near the intestine through the subcutaneous tissue down to the fascial level. Here, the stoma is released from the fascia on all sides with careful preservation of the small bowel mesentery. Preparation of the skin and subcutaneous tissue should only be as extensive as necessary for a secure intestinal suture. Excessive preparation increases the risk of hematoma and/or infection formation.