Open End Ileostomy
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Open End Ileostomy

The Open End Ileostomy course will teach you:

  • To create an open end ileostomy for diversion of faecal flow through the abdominal wall to the outside in a controlled and hygienically manageable manner.

Special attention is paid to the following hazards you may encounter during the Open End Ileostomy:

  • Poor ileum vascularization
  • Inferior epigastric vessels injury
  • Too wide ileostomy aperture
  • Too small ileostomy aperture

With the following tips you might perform the Open End Ileostomy even better:

  • Bowel exposure
  • Terminal ileum identification
  • Gaining length for ileum mobilization
  • Bowel orientation
  • Ileum transection
  • Usage of gauze swab for bowel spillage
  • Determination of stoma location
  • Skin cylinder removal
  • Aperture creation after midline incision
  • Posterior rectus sheath incision
  • Ileum stump positioning
  • Vascularization check
  • Ileostomy suture placement
  • Ileostomy bowel passage
  • Stoma pouch placement

After studying The Open End Ileostomy course you are familiar with the most common complications:

  • Ischemia
  • Retraction of the stomaProlapse of the stoma
  • High output ileostomy
  • Stenosis
  • Parastomal herniation

You might also be interested in:

Open Loop Ileostomy

Step by step

Ileum mobilization

Terminal ileum

Identify

Identify a point 15 to 20 cm proximal to the end of the terminal ileum.

Bowel exposure

The omentum can be retracted cranially in order to gain better bowel exposure.

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