c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Total Colectomy and J-Pouch: 43

A D V E R T I S E M E N T

   
 

A loop of ileum was selected as close to the rectal anastomosis as possible, while leaving enough laxity to easily reach the skin. The loop was brought through an opening in the abdominal muscles, taking care to keep the orientation of the proximal and distal limb.      

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Total Colectomy and J-Pouch: 44

A D V E R T I S E M E N T

   
 

The distal limb was tacked to the abdominal wall fascia.       

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Total Colectomy and J-Pouch: 45

A D V E R T I S E M E N T

   
 

A small transverse opening was made in the distal limb at the level of the skin. The lower lipof the opening was sutured to a central point below the stoma.       

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This page was last modified on 4/30/2000.