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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...

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Updated: May 21, 2026

Modified Single-Loop Reconstruction for Pancreaticoduodenectomy
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Modified Single-Loop Reconstruction for Pancreaticoduodenectomy

Published on: September 28, 2019

Laparoscopic loop ileostomy reversal: reducing morbidity while improving functional outcomes.

Karla Russek1, Jojy M George, Naveed Zafar

  • 1Texas Endosurgery Institute, San Antonio, TX, USA. fellow@texasendosurgery.com

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|May 31, 2012
PubMed
Summary
This summary is machine-generated.

Laparoscopic ileostomy closure offers a safe alternative to open surgery, with no wound infections or reoperations for bowel obstruction. This technique demonstrates comparable complication rates and surgical times to traditional open methods.

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Area of Science:

  • Minimally Invasive Surgery
  • Gastrointestinal Surgery
  • Surgical Techniques

Background:

  • Loop ileostomy is utilized to mitigate pelvic sepsis complications.
  • Reversal of loop ileostomy is associated with a 10% to 30% complication rate.
  • Laparoscopic techniques offer a potential solution to reduce ileostomy reversal morbidity.

Purpose of the Study:

  • To present a technique for laparoscopic-assisted loop ileostomy closure.
  • To evaluate the safety and efficacy of this laparoscopic approach.

Main Methods:

  • Retrospective chart review of patients undergoing laparoscopic-assisted loop ileostomy closure (2006-2009).
  • Assessment of operating time, hospital stay, return of bowel function, and complication rates.
  • Detailed analysis of surgical technique including lysis of adhesions and stoma mobilization.

Main Results:

  • 24 patients (13 male, average age 63) underwent the procedure.
  • Average time to reversal was 135 days; average surgery length was 79 minutes.
  • Complication rate was 29% (n=7), with one major complication (anastomotic dehiscence); no wound infections or reoperations for bowel obstruction.

Conclusions:

  • Laparoscopic ileostomy closure, with meticulous lysis of adhesions and bowel mobilization, is advantageous.
  • The technique resulted in no wound infections and no reoperations for bowel obstruction.
  • Complication rates and surgical times are comparable to open ileostomy reversal techniques.