Stabilization of ileostomy position with fascia

Area of Science:

• Surgical technique
• Gastrointestinal surgery
• Abdominal wall reconstruction

Background:

• The Brooke ileostomy technique is standard but prone to recession or prolapse.
• Ileostomy complications can lead to appliance dislodgement and patient distress.

Observation:

• A significant number of patients experience ileostomy recession or prolapse.
• Current techniques may have limitations in long-term stoma stability.

Findings:

• A novel technique utilizes an abdominal fascia ribbon passed through the mesentery to stabilize the ileostomy.
• The fascia is secured to the peritoneum and transversalis fascia, avoiding direct bowel suturing.
• This method effectively prevents stoma recession and prolapse without risking fistula formation.

Implications:

• This technique offers a safe and effective solution for ileostomy instability.
• It improves appliance adherence and patient quality of life.
• The technique is adaptable for managing existing recession or prolapse and can be reinforced if necessary.