A systematic description of continent ileostomy revision techniques

Abstract

Abstract Based on the anatomic site and severity of the respective complication, a systematically classified approach to the appropriate techniques for continent ileostomy revision surgery is presented. By analyzing 133 revision procedures performed over 30 years, four classes of complications are defined: class A refers to the nipple valve, class B to the pouch, class C to the stoma, and class D to the afferent loop. The severity of the complication or complexity of the revision procedure is surmised by a subdivision from a to d. The resulting surgical variants are shown in schematic illustrations with accompanying descriptions of technical details, the respective fields of application, and the special indications. Trial registration numbers: None