title: A modification in the technique of making the Koch ileostomy pouch.
abstract: This minor modification in the original technique assures greater security and permanence of the nipple, yet takes no longer to perform than the original procedure. The steps have been defined in a manner calculated to simplify the technique for the surgeon who is not already familiar with the operation.
mesh_terms: D006801:Humans; D007081:Ileostomy / Q000379:methods*