Construction of a continent ileostomy using a porcine aortic valve. A preliminary report.
Problems associated with the nipple valve of the continent ileostomy continue to be a major obstacle, frequently necessitating reoperation, with ongoing incontinence persisting in some patients. We have constructed a continent ileostomy in a dog using a three-loop reservoir, continence being maintained by placing a porcine aortic valve in the efferent loop of the reservoir, obviating the need for the nipple valve. A detailed description of the technique is given. Possibilities for its application to particular clinical problems are discussed.
D000818:Animals; D001021:Aortic Valve; D001705:Bioprosthesis; D004285:Dogs; D006350:Heart Valve Prosthesis; D007081:Ileostomy / Q000379:methods*