title: [Re-optimized technology of protective ileostomy with no need of reversal].
abstract: OBJECTIVE
  To explore the clinical application of aoptimizedtechniquebased onpreviouslyreported protecting stoma with no need forreversal.
  
  
  METHODS
  Thetechniquealso used "the assembly of drainage device" to performprotecting ileostomy. The original method includes enterotomy at the terminal ileum to placedrainage device, which was optimized as follows: two intestinal pursestring with 0.5 cm distance were placed 5 cm away from the ileocecal valve. Transverse enterotomy was performed in the anti-mesenteric side. The assembly was placed at the root of the appendix between two pursestring, and then the intestine purse suture was tighten. Ligation of the small intestine anastomosis between the anastomosis ring at both ends was carried out, and theanastomosis ring was deployed. From the root of the appendix in the cecum wall, the assembly was embedded about 2 cm and pulled out of abdominal cavitythough the Trocar hole.
  
  
  RESULTS
  Seventeen cases of ultra-low rectal cancer completed protecting stoma, including 11 cases through ileocecal protective stoma. All the anastomosis healed well. Defecation drainage tube was removed 3-5 weeks after anastomosis ring degradation. Drainage nozzle healed after 3 to 5 days, and no complications occurred.
  
  
  CONCLUSIONS
  The optimized ileocecal protective ileostomy has the following advantages: (1)wound healing time is significantly shorter. (2)secondary intestinal fistula can be prevented. (3)no need to fix ileum and less chance of subsequent volvulus, intestinal obstruction.
authors.affiliation: Department of Gastrointestinal Surgery, The Affiliated Shanghai Tongji Hospital, Shanghai Tongji University, Shanghai 200065, China. gebujun@126.com.
authors.forename: Bu-jun
authors.initials: BJ
authors.lastname: Ge
authors.forename: Qi
authors.initials: Q
authors.lastname: Huang
authors.forename: Quan-ning
authors.initials: QN
authors.lastname: Chen
authors.forename: Zhong-yan
authors.initials: ZY
authors.lastname: Liu
authors.forename: Hai-bo
authors.initials: HB
authors.lastname: Zhao
mesh_terms: D000714:Anastomosis, Surgical; D003672:Defecation; D004322:Drainage; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D007082:Ileum / Q000601:surgery*; D007412:Intestinal Fistula; D012004:Rectal Neoplasms; D054047:Surgical Stomas