TY  - JOUR
T1  - USe of an abdominal flap graft in construction of a permanent ileostomy
AU  - MONROE CW, OLWIN JH
Y1  - 1949/09/01
N1  - 10.1001/archsurg.1949.01240040573020
JO  - Archives of Surgery
SP  - 565
EP  - 577
VL  - 59
IS  - 3
N2  - THE PATIENT who must have a permanent ileostomy has been materially benefited by the technic of Dragstedt and his associates,1 who covered the terminal ileum with a split thickness of skin, thus providing a greater length of bowel externally and facilitating the collection of fecal material into a suitable container.The inherent tendency, however, of both the bowel and a split thickness graft to contract may, over a period of time, result in a marked shortening of the ileostomy. In 1 patient for whom we made such an ileostomy, the original 3½ inches (9 cm.) of skincovered ileum over a period of eighteen months contracted to the point that only ¼ inch (0.6 cm.) of skin remained and the mucosal edges of the bowel were in contact with the skin of the abdomen. This occurred in spite of a primary take of the graft. There would undoubtedly be less
SN  - 0272-5533
M3  - doi: 10.1001/archsurg.1949.01240040573020
UR  - http://dx.doi.org/10.1001/archsurg.1949.01240040573020
ER  -