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CLARENCE W. MONROE, M.D.; JOHN H. OLWIN, M.D.

Arch Surg. 1949;59(3):565-577.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

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 3 inches (9 cm.) of skincovered ileum over a period of eighteen months contracted to the point that only 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 . . . [Full Text PDF of this Article]

Author Affiliations
CHICAGO

From the Department of Surgery, Veterans Administration Hospital, Hines, Ill., and the Presbyterian Hospital, Chicago.

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