Loop ileostomy

(A) A segment of intestine is brought out above the abdominal wall assuring a tension-free placement.
(B) An enterotomy is created along the efferent (or distal) end of the loop stoma.
(C) Using absorbable maturation sutures, an everting proximal afferent end (left) and a flush distal efferent end (right) are created. This will allow the effluent to come through the proximal spout into the collecting bag system and prevent leakage onto the surrounding skin. The distal flush end will allow venting.