In the creation of a permanent ileostomy, a fully everted nipple ensures a good fit of the stomal appliance. In normal bowel segment this may not pose a problem, but forceful attempts at eversion in diseased, thickened, and friable bowel may result in damage to the bowel segment. In order to prevent this, we developed a technique that uses the guy rope principle to evert the necessary length of bowel. The technique described in this article may also be used to evert healthy segments of bowel during creation of a permanent ileostomy.
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