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Ann R Coll Surg Engl. 2009 July; 91(5): 438.
PMCID: PMC2758454
Technical Notes and Tips
Bruce Campbell, Section Editor

The ‘Glove Cuff’ Technique for Difficult Stomas

In patients with generous abdominal walls and bulky mesenteries, fashioning stomas can be difficult. Struggling to pass the bowel and its mesentery through the stoma can damage the local blood supply. We propose a method which eases this passage. Cut the fingers off a surgical glove, and place the colon in the lumen of the remaining glove cuff (Fig. 1). Pass an instrument through the external stomal opening and apply gentle traction to the glove and bowel, delivering the colon through the abdominal wall (Fig. 2). We have found the technique to facilitate passage of the mesentery, reducing trauma to the delicate tissues.

Figure 1
Colon placed in the glove cuff.
Figure 2
Delivering the colon through the abdominal wall.

Articles from Annals of The Royal College of Surgeons of England are provided here courtesy of The Royal College of Surgeons of England