Present experience with the Indiana pouch

✍ Scribed by R. G. Rowland

• Book ID: 104653817
• Publisher: Springer-Verlag
• Year: 1996
• Tongue: English
• Weight: 604 KB
• Volume: 14
• Category: Article
• ISSN: 0724-4983
• DOI: 10.1007/bf00182564

✦ Synopsis

S u m m a r y . The Indiana pouch was developed as a modification of the Glichrist procedure in 1984. The need for full detubularization of the reservoir was recognized early and was achieved by an ileal patch on the cecal reservoir or by an antimesenteric incision of the cecal segment with folding and transverse closure, the efferent limb and continence mechanism were modified to promote ease of catheterization and improved continence. These modifications gave markedly better results with lower reoperation rates. A group of 81 patients with a m i n i m u m of 2 years of follow-up are reported herein. The most recent modification uses absorbable G I A and TA55 staples to detubularize and close the reservoir. This stapling technique has been e m p l o y e d in 20 patients and has resulted in de-creased operating times without any significant increase in complications. In its current form, the Indiana pouch meets all the criteria for a satisfactory continent cutaneous reservoir and has a favorable reoperation rate as compared with other pouches.