Figure 1.

End loop cstoma (Prasad). (A) The entire divided edge of the proximal limb and the antimesenteric corner of the distal limb are gently drawn through the opening in the abdominal wall. After the abdomen has been closed, the staple line of the proximal limb is excised completely and only the antimesenteric corner of the distal staple line is removed. (B) The proximal limb is matured flush with the skin by suturing the deep dermal skin to full-thickness colon with absorbable sutures. Transition sutures may be placed to help mature the mucous fistula, which has the appearance of a “mini-stoma”. (C) Sagittal view of the completed end-loop colostomy. Note the portion of the distal staple line in the subcutaneous tissue.