End-loop ileocolostomy for massive trauma to the right side of the colon.

In patients with severe trauma to the right side of the colon, who might have intraoperative contraindications to primary ileocolostomy, we use a new technique called end-loop ileocolostomy, which allows for complete diversion of the fecal stream with the distinct advantage that it precludes the need for formal laparotomy at the time of subsequent closure. This has been used successfully in eight patients.