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9580 Surgery

A 43-year-old male undergoes a total proctocolectomy for ulcerative colitis. The terminal ileum is brought out on the anterior abdominal wall as an end (Brooks) ileostomy. What is necessary to obtain optimal healing?

AThe ileostomy should be circular rather than square.
BThe seromuscular layer is sutured to the epithelium of the skin to avoid inflammatory changes.
CThe ileostomy must be constructed to avoid fixing the mesentery.
DThe mesentery of the ileal loop should be widely cut to increase its mobility.
Surgery
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