Mikulicz procedure

Exteriorizes diseased bowel with the creation of a double barreled stoma as it requires the positioning of the remaining proximal and distal bowel adjacently along the antimesenteric surfaces.

Utilized when bowel anastomosis is unsafe such as with critically ill patients with impaired nutrition, patients with abdominal sepsis, patients with an unprepared or perforated bowel.

Particularly beneficial procedure when bowel resection requires a small bowel stoma with expected high volume outputs.

Can avoid intraperitoneal anastomosis in patients whom the bowel preservation is important in the face of tenuous blood supply.

Avoids skin and stoma problems by reducing stoma output.

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