Minimally Invasive Ileostomy Revision: A Video Case Report

Robot-assisted technique provides an alternative to open surgery in a complex case

A 51-year-old woman with a leaking ileostomy and a history of seven prior abdominal surgeries sought treatment at Cleveland Clinic’s Digestive Disease & Surgery Institute. Dense adhesions in her right upper abdomen were causing the bowel to retract into the abdomen, altering the stoma’s contour and preventing a proper seal with the ileostomy appliance, resulting in leakage.

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The extensive adhesiolysis needed to resolve this condition typically would require open abdominal surgery. In this Quick Case video summary, colorectal surgeon Anuradha Bhama, MD, talks with Scott Steele, MD, Chair of the Department of Colorectal Surgery, about the robot-assisted laparoscopic procedure she performed to treat the patient.