PMC7683287_01
Representative diagram of the VITEA device; A. - Outer fixation ring, B. - Inner Fixation ring, C.- Stoma Surface D.- Intestinal tube, E.- Hermetic Thread.
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PMC7683287_01_gr1.jpg
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Subsequently, it was covered with a hermetic plug (Fig. 1).
We proceed to dissect Toldt's fascia until splenic angle freeing left colon in a habitual way.
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Subsequently, a cross section is made with a scalpel with distal closure of the colon in two planes: the first with Vycril 2/0 and the second with silk 3/0 (Fig. 2).
Creation of the tunnel for the colostomy and insertion of the VITEA device.
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The bowel loop is then tunneled to insert the VITEA medical device into the wall tunnel (Fig. 3).
Exteriorization of the stoma through the VITEA device and fixation with cardinal points of Vycril 3/0 to the anterior aponeurosis.
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Finally, once the device is fixed to the abdominal wall and mucosa, the device is attached to the skin with Nylon 2/0 (Fig. 4).
Final position of the fixed device A) without hermetic plug placement, B) with hermetic plug placement.
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Once the success of the procedure was confirmed, the surgical event was completed (Fig. 5).