K RING Instructions for use Indications · end ileostomy or colostomy (colorectal surgery) · ileal conduit (urology) Contraindications · fecal peritonitis or severe local infection at the site of the ostomy · not suitable for parastomal hernia repair 1 · circular skin incision Recommended suture material · non-absorbable 2/0 suture with a non-cutting needle 2 · circular incision of anterior rectus sheath · adjust the diameter of the incision to fit the chosen KORING size 3 · blunt dissection of the rectus muscle · incision of the posterior SHEATH/peritoneum 5 · interrupted single sutures with non-absorbable 2/0 suture 4 · insertion of the KORING · top of the KORING (blue mark) should be level with the anterior SHEATH 6 · STITCH the KORING to the anterior sheath at the level of the blue mark K RING Instructions for use 7 · a seal with the rectus sheath should be created with the top of the KORING during suture placement 8 · use 8–10 single interrupted sutures 9 · view from abdominal cavity 10 · put the lip seal between muscle and peritoneum in sublay position · fix with few single stitches 11 · pull the bowel through the ostomy 12 · finish the stoma as usual Contact KORING GmbH, Hochbergerstrasse 60 C, 4057 Basel, Switzerland Phone: +41 (0) 79 103 72 72 | Fax: +41 (0) 32 365 13 55 | Mail: [email protected] | www.koring.ch
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