INTRODUCTION: When ileostomy is done with the ileum-caecal papilla, the liquid is decreased and happens much less local irritation and its possible that the patient can live without the use of the bag. OBJECTIVE: To show a surgical technique that preserves the papilla in ileostomy or ileo-rectal cancer. METHOD: It is done with the preservation of the vasculature of the cecum and terminal ileum; cecum section is made leaving 1 cm border, coronal, on the ileal papilla, which is fixed on the skin for a counter-opening for permanent ileostomy. When a colectomy is needed, the anastomosis can be made with the rectal stump (papilla-ileum-retostomy). RESULTS: They are good because there is a decrease in the number of bowel movements, loss of fluid in the stool and less epidermal irritation. CONCLUSION: The procedure is feasible and brings results that improve the quality of life of patients.
Ileum; Cecum; Ileostomy; Anastomosis, surgical
