The management of ileostomy was revolutionised in 1944 when an American patient named Rutzen invented the modern appliance. The original model consisted of a flange and bag in one piece, with a drainage outlet on the bag. Many modifications have since been developed, and a number of manufacturers provide a wide variety of flanges, bags and ancillaries. Choice is dictated mainly by the surgeon’s preferences and the individual needs and preferences of the patient. The subject seems not to lend itself to comparative study, and none has been made.
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