What is the kock case?

Kock case is a form of continental ileostomy, the inner bag collects waste instead of colon and colon. This procedure provides the continent by allowing the patient to empty the Kock case through a hole in the abdomen at any appropriate time. After removing the large intestine and colon, the pouch is made of the end segment of the small intestine. Several original design shortcomings have been repaired to make this procedure a good possibility of continent of ileostomy. The procedure was developed by Dr. Nils Kock to replace ileostomy with external bags that can inhibit normal everyday life. The length of the small intestine is folded and sewn to form a pouch. The opening in the wall of the abdomen, called a stoma and is usually located just above the hair, is then connected to the pouch inside. The pouch is drained by inserting the tube into the stoma and release of waste into the toilet. The case is discharged about three to five times a day at any time, which is advantageous for the patient.

Since its first use in 1969, Kock has evolved to solve some problems associated with the earliest procedures. First, some patients were incontinent and escaped waste through the stoma. To correct it, a special nipple valve was created to prevent spontaneous drainage of waste and water flow into the pouch during swimming or bathing. Another problem causing incontinence was the slip of the valve and was fastened by wrapping the valve of the intestinal length, which is a procedure known as Barnett Modification. As the intestine is filled with waste, it is tightened to the valve to hold it in place.

The continent of ileostomy, such as the Kock case, has many advantages. The patient is not burdened with an external collection bag, which must be contained under the clothing and regularly emptied and replaced. Instead, the ascent to the cubes is flushed by the skin and can be covered and hidden with a hidden stain. Kock case practically never leaks and can be emptied only a smalltube to the toilet. With this case, the patient should practice, travel and work as well as before surgery.