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The Koenig–Rutzen Bag

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In 1944, Alfred Strauss (Chicago, USA) encouraged a young engineering student named Koenig who had an ileostomy following colectomy for ulcerative colitis to develop an ileostomy appliance. Koenig designed a slender bag with a circular faceplate to accommodate the stoma. This was held in place with a latex sealant, Koenig formed a commercial partnership with Rutzen and the device was known as the Koenig–Rutzen bag. When Bricker heard of the device, he and his colleagues began to direct their efforts toward refining the construction of the uretero‐ileal conduit [24].


Figure 1.2 Diagram from Bricker’s original article on urinary diversion demonstrating the evolution of various intestinal reconstruction techniques, including bilateral ureteric anastomosis to an isolated segment of sigmoid colon (A), terminal ileum with cecal reservoir (B), cecum with terminal ileum for urinary drainage tract (C), and contemporary ileal conduit (D). Copyright © 1950 Surgical Clinics of North America.

Source: Reproduced with permission from Elsevier [29].

Surgical Management of Advanced Pelvic Cancer

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