Loop ileostomy fecal diversion is commonly performed in surgical practice especially after laparotomy for typhoid ulcer perforation. Literature does not describe how the proximal and distal loops of ileostomy should be placed in relation to a laparotomy wound. Surgeon Pushpendra Malik conceived and piloted a study of placing the proximal loop of the ileum laterally and distal loop medially to the laparotomy incision using a 5- to 6-cm transverse skin incision and assiduously placing proximal open ileal loop without twisting the bowel laterally thus eminently avoiding the fecal contamination of the main laparotomy wound. To confirm this hypothesis, a case series analysis was performed on 40 consecutive subjects on an accrual basis using major and minor skin excoriation, mucocutaneous separation, wound infection, and obstruction as the outcome measures. Nominal statistical analysis in this open-ended cross-sectional observational study revealed feasibility, safety, and improved outcomes. We introduce P. Malik’s modification of loop ileostomy to surgical literature.