Local treatment of a loop colostomy prolapse with a linear stapler

Tepetes, Konstantinos; Spyridakis, M.; Hatzitheofilou, C

doi:10.1007/s10151-005-0217-2

Cited by 39 publications

(26 citation statements)

References 7 publications

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“…As the surgical correction for transverse loop colostomy prolapse, the use of the Delorme technique [6,10], a modification of Thiersch's technique [7], a procedure using a stapler device [3][4][5]8], and a laparoscopic technique [8] have been reported. All procedures have achieved satisfactory results.…”

Section: Discussionmentioning

confidence: 99%

“…Surgical treatment may be required for cases that cannot be closed by transverse loop colostomy because of high-risk morbidities or advanced disease. Several techniques have been reported for the surgical treatment of loop colostomy prolapse [3][4][5][6][7][8][9][10][11]. We herein report the utility of the Altemeier operation [12], which is used for the treatment of rectal prolapse in cases of transverse loop colostomy prolapse.…”

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The modified Altemeier procedure for a loop colostomy prolapse

et al. 2015

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Loop colostomy prolapse is associated with an impaired quality of life. Surgical treatment may sometimes be required for cases that cannot be closed by colon colostomy because of high-risk morbidities or advanced disease. We applied the Altimeter operation for patients with transverse loop colostomy. The Altemeier operation is therefore indicated for rectal prolapse. This technique involves a simple operation, which includes a circumferential incision through the full thickness of the outer and inner cylinder of the prolapsed limb, without incising the abdominal wall, and anastomosis with sutures using absorbable thread. We performed the Altemeier operation for three cases of loop stomal prolapse. Those patients demonstrated no postoperative complications (including obstruction, prolapse recurrence, or hernia). Our findings suggest that this procedure is useful as an optional surgical treatment for cases of transverse loop colostomy prolapse as a permanent measure in patients with high-risk morbidities or advanced disease.

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Section: Discussionmentioning

confidence: 99%

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confidence: 90%

The modified Altemeier procedure for a loop colostomy prolapse

et al. 2015

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“…Speziell in der Gruppe der terminal erkrankten Patienten, die Stomata in palliativer Intention angelegt bekamen und deren Abdomen z. B. bei Peritonealkarzinose schwer zugänglich ist, erscheint diese Maßnahme vorteilhaft [4,6].…”

Section: Stoma Prolapse and Stoma Retraction Abstractunclassified

Stoma prolapse and stoma retraction

Schleicher

Senninger

Vowinkel

et al. 2010

Chirurg

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Prolapse and retraction of an intestinal stoma are postoperative complications which severely decrease the quality of life of patients and in some cases lead to an operative revision. Both entities should be treated with sophisticated care by specialized stoma therapists in the early phase in order to prevent secondary problems such as dermal ulceration. However, in case of additional problems, such as ileus, bleeding, incarceration or impossibility of adequate stoma care, an operative revision is indicated. It remains an individual decision whether a local or a transabdominal revision of the stoma is necessary.At present the level of information and the number of well designed studies dealing with prolapse or retraction of a stoma are unsatisfactory and there are merely studies which report on prolapse and retraction as an incidental finding rather than primarily focusing on these problems. In addition there is a lack of clear cut definitions for both entities which would allow a comparison of data obtained in different studies.There is clearly a demand for a structured scientific clarification as the occurrence of stomal retraction or prolapse may present psychological and medical problems for the patients and therefore needs to be treated, conservatively and/or operatively, by both stoma specialists and surgeons.

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“…Consequently, no consensus exists as to the optimum management. Within the last decade, the use of surgical staplers has added another option in treatment of stoma prolapse [4]. A single small case series has been described in the management of late end colostomy prolapse in this way [5].…”

Section: Introductionmentioning

confidence: 99%

Correction of end colostomy prolapse using a curved surgical stapler, performed under sedation

Ferguson

Bhalerao

2010

Tech Coloproctol

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Acute stoma prolapse most commonly occurs following emergency surgery, frequently in patients with significant medical co-morbidities. Correction often requires re-laparotomy and resiting of the stoma, placing an already frail patient at risk of further morbidity. An elderly patient experienced an end colostomy prolapse 14 days following emergency laparotomy. A novel technique was employed using the CONTOUR curved stapling device to excise the prolapsed segment, under a brief period of intravenous sedation, thereby avoiding the sequelae of general anaesthetic. No complications were experienced, and the patient was deemed fit for discharge 5-days post re-intervention.

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Local treatment of a loop colostomy prolapse with a linear stapler

Cited by 39 publications

References 7 publications

The modified Altemeier procedure for a loop colostomy prolapse

The modified Altemeier procedure for a loop colostomy prolapse

Stoma prolapse and stoma retraction

Correction of end colostomy prolapse using a curved surgical stapler, performed under sedation

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