2018
DOI: 10.1308/rcsann.2017.0172
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Perineal colostomy prolapse: a novel application of mesh sacral pexy

Abstract: Full thickness colonic prolapse following pseudocontinent perineal colostomy has not been previously reported. Possible contributing factors include a large skin aperture at the site of the perineal stoma, the absence of anal sphincters and mesorectal attachments and the presence of a perineal hernia. A novel application of sacral pexy combined with perineal hernia repair using two prosthetic meshes is described.

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Cited by 2 publications
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“…One of the most discussed aspects of perineal colostomy formation is whether the reconstructive technique and the neo-sphincter manage to substitute the natural pelvic sphincteric mechanism. In many case series, satisfactory continence (usually reported as Kirwan class up to C) can be seen in up to 93% of the patients, with or without the use of anti-diarrhoeal medicine [7,12,13,19,20]. Known reports indicate that regardless of the technique employed, perineal colostomy with reconstruction seems to achieve satisfactory continence results, as well as anticipatory bowel habits, through scheduled irrigation [4,5,21].…”
Section: Perineal Colostomy Advantagesmentioning
confidence: 99%
“…One of the most discussed aspects of perineal colostomy formation is whether the reconstructive technique and the neo-sphincter manage to substitute the natural pelvic sphincteric mechanism. In many case series, satisfactory continence (usually reported as Kirwan class up to C) can be seen in up to 93% of the patients, with or without the use of anti-diarrhoeal medicine [7,12,13,19,20]. Known reports indicate that regardless of the technique employed, perineal colostomy with reconstruction seems to achieve satisfactory continence results, as well as anticipatory bowel habits, through scheduled irrigation [4,5,21].…”
Section: Perineal Colostomy Advantagesmentioning
confidence: 99%