The "Phillips" Ileostomy Correction Technique for Prolapsed Stoma.
Adult
Crohn Disease
/ surgery
Female
Humans
Ileostomy
/ adverse effects
Intestinal Diseases
/ surgery
Male
Middle Aged
Postoperative Complications
/ diagnosis
Proctocolectomy, Restorative
/ adverse effects
Prolapse
Reoperation
/ methods
Risk Factors
Surgical Stomas
/ adverse effects
Treatment Outcome
Journal
Diseases of the colon and rectum
ISSN: 1530-0358
Titre abrégé: Dis Colon Rectum
Pays: United States
ID NLM: 0372764
Informations de publication
Date de publication:
01 03 2022
01 03 2022
Historique:
entrez:
9
2
2022
pubmed:
10
2
2022
medline:
3
3
2022
Statut:
ppublish
Résumé
Stoma prolapse is a common complication associated with ostomy creation, causing leakage, obstruction, and sometimes incarceration. Sometimes ileostomy prolapse cannot be treated with resection and alternative methods must be applied. We propose a new surgical revisional technique for ileostomy prolapse. Under general anesthesia, the prolapsed stoma is dissected and freed from the fascia and skin. The bowel is everted to create a nipple of 2-3 cm and subsequently fixed with a 3-row linear stapler, creating a "Phillips ileostomy." The ileostomy is then sutured to the skin with 3-0 full thickness stitches. In our center, 3 patients were treated in a day surgery setting, and no complication occurred. One patient reported a prolapse recurrence after 6 months and was successfully treated with the same technique with no recurrence at 1 year. The 3-row stapler fixation of prolapsed ileostomy is simple to perform, preserves the bowel, and can be performed in the day surgery setting.
Identifiants
pubmed: 35138289
doi: 10.1097/DCR.0000000000002150
pii: 00003453-202203000-00024
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e176-e178Informations de copyright
Copyright © The ASCRS 2022.
Références
Shabbir J, Britton DC. Stoma complications: a literature overview. Colorectal Dis. 2010;12:958–964.
Krishnamurty DM, Blatnik J, Mutch M. Stoma complications. Clin Colon Rectal Surg. 2017;30:193–200.
Justiniano CF, Temple LK, Swanger AA, et al. Readmissions with dehydration after ileostomy creation: rethinking risk factors. Dis Colon Rectum. 2018;61:1297–1305.
Bafford AC, Irani JL. Management and complications of stomas. Surg Clin North Am. 2013;93:145–166.
Shellito PC. Complications of abdominal stoma surgery. Dis Colon Rectum. 1998;41:1562–1572.
Del Pino A, Cintron JR, Orsay CP, Pearl RK, Tan A, Abcarian H. Enterostomal complications: are emergently created enterostomas at greater risk? Am Surg. 1997;63:653–656.
Sugarbaker PH. Peritoneal approach to prosthetic mesh repair of paraostomy hernias. Ann Surg. 1985;201:344–346.
Maeda K, Maruta M, Utsumi T, et al. Local correction of a transverse loop colostomy prolapse by means of a stapler device. Tech Coloproctol. 2004;8:45–46.
Masumori K, Maeda K, Koide Y, et al. Simple excision and closure of a distal limb of loop colostomy prolapse by stapler device [published correction appears in Tech Coloproctol . 2012 Aug;16(4):327]. Tech Coloproctol. 2012;16:143–145.
Hata F, Kitagawa S, Nishimori H, et al. A novel, easy, and safe technique to repair a stoma prolapse using a surgical stapling device. Dig Surg. 2005;22:306–9; discussion 310.
Behrenbruch C, Carr G, Johnston M, Woods R. Three-point stapled fixation technique to manage ileostomy spout retraction. ANZ J Surg. 2019;89:423–424.
Canil K, Fitzgerald P, Lau G, Cameron G, Walton M. Button-pexy fixation for repair of ileostomy and colostomy prolapse. J Pediatr Surg. 1995;30:1148–1149.