Skip to main content
Erschienen in:

12.07.2020 | Original Article

Outcomes of stapler repair with anastomosis for stoma prolapse

verfasst von: Yoshikazu Koide, Kotaro Maeda, Hidetoshi Katsuno, Tsunekazu Hanai, Koji Masumori, Hiroshi Matsuoka, Tomoyoshi Endo, Yeong Cheol Cheong, Ichiro Uyama

Erschienen in: Surgery Today | Ausgabe 2/2021

Einloggen, um Zugang zu erhalten

Abstract

Purpose

The published data on the outcomes of an operative repair for stoma prolapse are limited. This study aimed to clarify the long-term outcomes of stapler repair with anastomosis for stoma prolapse.

Methods

Twenty-four patients (15 men, median age 64 years, range 33–88 years) undergoing 25 stapler repairs with anastomosis were prospectively registered, and their medical records were retrospectively reviewed.

Results

The median length of prolapse was 10 cm (range 5–22). Stoma prolapse repair was performed by means of 16 loop colostomies, four end colostomies, three loop ileostomies, and one end ileostomy. A stapler was used 4.6 times on average (range 4–8). The average operative time and bleeding were 40.8 (range 15–75) min and 40 (range 0–214) mL, respectively. No mortality and morbidity were observed after surgery. A recurrence of stoma prolapse was reported in only one of 25 repairs (4%) at the proximal limb of loop ileostomy during a median follow-up period of 1 year (range 1–120 months). However, a new stoma prolapsed in one untreated limb of loop stoma.

Conclusions

Stapler repair with anastomosis is a safe and minimally invasive treatment option for stoma prolapse with a low recurrence. However, the effectiveness of reparing stoma prolapse on the proximal limb of loop ileostomy might be limited.
Literatur
1.
Zurück zum Zitat Park JJ, Del Pino A, Orsay CP, Nelson RL, Pearl RK, Cintron JR, et al. Stoma complications: the Cook County Hospital experience. Dis Colon Rectum. 1999;42:1575–80.CrossRef Park JJ, Del Pino A, Orsay CP, Nelson RL, Pearl RK, Cintron JR, et al. Stoma complications: the Cook County Hospital experience. Dis Colon Rectum. 1999;42:1575–80.CrossRef
2.
Zurück zum Zitat Londono-Schimmer EE, Leong AP, Phillips RK. Life table analysis of stomal complications following colostomy. Dis Colon Rectum. 1994;37:916–20.CrossRef Londono-Schimmer EE, Leong AP, Phillips RK. Life table analysis of stomal complications following colostomy. Dis Colon Rectum. 1994;37:916–20.CrossRef
3.
Zurück zum Zitat Makela JT, Turka PH, Laitinen ST. Analysis of late stomal complications following ostomy surgery. Ann Chir Gynaecol. 1997;86:305–10.PubMed Makela JT, Turka PH, Laitinen ST. Analysis of late stomal complications following ostomy surgery. Ann Chir Gynaecol. 1997;86:305–10.PubMed
4.
Zurück zum Zitat Essani R. Stoma prolapse. Stoma complications: prevention and management. Sem Colon Rectal Surg. 2012;23:13–6.CrossRef Essani R. Stoma prolapse. Stoma complications: prevention and management. Sem Colon Rectal Surg. 2012;23:13–6.CrossRef
5.
Zurück zum Zitat Shabbir J, Britton DC. Stoma complications: a literature overview. Colorectal Dis. 2010;12:958–64.CrossRef Shabbir J, Britton DC. Stoma complications: a literature overview. Colorectal Dis. 2010;12:958–64.CrossRef
6.
Zurück zum Zitat Shellito PC. Complications of abdominal stoma surgery. Dis Colon Rectum. 1998;41:1562–72.CrossRef Shellito PC. Complications of abdominal stoma surgery. Dis Colon Rectum. 1998;41:1562–72.CrossRef
7.
Zurück zum Zitat Bielecki K. Recurrent ileostomy prolapse: is it a solved problem? Tech Coloproctol. 2010;14:283–4.CrossRef Bielecki K. Recurrent ileostomy prolapse: is it a solved problem? Tech Coloproctol. 2010;14:283–4.CrossRef
8.
Zurück zum Zitat Myers JO, Rothenberger DA. Sugar in the reduction of incarcerated prolapsed bowel. Report of two cases. Dis Colon Rectum. 1991;34:416–8.CrossRef Myers JO, Rothenberger DA. Sugar in the reduction of incarcerated prolapsed bowel. Report of two cases. Dis Colon Rectum. 1991;34:416–8.CrossRef
9.
Zurück zum Zitat Fligelstome LJ, Wanendeya N, Palmer SV. Osmotic therapy for acute irreducible stoma prolapse. Br J Surg. 1997;84:390. Fligelstome LJ, Wanendeya N, Palmer SV. Osmotic therapy for acute irreducible stoma prolapse. Br J Surg. 1997;84:390.
10.
Zurück zum Zitat Fucini C. A simple device for prolapsing loop colostomies. Dic Colon Rectum. 1989;32:534–5.CrossRef Fucini C. A simple device for prolapsing loop colostomies. Dic Colon Rectum. 1989;32:534–5.CrossRef
11.
Zurück zum Zitat Docerneck RC. Revision and closure of the colostomy. Surg Clin North Am. 1991;71:193–201.CrossRef Docerneck RC. Revision and closure of the colostomy. Surg Clin North Am. 1991;71:193–201.CrossRef
12.
Zurück zum Zitat Maeda K, Maruta M, Utsumi T, Sato H, Aoyama H, Katsuno H, et al. Local correction of a transverse loop colostomy prolapse by means of a stapler device. Tech Coloproctol. 2004;8:45–6.CrossRef Maeda K, Maruta M, Utsumi T, Sato H, Aoyama H, Katsuno H, et al. Local correction of a transverse loop colostomy prolapse by means of a stapler device. Tech Coloproctol. 2004;8:45–6.CrossRef
13.
Zurück zum Zitat Hata F, Kitagawa S, Nishimori H, Furuhata T, Tsuruta T, Ezoe E, et al. A novel, easy, and safe technique to repair a stoma prolapse using a surgical stapling device. Dig Surg. 2005;22:306–9.CrossRef Hata F, Kitagawa S, Nishimori H, Furuhata T, Tsuruta T, Ezoe E, et al. A novel, easy, and safe technique to repair a stoma prolapse using a surgical stapling device. Dig Surg. 2005;22:306–9.CrossRef
14.
Zurück zum Zitat Tepetes K, Spyridakis M, Hatzitheofilou C. Local treatment of a loop colostomy prolapse with a linear stapler. Tech Coloproctol. 2005;9:156–8.CrossRef Tepetes K, Spyridakis M, Hatzitheofilou C. Local treatment of a loop colostomy prolapse with a linear stapler. Tech Coloproctol. 2005;9:156–8.CrossRef
15.
Zurück zum Zitat Ferguson HJ, Bhalerao S. Correction of end colostomy prolapse using a curved surgical stapler, performed under sedation. Tech Coloproctol. 2010;14:165–7.CrossRef Ferguson HJ, Bhalerao S. Correction of end colostomy prolapse using a curved surgical stapler, performed under sedation. Tech Coloproctol. 2010;14:165–7.CrossRef
16.
Zurück zum Zitat Masumori K, Maeda K, Koide Y, Hanai T, Sato H, Matsuoka H, et al. Simple excision and closure of a distal limb of loop colostomy prolapse by stapler device. Tech Coloproctol. 2012;16:143–5.CrossRef Masumori K, Maeda K, Koide Y, Hanai T, Sato H, Matsuoka H, et al. Simple excision and closure of a distal limb of loop colostomy prolapse by stapler device. Tech Coloproctol. 2012;16:143–5.CrossRef
17.
Zurück zum Zitat Monette MM, Harney RT, Morris MS, Chu DI. Local repair of stoma prolapse: case report of an in vivo application of linear stapler devices. Ann Med Surg (Lond). 2016;11:32–5.CrossRef Monette MM, Harney RT, Morris MS, Chu DI. Local repair of stoma prolapse: case report of an in vivo application of linear stapler devices. Ann Med Surg (Lond). 2016;11:32–5.CrossRef
18.
Zurück zum Zitat Masumori K, Maeda K, Hanai T, Sato H, Koide Y, Matsuoka H, et al. Short-term outcomes of local correction of stoma prolapse with a stapler device. Tech Coloproctol. 2013;17:437–40.CrossRef Masumori K, Maeda K, Hanai T, Sato H, Koide Y, Matsuoka H, et al. Short-term outcomes of local correction of stoma prolapse with a stapler device. Tech Coloproctol. 2013;17:437–40.CrossRef
19.
Zurück zum Zitat Fleres F, Saladino E, Famulari C, Marci A. Local repair of a trans-stomal ileocecal prolapse by stapler device. Updates Surg. 2014;66:69–71.CrossRef Fleres F, Saladino E, Famulari C, Marci A. Local repair of a trans-stomal ileocecal prolapse by stapler device. Updates Surg. 2014;66:69–71.CrossRef
21.
Zurück zum Zitat Husain SG, Gataldo TE. Late stomal complications. Clin Colon Rectal Surg. 2008;21:31–40.CrossRef Husain SG, Gataldo TE. Late stomal complications. Clin Colon Rectal Surg. 2008;21:31–40.CrossRef
22.
Zurück zum Zitat Jayarajah U, Samarasekara AM, Samarasekera DN. A study of long-term complications associated with enteral ostomy and their contributory factors. BMC Res Notes. 2016;9:500.CrossRef Jayarajah U, Samarasekara AM, Samarasekera DN. A study of long-term complications associated with enteral ostomy and their contributory factors. BMC Res Notes. 2016;9:500.CrossRef
23.
Zurück zum Zitat Tsujinaka S, Tan KY, Miyakura Y, Fukano R, Oshima M, Konishi F, et al. Current management of intestinal stomas and their complications. J Anus Rectum Colon. 2020;4:25–33.CrossRef Tsujinaka S, Tan KY, Miyakura Y, Fukano R, Oshima M, Konishi F, et al. Current management of intestinal stomas and their complications. J Anus Rectum Colon. 2020;4:25–33.CrossRef
24.
Zurück zum Zitat Kalashnikova I, Achkasov S, Fadeeva S, Vorobiev G. The development and use of algorithms for diagnosing and choosing treatment of ostomy complications: results of a prospective evaluation. Ostomy Wound Manag. 2011;57:20–7. Kalashnikova I, Achkasov S, Fadeeva S, Vorobiev G. The development and use of algorithms for diagnosing and choosing treatment of ostomy complications: results of a prospective evaluation. Ostomy Wound Manag. 2011;57:20–7.
25.
Zurück zum Zitat Gundogdu G, Topuz U, Umutoglu T. Lapaoscopic correction of right transverse colostomy prolapse. Asian J Endosc Surg. 2013;6:220–2.CrossRef Gundogdu G, Topuz U, Umutoglu T. Lapaoscopic correction of right transverse colostomy prolapse. Asian J Endosc Surg. 2013;6:220–2.CrossRef
26.
Zurück zum Zitat Takahashi H, Hara M, Takayama S, et al. Simple laparoscopic technique of transverse loop colostomy prolapse. Surg Laparosc Endosc Percutaneous Tech. 2012;22:e263–e264264.CrossRef Takahashi H, Hara M, Takayama S, et al. Simple laparoscopic technique of transverse loop colostomy prolapse. Surg Laparosc Endosc Percutaneous Tech. 2012;22:e263–e264264.CrossRef
27.
Zurück zum Zitat Davidson J, Healy C, Blackburn SC, Curry J. Laparoscopic enteropexy for prolapsing stoma: a case series describing a novel technique. J Laparoendosc Adv Surg Tech. 2018;28:1135–8.CrossRef Davidson J, Healy C, Blackburn SC, Curry J. Laparoscopic enteropexy for prolapsing stoma: a case series describing a novel technique. J Laparoendosc Adv Surg Tech. 2018;28:1135–8.CrossRef
28.
Zurück zum Zitat Canil BK, Fitzgerald P, Lau G, Cameron G, Walton M. Button-pexy fixation for repair of ileostomy and colostomy prolapse. J Pediatr Surg. 1995;30:1148–9.CrossRef Canil BK, Fitzgerald P, Lau G, Cameron G, Walton M. Button-pexy fixation for repair of ileostomy and colostomy prolapse. J Pediatr Surg. 1995;30:1148–9.CrossRef
29.
Zurück zum Zitat Papadopoulos V, Bangeas P, Xanthopoulou K, Paramythiotis D, Michalopoulos A. Stoma prolapse handmade repair under local anesthesia with variation of Altemeir method in severe patients: a case report and review of literature. J Surg Case Rep. 2017;2017:rjx07.CrossRef Papadopoulos V, Bangeas P, Xanthopoulou K, Paramythiotis D, Michalopoulos A. Stoma prolapse handmade repair under local anesthesia with variation of Altemeir method in severe patients: a case report and review of literature. J Surg Case Rep. 2017;2017:rjx07.CrossRef
30.
Zurück zum Zitat Abulafi AM, Sheraman IW, Fiddian RV. Délorme operation for prolapsed colostomy. Br J Surg. 1989;76:1321–2.CrossRef Abulafi AM, Sheraman IW, Fiddian RV. Délorme operation for prolapsed colostomy. Br J Surg. 1989;76:1321–2.CrossRef
31.
Zurück zum Zitat Marrosu A, Paliogiannis P, Sassu MA, Attene F, Trignano M. Correction of an end colostomy prolapse with the Delorme technique. A case report Ann Ital Chir. 2012;83:567–9.PubMed Marrosu A, Paliogiannis P, Sassu MA, Attene F, Trignano M. Correction of an end colostomy prolapse with the Delorme technique. A case report Ann Ital Chir. 2012;83:567–9.PubMed
33.
Zurück zum Zitat Maeda K, Maruta M, Utsumi T, Sato H, Masumori K, Aoyama H. Pathophysiology and prevention of loop stomal prolapse in the transverse colon. Tech Coloproctol. 2003;7:108–11.CrossRef Maeda K, Maruta M, Utsumi T, Sato H, Masumori K, Aoyama H. Pathophysiology and prevention of loop stomal prolapse in the transverse colon. Tech Coloproctol. 2003;7:108–11.CrossRef
Metadaten
Titel
Outcomes of stapler repair with anastomosis for stoma prolapse
verfasst von
Yoshikazu Koide
Kotaro Maeda
Hidetoshi Katsuno
Tsunekazu Hanai
Koji Masumori
Hiroshi Matsuoka
Tomoyoshi Endo
Yeong Cheol Cheong
Ichiro Uyama
Publikationsdatum
12.07.2020
Verlag
Springer Singapore
Erschienen in
Surgery Today / Ausgabe 2/2021
Print ISSN: 0941-1291
Elektronische ISSN: 1436-2813
DOI
https://doi.org/10.1007/s00595-020-02076-6

Neu im Fachgebiet Chirurgie

Ab sofort gelten die neuen Verordnungsausnahmen für Lipidsenker

Freie Fahrt für Lipidsenker? Das nicht, doch mit niedrigerem Schwellenwert fürs Infarktrisiko und neuen Indikationen hat der G-BA die Verordnungs-Handbremse ein gutes Stück weit gelockert.

Appendizitis und Darminfarkt durch Blinddarm-Lipom

Eigentlich sind Lipome recht harmlos. Im Zäkum können sie jedoch erhebliche Komplikationen mit Darminfarkt und Appendizitis verursachen.

Gluteuslappen nach Rektumkarzinom-Op. schützt vor Abszessen

Die Wunddeckung mit einem autologen Rotationslappen nach Entfernung eines Rektumkarzinoms konnte in einer randomisierten Studie gegenüber dem primären Wundverschluss vor allem in einer Hinsicht punkten: Sie führte deutlich seltener zu präsakralen Abszessen.

Webinar

MedTalk Leitlinie KOMPAKT: S3-Leitline zu peripheren Nervenverletzungen

  • Webinar | 10.02.2025 | 13:00

Über den Weg zur finalen Fassung der S3-Leitlinie "Versorgung peripherer Nervenverletzungen" spricht Prof. Dr. Leila Harhaus-Wähner im MedTalk Leitlinie KOMPAKT. In dem kurzen Video geht es darum, was sich im Vergleich zur vorigen Fassung der Leitlinie geändert hat, welche Aspekte für die tägliche Praxis besonders wichtig sind und was jeder gemäß Leitlinie nun anders oder besser machen sollte.

Update Chirurgie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.