Excerpt
Prolapse may present as a late complication of colostomy formation in up to 26% of cases [
1,
2], more frequently affecting loop colostomies [
2]. Technical errors, anatomical aspects including weak fascia and redundant colon, a high body mass index, inadequate patient education and compliance, and a history of chronic obstructive pulmonary disease (COPD) have been implicated in its occurrence [
1]. Suboptimal choice of stoma site, redundant use of colon and size of abdominal wall orifice are common underlying technical errors [
1]. Stoma prolapse is often associated with morbidity and also affects patients’ quality of life [
1]. Apart from the cosmetic component and related psychological aspects, it may also result in a loss of independence, especially in elderly patients [
3]. Some of the consequences, such as difficulties with pouch application, continuous skin irritation, mucosal bleeding, incomplete fecal diversion and gangrenous incarceration, are often debilitating and incapacitating [
3]. Surgical repair is usually required [
1]. Variably invasive techniques have been used to treat colostomy prolapse [
1]. The Delorme technique was described in 1900 for correction of an external rectal prolapse [
4] and has been a widely used procedure for this purpose. Minimally invasive approaches, such as the Delorme technique, have very rarely been applied in treating cases of colostomy prolapse [
1‐
3]. …
