The authors propose a new simple surgical technique for treating prolapse of the efferent loop after transverse loop colostomy. This new surgical technique has been used only in 2 patients, including one who underwent colostomy closure within a year. I would not recommend it for long-term treatment of prolapsed stoma because it does not treat the most important underlying cause of efferent loop prolapse which is the lack of internal fixation. Stomal prolapse interferes with patient’s quality of life and may cause occlusive symptoms, severe dermatitis and bleeding, therefore requiring surgical correction. Several minimally invasive options have been described for short-term treatment of stomal prolapse [1, 2]. These are valid options only if stoma closure is planned. Otherwise, given the 25% recurrence rate after simple resection [3, 4], fixation of the efferent loop and/or conversion to an end colostomy is still the gold standard for treating this complication [5, 6].
References
Maeda K, Maruta M, Utsumi T et al (2004) Local correction of a transverse loop colostomy prolapse by means of a stapler device. Tech Coloproctol 8:45–46
Seamon LG, Richardson DL, Pierce M, O’Malley DM, Griffin S, Cohn DE (2008) Local correction of extreme stomal prolapse following transverse loop colostomy. Gynecol Oncol 111:549–551
Salvadalena G (2008) Incidence of complications of the stoma and peristomal skin among individuals with colostomy, ileostomy, and urostomy: a systematic review. J Wound Ostomy Continence Nurs 35:596–607
Mäkelä JT, Turku PH, Laitinen ST (1997) Analysis of late stomal complications following ostomy surgery. Ann Chir Gynaecol 86:305–310
Edwards DP, Leppington-Clarke A, Sexton R, Heald RJ, Moran BJ (2001) Stoma-related complications are more frequent after transverse colostomy than loop ileostomy: a prospective randomized clinical trial. Br J Surg 88:360–363
Leenen LP, Kuypers JH (1989) Some factors influencing the outcome of stoma surgery. Dis Colon Rectum 32:500–504
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La Torre, F. K. Masumori, K. Maeda, Y. Koide, T. Hanai, H. Sato, H. Matsuoka, H. Katsuno, T. Noro, K. Honda, T. Endo, S. Shiota and S. Matsuoka: Simple excision and closure of a distal limb of loop colostomy prolapse by stapler device. Tech Coloproctol 16, 147 (2012). https://doi.org/10.1007/s10151-011-0772-7
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DOI: https://doi.org/10.1007/s10151-011-0772-7