Local correction of extreme stomal prolapse following transverse loop colostomy.
BACKGROUND
Stomal prolapse is a common complication of transverse loop colostomies. Although rarely required, surgical correction is associated with potential morbidity. We describe a novel surgical approach to repair stomal herniation that aims to decrease perioperative morbidity.


METHODS
A 57 year-old patient with stage IVB adenocarcinoma of the cervix underwent a transverse loop colostomy for palliation of a rectovaginal fistula. Several months later, she presented with a large symptomatic stomal prolapse and elected local surgical correction. Under general anesthesia, we performed a revision of the colostomy with a stapling device.


CONCLUSIONS
Although long-term data are lacking, this approach is easy, safe, and a reasonable alternative for palliative revision of a prolapsed colostomy stoma.
Seamon
Leigh G
LG
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University College of Medicine, Columbus, OH, USA.
Richardson
Debra L
DL
Pierce
Molly
M
O'Malley
David M
DM
Griffin
Steven
S
Cohn
David E
DE
D000230:Adenocarcinoma / Q000150:complications / Q000601:surgery; D003108:Colonic Diseases / Q000209:etiology* / Q000601:surgery*; D003125:Colostomy / Q000009:adverse effects*; D005260:Female; D006801:Humans; D008875:Middle Aged; D010166:Palliative Care; D011391:Prolapse; D012006:Rectovaginal Fistula / Q000150:complications / Q000601:surgery; D054047:Surgical Stomas / Q000009:adverse effects*; D002583:Uterine Cervical Neoplasms / Q000150:complications / Q000601:surgery