Laparoscopic perforostomy for treating a delayed colonoscopic perforation: Novel approach.
BACKGROUND
With the implementation of bowel cancer screening programmes, more and more colonic polyps are detected, requiring hot biopsies or resections with an attendant risk of perforation. Laparoscopy is increasingly performed for assessing colonoscopic perforations, usually repaired by stitching or stapling, which is associated with a risk of a leak from the suture line.


METHODS
We describe a novel approach of laparoscopic exteriorisation of a delayed colonoscopic perforation which resolved without any further intervention.


CONCLUSIONS
Laparoscopic perforostomy is an alternative minimally invasive laparoscopic approach which respects all the rules by allowing a single-stage procedure including thorough toilet with defunctioning and diversion.
Department of Surgery, University Hospital Lewisham, London, SE13 6LH.
Rajaraman
R
Durai
Philip Ch
PCh
Ng