Repair of Prolapsed Transverse Colon Loop Stoma—Report of a Case—

Abstract

Stoma prolapse worsens with time after stoma creation surgery, making stoma management difficult and necessitating surgery. Various repair methods are reported, but standard method has not yet been established, partly because there are not many cases. Repair using an automated suture device is minimally invasive and can be performed in a short time without opening the abdomen. However, there are safety issues because mesenteric dissection is performed blindly at the same time as intestinal dissection. The patient was an 88-year-old man. A transverse colon loop stoma had been placed in the right upper quadrant, and the intestinal tract on the oral side had prolapsed by approximately 20 cm. The patient underwent repair using forceps and hand-sewn anastomosis without using an automatic suture. The operative time was slightly longer, about 1 hour or more, but the mesentery could be treated under direct vision. In this report, we describe our experience with a case of local repair of a severely prolapsed stoma, after considering safety and cost-performance, with some discussion of the literature.