Management of Stoma Prolapse: A Novel Technique for Repair

Management of Stoma Prolapse Using Polypropylene Mesh Strip

“…Many techniques which do not require a stoma revision have been described previously to deal with this complication. [ 2 3 4 5 6 7 ] These skin-level procedures prevent the morbidity associated with laparotomy. Some techniques for temporary control of prolapse in children like U-shaped stitches from the lumen of the reduced intestine through the abdominal wall have been described.…”

“…Other techniques which do not require laparotomy include a simple purse-string technique,[ 3 ] button-pexy fixation,[ 4 ] Delorme repair,[ 5 ] Altemeier’s procedure[ 6 ] and local resection with a linear cutting stapler. [ 7 ] These techniques often require bowel resection which may complicate future surgery, especially in children with anorectal malformation or Hirschsprung’s disease. Another non-operative method to treat prolapsed colostomy has been described using a tracheostomy tube introduced through the stoma.…”

“…Many techniques have been described ranging from tightening of the abdominal wall defect,[ 3 ] internal fixation of the bowel[ 2 4 ] or resection of the prolapsed bowel. [ 5 6 7 ] A novel surgical technique was described by Sobrado Junior et al . [ 8 ] in Brazil to correct stomal prolapse in adults with permanent stoma using a polypropylene mesh strip.…”