Altemeier's Procedure for Loop Colostomy Prolapse in Severe Patients: Our Experience

Federico Lovisetto* and Sandro Zonta

Division of General Surgery, Castelli Hospital, Italy

^*Correspondance to: Federico Lovisetto 

 PDF  Full Text DOI: 10.25107/2474-1647.3079

Abstract

Purpose: Stoma prolapse has an important impact on the patients? overall quality of life: it can cause the impossibility to correctly apply the stoma appliance on the skin and, sometimes, the incarceration or strangulation of prolapse. When conservative management becomes unsuccessful, surgery must be considered. Whereas abdominal approaches are feasible in healthy patients, critical patients require a local revision with minimally invasive approach. The aim of this study was to describe our experience about modified Altemeier?s procedure for loop colostomy prolapse. Methods: Single surgeon series of three patients underwent to modified Altemeier?s procedure for loop colostomy prolapse. The main outcomes were feasibility of the procedure under local anesthesia and postoperative recurrence of the prolapse. Secondary outcome was average operative time. Results: all three interventions were made under local anesthesia (one patient needed sedation for his critical compliance). The average operative time was 45 min. All patients had uneventful clinical course. No recurrence of prolapse occurred at postoperative follow up. Conclusion: The described intervention presents many advantages: Effectiveness, minimal invasivity (feasible under local anesthesia), simplicity and low cost.

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Cite the article

Lovisetto F, Zonta S. Altemeier's Procedure for Loop Colostomy Prolapse in Severe Patients: Our Experience. Clin Surg. 2021; 6: 3079..