Ultrasound-Guided Enteropexy for Repair of Ostomy Prolapse.
J Laparoendosc Adv Surg Tech A
; 33(4): 411-416, 2023 Apr.
Article
em En
| MEDLINE
| ID: mdl-36888956
ABSTRACT
Background:
Enterostomies provide fecal diversion for numerous conditions, but anatomical complications-prolapse, stricture, and retraction-occur in up to 25%. Given up to 76% of these complications require surgical intervention, effective minimally invasive repair techniques for their management are needed. This article describes a new technique for prolapse repair utilizing image-guided surgery for incisionless repair of ostomy prolapse.Methods:
To perform the procedure, the prolapsed bowel is reduced and evaluated for feasibility for ultrasound repair. Under direct ultrasound guidance sutures are used to pexy the bowel loop to the overlying fascia. Sutures are tied with knots and sutures buried below the skin to securely tack the bowel to the abdominal wall.Results:
Four patients aged 2-10 years underwent ultrasound-guided enteropexy for repair of major prolapse of an end ileostomy (2 patients), loop colostomy, and end colostomy. All patients remained free of major prolapse for 3-10 months after the procedure, 2 of whom have progressed to ostomy takedown without complications.Conclusions:
Ultrasound-guided enteropexy is a noninvasive effective way to manage ostomy prolapse.Palavras-chave
Texto completo:
1
Base de dados:
MEDLINE
Assunto principal:
Complicações Pós-Operatórias
/
Estomia
Idioma:
En
Ano de publicação:
2023
Tipo de documento:
Article