横袢式结肠造口术后严重造口脱垂的局部矫正
Local correction of extreme stomal prolapse following transverse loop colostomy.
作者信息
Seamon Leigh G, Richardson Debra L, Pierce Molly, O'Malley David M, Griffin Steven, Cohn David E
机构信息
Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University College of Medicine, Columbus, OH, USA.
出版信息
Gynecol Oncol. 2008 Dec;111(3):549-51. doi: 10.1016/j.ygyno.2008.01.029. Epub 2008 Mar 4.
BACKGROUND
Stomal prolapse is a common complication of transverse loop colostomies. Although rarely required, surgical correction is associated with potential morbidity. We describe a novel surgical approach to repair stomal herniation that aims to decrease perioperative morbidity.
CASE
A 57 year-old patient with stage IVB adenocarcinoma of the cervix underwent a transverse loop colostomy for palliation of a rectovaginal fistula. Several months later, she presented with a large symptomatic stomal prolapse and elected local surgical correction. Under general anesthesia, we performed a revision of the colostomy with a stapling device.
CONCLUSION
Although long-term data are lacking, this approach is easy, safe, and a reasonable alternative for palliative revision of a prolapsed colostomy stoma.
背景
造口脱垂是横袢式结肠造口术的常见并发症。虽然很少需要手术矫正，但手术矫正会带来潜在的发病率。我们描述了一种修复造口疝的新型手术方法，旨在降低围手术期发病率。
病例
一名57岁的IVB期宫颈癌患者因直肠阴道瘘行横袢式结肠造口术以缓解症状。几个月后，她出现了严重的有症状的造口脱垂，并选择了局部手术矫正。在全身麻醉下，我们使用吻合器对结肠造口进行了修复。
结论
尽管缺乏长期数据，但这种方法简便、安全，是脱垂结肠造口姑息性修复的合理替代方法。
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