Gauderer M W, Izant R J
J Pediatr Surg. 1985 Dec;20(6):653-5. doi: 10.1016/s0022-3468(85)80017-8.
Stomal prolapse is a common complication of colostomies and, if severe, may affect the timing of the definitive procedure. A simple technique for postreduction bowel fixation without stomal revision is presented. The reduced bowel is attached to the parietal peritoneum using a "U" type suture a few centimeters from the stoma. Two short parallel segments of latex tubing prevent the thread from cutting through. Suture and bolsters are removed when adhesions are established. In one of the four children, a percutaneous cecostomy was employed to connect a prolapse of the entire proximal colon.
造口脱垂是结肠造口术的常见并发症，如果情况严重，可能会影响最终手术的时机。本文介绍一种不进行造口修复的复位后肠道固定简单技术。在距造口几厘米处，使用“U”型缝线将复位后的肠道固定于壁腹膜。两段短的平行乳胶管防止缝线切割穿透。当粘连形成后，拆除缝线和支撑物。在4例患儿中的1例，采用经皮盲肠造口术连接整个近端结肠的脱垂部分。
