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使用血管带通过“造口周围环扎”法修复造口脱垂。

Repair of stoma prolapse with the "peristomal cerclage" method using vessel tape.

作者信息

Demirel Arif Hakan, Kurtoğlu İbrahim, Altıner Saygın, Aydın Recep

机构信息

Clinic of General Surgery, Ankara Training and Research Hospital, Ankara, Türkiye.

出版信息

Turk J Surg. 2023 Dec 29;39(4):373-376. doi: 10.47717/turkjsurg.2023.6154. eCollection 2023 Dec.

Abstract

Stoma prolapse is one of the most common late complications following stoma construction. Although prolapses can be managed conservatively, they often require surgical revision. This study aimed to describe a revision method called applied with local anesthesia to treat stoma prolapse. A 66-year-old male patient with advanced rectal cancer underwent sigmoid loop colostomy one year ago due to a distal occlusive tumor. A revision of the colostomy prolapse that developed postoperatively was planned. After the reduction of the 12 cm prolapse into the abdomen under local anesthesia, a repair was performed in the form of peristomal wrapping of a vessel tape; except for short-term abdominal distension, no complications developed in the patient. He is currently in the postoperative 26 month and terminal period, and his colostomy is working normally. The present report aimed to describe the method, a minimally invasive revision procedure applied to patients with stoma prolapse, and to deliver its long-term results. It is important to report the results obtained with the more widespread use of this method.

摘要

造口脱垂是造口术后最常见的晚期并发症之一。虽然脱垂可以保守处理,但通常需要手术修复。本研究旨在描述一种在局部麻醉下应用的修复方法来治疗造口脱垂。一名66岁晚期直肠癌男性患者因远端阻塞性肿瘤于一年前接受了乙状结肠袢式造口术。计划对术后发生的造口脱垂进行修复。在局部麻醉下将12厘米的脱垂部分还纳至腹腔后,采用血管带围绕造口周围进行修复;患者除短期腹胀外,未出现并发症。他目前处于术后26个月且为终末期,其造口功能正常。本报告旨在描述这种应用于造口脱垂患者的微创修复方法及其长期效果。报告该方法更广泛应用所取得的结果很重要。

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