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https://observatorio.fm.usp.br/handle/OPI/35455
Title: | Local treatment of colostomy prolapse with the MESH STRIP technique: A novel and highly efficient day hospital technique |
Authors: | SOBRADO JUNIOR, Carlos Walter; GUZELA, Vivian Regina; SOBRADO, Lucas Faraco; NAHAS, Sergio Carlos; CECCONELLO, Ivan |
Citation: | CLINICS, v.75, article ID e1353, 4p, 2020 |
Abstract: | OBJECTIVE: Stoma prolapse is an intussusception of the bowel through a mature stoma. It can be caused by increased intra-abdominal pressure, excessively mobile bowel mesentery and/or a large opening in the abdominal wall at the time of stoma formation. It occurs predominantly in loop stomas, and correction methods include conservative modalities, such as local reduction to the prolapsed bowel, or surgical treatment. The purpose of this study was to describe our experience with the treatment of colostomy prolapse using a novel mesh strip technique. METHODS: Between February 2009 and March 2018, ten consecutive male patients underwent correction of colostomy prolapse under local anesthesia by peristomal placement of a polypropylene mesh strip. Operation time, short- and long-term complications, and recurrence rates were recorded and analyzed. RESULTS: No postoperative complications, morbidity or mortality were observed. The median length of the prolapse ranged from 6-20 cm, and the median operative time was 30 minutes. The median duration of follow-up was 25 months (range, 12-89 months). No relapse, mesh strip extrusion, local infection or granuloma formation were found. CONCLUSION: A simple, fast, and low-cost operation under local anesthesia using a mesh strip is a valuable option to treat colostomy prolapse. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MGT Artigos e Materiais de Revistas Científicas - HC/ICESP Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - LIM/35 |
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File | Description | Size | Format | |
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art_SOBRADO JUNIOR_Local_treatment_of_colostomy_prolapse_with_the_MESH_2020.PDF | publishedVersion (English) | 528.73 kB | Adobe PDF | View/Open |
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