Evaluation of the Outcome of Local Surgery for Stomal Prolapse

We reviewed the results of local surgical treatment of stoma prolapse, a long-term complication of stoma construction. Fifteen patients treated for stomal prolapse between 2009 and 2020 at the authors’ and affiliated hospitals were included in this study. The treatment comprised local laparotomic st...

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Autores principales:	Makoto Kosuge, Masahisa Ohkuma, Muneyuki Koyama, Yasunobu Kobayashi, Takafumi Nakano, Yasuhiro Takano, Yuya Shimoyama, Naoki Takada, Tomotaka Kumamoto, Yuta Imaizumi, Hiroshi Sugano, Seiichiro Eto, Yasuhiro Takeda, Saori Yatabe, Ken Eto
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	stomal prolapse stoma reconstruction laparotomic repair Medicine R
Acceso en línea:	https://doaj.org/article/7fa158d90cb940e9aa1fd3db9f914589
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spelling	oai:doaj.org-article:7fa158d90cb940e9aa1fd3db9f9145892021-11-25T18:02:50ZEvaluation of the Outcome of Local Surgery for Stomal Prolapse10.3390/jcm102254382077-0383https://doaj.org/article/7fa158d90cb940e9aa1fd3db9f9145892021-11-01T00:00:00Zhttps://www.mdpi.com/2077-0383/10/22/5438https://doaj.org/toc/2077-0383We reviewed the results of local surgical treatment of stoma prolapse, a long-term complication of stoma construction. Fifteen patients treated for stomal prolapse between 2009 and 2020 at the authors’ and affiliated hospitals were included in this study. The treatment comprised local laparotomic stomal reconstruction (LLSR) in nine patients and stapling repair (SR) in six. We compared and evaluated the clinical and surgical information and postoperative complications. Operation time was significantly shorter in the SR group than in the LLSR group: 20 and 53 min, respectively (<i>p</i> = 0.036). The duration of postoperative hospitalization was shorter in the SR group than in the LLSR group: 5.5 and 8 days, respectively; the difference was not significant (<i>p</i> = 0.088). No short-term complications were found in either group. Regarding long-term, postoperative complications, parastomal hernias developed after 2.5 years in one patient in the LLSR group and after 6 months in one patient in the SR group; both patients had histories of parastomal hernia surgery and had relatively high body mass indices. Local surgery for stomal prolapse was minimally invasive and performed safely. In patients with a history of surgery for parastomal hernia, attention must be paid to the potential of parastomal hernia developing as a postoperative complication.Makoto KosugeMasahisa OhkumaMuneyuki KoyamaYasunobu KobayashiTakafumi NakanoYasuhiro TakanoYuya ShimoyamaNaoki TakadaTomotaka KumamotoYuta ImaizumiHiroshi SuganoSeiichiro EtoYasuhiro TakedaSaori YatabeKen EtoMDPI AGarticlestomal prolapsestoma reconstructionlaparotomic repairMedicineRENJournal of Clinical Medicine, Vol 10, Iss 5438, p 5438 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	stomal prolapse stoma reconstruction laparotomic repair Medicine R
spellingShingle	stomal prolapse stoma reconstruction laparotomic repair Medicine R Makoto Kosuge Masahisa Ohkuma Muneyuki Koyama Yasunobu Kobayashi Takafumi Nakano Yasuhiro Takano Yuya Shimoyama Naoki Takada Tomotaka Kumamoto Yuta Imaizumi Hiroshi Sugano Seiichiro Eto Yasuhiro Takeda Saori Yatabe Ken Eto Evaluation of the Outcome of Local Surgery for Stomal Prolapse
description	We reviewed the results of local surgical treatment of stoma prolapse, a long-term complication of stoma construction. Fifteen patients treated for stomal prolapse between 2009 and 2020 at the authors’ and affiliated hospitals were included in this study. The treatment comprised local laparotomic stomal reconstruction (LLSR) in nine patients and stapling repair (SR) in six. We compared and evaluated the clinical and surgical information and postoperative complications. Operation time was significantly shorter in the SR group than in the LLSR group: 20 and 53 min, respectively (<i>p</i> = 0.036). The duration of postoperative hospitalization was shorter in the SR group than in the LLSR group: 5.5 and 8 days, respectively; the difference was not significant (<i>p</i> = 0.088). No short-term complications were found in either group. Regarding long-term, postoperative complications, parastomal hernias developed after 2.5 years in one patient in the LLSR group and after 6 months in one patient in the SR group; both patients had histories of parastomal hernia surgery and had relatively high body mass indices. Local surgery for stomal prolapse was minimally invasive and performed safely. In patients with a history of surgery for parastomal hernia, attention must be paid to the potential of parastomal hernia developing as a postoperative complication.
format	article
author	Makoto Kosuge Masahisa Ohkuma Muneyuki Koyama Yasunobu Kobayashi Takafumi Nakano Yasuhiro Takano Yuya Shimoyama Naoki Takada Tomotaka Kumamoto Yuta Imaizumi Hiroshi Sugano Seiichiro Eto Yasuhiro Takeda Saori Yatabe Ken Eto
author_facet	Makoto Kosuge Masahisa Ohkuma Muneyuki Koyama Yasunobu Kobayashi Takafumi Nakano Yasuhiro Takano Yuya Shimoyama Naoki Takada Tomotaka Kumamoto Yuta Imaizumi Hiroshi Sugano Seiichiro Eto Yasuhiro Takeda Saori Yatabe Ken Eto
author_sort	Makoto Kosuge
title	Evaluation of the Outcome of Local Surgery for Stomal Prolapse
title_short	Evaluation of the Outcome of Local Surgery for Stomal Prolapse
title_full	Evaluation of the Outcome of Local Surgery for Stomal Prolapse
title_fullStr	Evaluation of the Outcome of Local Surgery for Stomal Prolapse
title_full_unstemmed	Evaluation of the Outcome of Local Surgery for Stomal Prolapse
title_sort	evaluation of the outcome of local surgery for stomal prolapse
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/7fa158d90cb940e9aa1fd3db9f914589
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_version_	1718411689602318336

Evaluation of the Outcome of Local Surgery for Stomal Prolapse

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