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Ultrasound-Guided Enteropexy for Repair of Ostomy Prolapse.

Authors :
Fallon BP
Johnson KN
Lark ME
Jarboe MD
Ralls MW
Source :
Journal of laparoendoscopic & advanced surgical techniques. Part A [J Laparoendosc Adv Surg Tech A] 2023 Apr; Vol. 33 (4), pp. 411-416. Date of Electronic Publication: 2023 Mar 09.
Publication Year :
2023

Abstract

Background: Enterostomies provide fecal diversion for numerous conditions, but anatomical complications-prolapse, stricture, and retraction-occur in up to 25%. Given up to 76% of these complications require surgical intervention, effective minimally invasive repair techniques for their management are needed. This article describes a new technique for prolapse repair utilizing image-guided surgery for incisionless repair of ostomy prolapse. Methods: To perform the procedure, the prolapsed bowel is reduced and evaluated for feasibility for ultrasound repair. Under direct ultrasound guidance sutures are used to pexy the bowel loop to the overlying fascia. Sutures are tied with knots and sutures buried below the skin to securely tack the bowel to the abdominal wall. Results: Four patients aged 2-10 years underwent ultrasound-guided enteropexy for repair of major prolapse of an end ileostomy (2 patients), loop colostomy, and end colostomy. All patients remained free of major prolapse for 3-10 months after the procedure, 2 of whom have progressed to ostomy takedown without complications. Conclusions: Ultrasound-guided enteropexy is a noninvasive effective way to manage ostomy prolapse.

Details

Language :
English
ISSN :
1557-9034
Volume :
33
Issue :
4
Database :
MEDLINE
Journal :
Journal of laparoendoscopic & advanced surgical techniques. Part A
Publication Type :
Academic Journal
Accession number :
36888956
Full Text :
https://doi.org/10.1089/lap.2021.0575