Authors: Makoto Watanabe Masahiko Murakami Yoshiaki Ozawa Marie Uchida Kimiyasu Yamazaki Akira Fujimori Koji Otsuka Takeshi Aoki
Publish Date: 2015/05/30
Volume: 45, Issue: 11, Pages: 1463-1466
Abstract
Loop colostomy prolapse is associated with an impaired quality of life Surgical treatment may sometimes be required for cases that cannot be closed by colon colostomy because of highrisk morbidities or advanced disease We applied the Altimeter operation for patients with transverse loop colostomy The Altemeier operation is therefore indicated for rectal prolapse This technique involves a simple operation which includes a circumferential incision through the full thickness of the outer and inner cylinder of the prolapsed limb without incising the abdominal wall and anastomosis with sutures using absorbable thread We performed the Altemeier operation for three cases of loop stomal prolapse Those patients demonstrated no postoperative complications including obstruction prolapse recurrence or hernia Our findings suggest that this procedure is useful as an optional surgical treatment for cases of transverse loop colostomy prolapse as a permanent measure in patients with highrisk morbidities or advanced disease
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