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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...
Autores principales: | , , , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8622099/ https://www.ncbi.nlm.nih.gov/pubmed/34830719 http://dx.doi.org/10.3390/jcm10225438 |
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author | Kosuge, Makoto Ohkuma, Masahisa Koyama, Muneyuki Kobayashi, Yasunobu Nakano, Takafumi Takano, Yasuhiro Shimoyama, Yuya Takada, Naoki Kumamoto, Tomotaka Imaizumi, Yuta Sugano, Hiroshi Eto, Seiichiro Takeda, Yasuhiro Yatabe, Saori Eto, Ken |
author_facet | Kosuge, Makoto Ohkuma, Masahisa Koyama, Muneyuki Kobayashi, Yasunobu Nakano, Takafumi Takano, Yasuhiro Shimoyama, Yuya Takada, Naoki Kumamoto, Tomotaka Imaizumi, Yuta Sugano, Hiroshi Eto, Seiichiro Takeda, Yasuhiro Yatabe, Saori Eto, Ken |
author_sort | Kosuge, Makoto |
collection | PubMed |
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 (p = 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 (p = 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 | Online Article Text |
id | pubmed-8622099 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-86220992021-11-27 Evaluation of the Outcome of Local Surgery for Stomal Prolapse Kosuge, Makoto Ohkuma, Masahisa Koyama, Muneyuki Kobayashi, Yasunobu Nakano, Takafumi Takano, Yasuhiro Shimoyama, Yuya Takada, Naoki Kumamoto, Tomotaka Imaizumi, Yuta Sugano, Hiroshi Eto, Seiichiro Takeda, Yasuhiro Yatabe, Saori Eto, Ken J Clin Med Article 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 (p = 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 (p = 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. MDPI 2021-11-21 /pmc/articles/PMC8622099/ /pubmed/34830719 http://dx.doi.org/10.3390/jcm10225438 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Kosuge, Makoto Ohkuma, Masahisa Koyama, Muneyuki Kobayashi, Yasunobu Nakano, Takafumi Takano, Yasuhiro Shimoyama, Yuya Takada, Naoki Kumamoto, Tomotaka Imaizumi, Yuta Sugano, Hiroshi Eto, Seiichiro Takeda, Yasuhiro Yatabe, Saori Eto, Ken Evaluation of the Outcome of Local Surgery for Stomal Prolapse |
title | 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_short | Evaluation of the Outcome of Local Surgery for Stomal Prolapse |
title_sort | evaluation of the outcome of local surgery for stomal prolapse |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8622099/ https://www.ncbi.nlm.nih.gov/pubmed/34830719 http://dx.doi.org/10.3390/jcm10225438 |
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