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Laparoscopic Non-Mesh Cerclage Pectopexy for Pelvic Organ Prolapse
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Laparoscopic Enteropexy for Prolapsing Stoma: A Case Series Describing a Novel Technique

Joseph Davidson1,2, Costa Healy1, Simon C Blackburn1

  • 11 Department of Paediatric Surgery, Great Ormond Street Hospital for Children , London, United Kingdom .

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part A
|April 7, 2018
PubMed

Insights

Laparoscopic enteropexy for prolapsing stoma (LEPS) effectively manages ileostomy prolapse, a common complication. This minimally invasive technique shows a high success rate in preventing recurrent prolapse with minimal morbidity.

Area of Science:

  • Gastroenterology
  • Surgical Innovation
  • Minimally Invasive Surgery

Background:

  • Ileostomy prolapse occurs in 11% of patients, causing significant morbidity and frequent hospitalizations.
  • Current management often involves multiple procedures under general anesthesia.
  • Laparoscopic enteropexy for prolapsing stoma (LEPS) is a novel laparoscopic technique developed for stoma prolapse management.

Purpose of the Study:

  • To evaluate the efficacy and safety of the laparoscopic enteropexy for prolapsing stoma (LEPS) procedure.
  • To assess the recurrence rate of stoma prolapse after LEPS.
  • To report postoperative complications associated with LEPS.

Main Methods:

  • Retrospective analysis of a prospectively maintained surgical logbook.
  • Review of clinical case histories for patients who underwent LEPS.
  • Primary outcome: recurrent prolapse. Secondary outcomes: postoperative complications and stoma closure complications.

Main Results:

  • Fifteen LEPS procedures were performed on 14 patients (13 ileostomy, 1 loop colostomy).
  • Median operative time was 75 minutes, with a median postoperative stay of 1 day.
  • One recurrence of prolapse (7%) and one instance of small bowel intussusception requiring reoperation were reported. Three patients had successful stoma closures.

Conclusions:

  • Laparoscopic enteropexy for prolapsing stoma (LEPS) is a reproducible and straightforward laparoscopic technique.
  • The LEPS procedure demonstrates an excellent success rate in preventing further stoma prolapse.
  • LEPS offers a promising minimally invasive option for managing stoma prolapse.
Abstract

Keywords:
LEPSenteropexyminimally invasiveprolapsestoma

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