Prolapse of intestinal stoma

Area of Science:

• Surgical Gastroenterology
• Stoma Care
• Abdominal Surgery

Background:

• Stoma prolapse is a common complication managed conservatively by stoma care nurses.
• Surgical intervention is indicated for complications, functional impairment, or incarceration.
• Loop stoma prolapse is linked to increased intra-abdominal pressure and mobile colons.

Purpose of the Study:

• To review surgical management strategies for stoma prolapse.
• To outline methods for preventing stoma prolapse during initial stoma creation.

Main Methods:

• Classification of surgical repair methods into three categories: intestinal fixation, intestinal shortening, and space elimination.
• Identification of preventative surgical techniques at the time of stoma creation.

Main Results:

• Surgical repair aims to eliminate space between the abdominal wall and intestine, and manage redundant or mobile intestine.
• Preventative techniques include minimal fascia incision, stoma fixation, optimal intestinal site selection, and extraperitoneal routes.

Conclusions:

• Surgical repair offers solutions for complex stoma prolapse cases.
• Specific surgical techniques during stoma creation can significantly reduce the risk of prolapse.