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Laparoscopic Enteropexy for Prolapsing Stoma: A Case Series Describing a Novel Technique

Davidson, J; Healy, C; Blackburn, SC; Curry, J; (2018) Laparoscopic Enteropexy for Prolapsing Stoma: A Case Series Describing a Novel Technique. J Laparoendosc Adv Surg Tech A , 28 (9) pp. 1135-1138. 10.1089/lap.2017.0730. Green open access

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Abstract

BACKGROUND: Ileostomy prolapse has a cumulative risk of 11% and represents a significant complication with associated morbidity, which may result in multiple admissions and procedures requiring a general anesthetic. We have developed a laparoscopic technique for managing stoma prolapse-so-called laparoscopic enteropexy for prolapsing stoma (LEPS). METHODS: Retrospective analysis of a prospectively maintained departmental surgical logbook was performed alongside clinical case history review for patients undergoing LEPS. Primary outcome was defined as recurrent prolapse. Secondary outcomes were any postoperative complication or complication occurring at the time of stoma closure. RESULTS: A total of 15 LEPS procedures were performed on 14 patients with stoma prolapse-13 were patients with ileostomy and 1 with a loop colostomy. Median operative time was 75 minutes (range 50-95). Median postoperative stay was 1 day (1-4 days). There was one return to theater for a small bowel intussusception on the second postoperative day wherein taking down of the bowel and repeat LEPS were necessary. There was one recurrence of prolapse in a separate patient (1/14 [7%]). Three patients have since had their stoma closed without complication. CONCLUSION: We describe here the initial case series of our LEPS procedure for managing stoma prolapse. This is a reproducible and technically straightforward laparoscopic procedure with an excellent success rate in preventing further prolapse.

Type: Article
Title: Laparoscopic Enteropexy for Prolapsing Stoma: A Case Series Describing a Novel Technique
Location: United States
Open access status: An open access version is available from UCL Discovery
DOI: 10.1089/lap.2017.0730
Publisher version: https://doi.org/10.1089/lap.2017.0730
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisherís terms and conditions.
Keywords: LEPS, enteropexy, minimally invasive, prolapse, stoma
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL EGA Institute for Womens Health > Maternal and Fetal Medicine
URI: https://discovery.ucl.ac.uk/id/eprint/10093417
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