用血管胶带 "造口周围环扎 "法修复造口脱垂。

IF 0.5 Q4 SURGERY Turkish Journal of Surgery Pub Date : 2023-12-29 eCollection Date: 2023-12-01 DOI:10.47717/turkjsurg.2023.6154
Arif Hakan Demirel, İbrahim Kurtoğlu, Saygın Altıner, Recep Aydın
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引用次数: 0

摘要

造口脱垂是造口术后最常见的晚期并发症之一。虽然造口脱垂可以保守治疗,但往往需要手术修补。本研究旨在描述一种在局部麻醉下应用肛周环扎术治疗造口脱垂的翻修方法。一名 66 岁的男性晚期直肠癌患者一年前因远端闭塞性肿瘤接受了乙状结肠造口术。计划对术后出现的结肠造口脱垂进行翻修。在局部麻醉下将脱垂到腹部的 12 厘米处缩小后,以血管胶带肛周缠绕的形式进行了修复;除了短期腹胀外,患者没有出现任何并发症。目前,他已进入术后第 26 个月的末期,结肠造口功能正常。本报告旨在描述造口周围环扎法,这是一种适用于造口脱垂患者的微创翻修手术,并提供其长期效果。报告更广泛地使用这种方法所取得的结果非常重要。
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Repair of stoma prolapse with the "peristomal cerclage" method using vessel tape.

Stoma prolapse is one of the most common late complications following stoma construction. Although prolapses can be managed conservatively, they often require surgical revision. This study aimed to describe a revision method called peristomal cerclage applied with local anesthesia to treat stoma prolapse. A 66-year-old male patient with advanced rectal cancer underwent sigmoid loop colostomy one year ago due to a distal occlusive tumor. A revision of the colostomy prolapse that developed postoperatively was planned. After the reduction of the 12 cm prolapse into the abdomen under local anesthesia, a repair was performed in the form of peristomal wrapping of a vessel tape; except for short-term abdominal distension, no complications developed in the patient. He is currently in the postoperative 26th month and terminal period, and his colostomy is working normally. The present report aimed to describe the peristomal cerclage method, a minimally invasive revision procedure applied to patients with stoma prolapse, and to deliver its long-term results. It is important to report the results obtained with the more widespread use of this method.

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