Local correction of extreme stomal prolapse following transverse loop colostomy

Background. Stomal prolapse is a common complication of transverse loop colostomies. Although rarely required, Surgical correction is associated with potential morbidity. We describe a novel surgical approach to repair stomal herniation that aims to decrease perioperative morbidity. Case. A 57 year-old patient with stage IVB adenocarcinoma of the cervix underwent a transverse loop colostomy for palliation of a rectovaginal fistula. Several months later, she presented with a large symptomatic stomal prolapse and elected local surgical correction. Under general anesthesia, we performed a revision of the colostomy with a stapling device. Conclusion. Although long-term data are lacking, this approach is easy, safe, and a reasonable alternative for palliative revision of a prolapsed colostomy stoma. (C) 2008 Elsevier Inc. All rights reserved.