Colostomy Prolapse Treated with Total Prolapsed Bowel Resection with Manual Anastomosis

Under spinal or epidural anesthesia, incision is performed in the base of the colostomy, in the healthy colon mucosa, cutting through the entire bowel wall of the two prolapsed colon segments. The colon mesentery is transected and ligated. The prolapsed bowel segment is totally resected. The healthy ends of the two colon segments are manually sutured without the need of staplers. The final result is excellent, with early patient feeding and hospital discharge within twelve hours. The surgical technique maintains the colostomy without the need of laparotomy, laparoscopy or skin incisions. It is easy, safe, efficient and economic as it does not require staplers. The procedure has been used in over ten years in more than 100 patients with no surgical related complications and no prolapse recurrence.