Table 5 Summary of treatments for stoma prolapse
From: Surgical management of ostomy complications: a MISSTO–WSES mapping review
Type of treatment | Indications | Drawbacks |
|---|---|---|
Non-operative management | Sliding prolapse Fixed prolapse in high risk patients | Persistence of prolapse Patient discomfort Risk of complications |
Emergency surgical treatment | Bowel occlusion Prolapse incarceration/strangulation Stoma gangrene | Risk of recurrence High rate of surgical complications High need of laparotomic approach |
Elective surgical treatment | Parastomal hernia associated Failure of non-operative management of sliding prolapse Fixed prolapse without complications | Risk of surgical complications More complex surgery |