Laparoscopic perforostomy for treating a delayed colonoscopic perforation: Novel approach

With the implementation of bowel cancer screening programmes, more and more colonic polyps are detected, requiring hot biopsies or resections with an attendant risk of perforation. Laparoscopy is increasingly performed for assessing colonoscopic perforations, usually repaired by stitching or staplin...

Full description

Saved in:
Bibliographic Details
Published in:Journal of minimal access surgery 2011-10, Vol.7 (4), p.239-241, Article 239
Main Authors: Durai, Rajaraman, Ng, Philip Ch
Format: Article
Language:English
Subjects:
Colon
Colonoscopy
colostomy
Health aspects
Injuries
Intestines
laparoscopy
Polypectomy
Unusual Case
Citations: Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:With the implementation of bowel cancer screening programmes, more and more colonic polyps are detected, requiring hot biopsies or resections with an attendant risk of perforation. Laparoscopy is increasingly performed for assessing colonoscopic perforations, usually repaired by stitching or stapling, which is associated with a risk of a leak from the suture line. We describe a novel approach of laparoscopic exteriorisation of a delayed colonoscopic perforation which resolved without any further intervention. Laparoscopic perforostomy is an alternative minimally invasive laparoscopic approach which respects all the rules by allowing a single-stage procedure including thorough toilet with defunctioning and diversion.
ISSN:0972-9941
1998-3921
DOI:10.4103/0972-9941.85648