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Stomaprolaps

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Chirurgie des intestinalen Stomas

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Zusammenfassung

Der Prolaps kann bei allen Stomaarten auftreten, ist jedoch vor allem bei doppelläufigem Kolostoma häufig. Bei den letzteren ist es daher sinnvoll eine Prolapsprophylaxe anzuwenden. Dabei bietet sich die sog. Divided Colostomy an: die ausgeleitete Schlinge wird durchtrennt und der abführende Schenkel über einen subkutanen Tunnel und eine zusätzliche Hautinzision ausgeleitet. Allerdings ist diese Technik vor allem bei Kindern beschrieben. Bei symptomatischem Kolostomaprolaps können Prolapsresektionen mit Klammernahtgeräten angewendet werden. Bei prolabierenden Ileostomata ist eine extraperitoneale Neuanlage hilfreich.

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Authors and Affiliations

  1. Klinik für Allgemein-, Viszeral-, Endokrine und Minimal-Invasive Chirurgie, Klinikum Bogenhausen, München, Deutschland

    Igors Iesalnieks

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  1. Igors Iesalnieks
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Correspondence to Igors Iesalnieks .

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  1. Klinik für Allgemein-, Viszeral-, Endokrine und Minimal-invasive Chirurgie, München Klinik Bogenhausen, München, Germany

    Igors Iesalnieks

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Iesalnieks, I. (2020). Stomaprolaps. In: Iesalnieks, I. (eds) Chirurgie des intestinalen Stomas. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-59123-9_10

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  • DOI: https://doi.org/10.1007/978-3-662-59123-9_10

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-59122-2

  • Online ISBN: 978-3-662-59123-9

  • eBook Packages: Medicine (German Language)

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