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Case Reports
. 2011 Oct;7(4):239-41.
doi: 10.4103/0972-9941.85648.

Laparoscopic perforostomy for treating a delayed colonoscopic perforation: Novel approach

Rajaraman Durai  1 , Philip Ch Ng
Affiliations
Case Reports

Laparoscopic perforostomy for treating a delayed colonoscopic perforation: Novel approach

Rajaraman Durai et al. J Minim Access Surg. 2011 Oct.

Abstract

Introduction: 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.

Case report: We describe a novel approach of laparoscopic exteriorisation of a delayed colonoscopic perforation which resolved without any further intervention.

Discussion: 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.

Keywords: Colonoscopy; colostomy; laparoscopy.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Colonoscopic view of the polyp stalk after polypectomy
Figure 2
Figure 2
Laparoscopic view showing pelvic abscess
Figure 3
Figure 3
Laparoscopic view of the perforation site
Figure 4
Figure 4
Laparoscopic view of exteriorisation of perforation
Figure 5
Figure 5
Five months after perforostomy showed the stoma has closed by natural mechanisms
See this image and copyright information in PMC

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