ALTEMEIER-LIKE REPAIR OF COLOSTOMY PROLAPSUS; CASE REPORT. Kolostomi prolapsusunun Altemeier benzeri onarımı; Olgu sunumu.

ABSTRACT Colostomy prolapsus is protrusion of full-thickness of colonic wall from stoma. It is generally seen in patients with significant comorbidities who were constructed loop colostomy. Rarely it can be seen after end colostomy construction. Many treatment modalities are described for stoma prolapsus, usually the most preferred method is changing stoma place with laparotomy. In this study, we presented a colostomy prolapsus repaired by Altemeier-like surgical technic. While laparotomy and changing stoma place is generally preferred method, Altemeier-like stoma repair is one of the less invasive and comfortable choice of treatment. OZET Kolostomi prolapsusu kolon duvarinin stomadan tam kat protruze olmasidir. En sik acil cerrahi esnasinda belirgin yandas hastaligi olan hastalara acilan loop kolostomilerde gorulse de nadir olarak uc kolostomi uygulamalarindan sonra da karsilasilabilmektedir. Stoma prolapsuslarin tedavisinde cesitli cerrahi yontemler tanimlanmis, genellikle laparatomi ile stoma yerinin degistirilmesi tercih edilen yontem olmustur. Bu calismada, rektal prolapsusun tedavi seceneklerden biri olan Altemeier onarimina benzer bir cerrahi teknik ile tedavi edilen kolostomi prolapsusu olgusu sunulmaktadir. Genellikle laparotomi ve stoma yerinin degistirilmesi seklinde tedavi edilen bu hastalarda, Altemeier benzeri stoma onarimi da minimal invazif ve konforlu cerrahi seceneklerden biridir.