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 UNUSUAL CASE
Year : 2011  |  Volume : 7  |  Issue : 4  |  Page : 239-241

Laparoscopic perforostomy for treating a delayed colonoscopic perforation: Novel approach


Department of Surgery, University Hospital Lewisham, London, SE13 6LH, United Kingdom

Correspondence Address:
Rajaraman Durai
Department of Surgery, University Hospital Lewisham, London, SE13 6LH
United Kingdom
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0972-9941.85648

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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.






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