Table 5.
Type of treatment | Indications | Drawbacks |
---|---|---|
Non-operative management |
Sliding prolapse Fixed prolapse in high risk patients |
Persistence of prolapse Patient discomfort Risk of complications |
Emergency surgical treatment |
Bowel occlusion Prolapse incarceration/strangulation Stoma gangrene |
Risk of recurrence High rate of surgical complications High need of laparotomic approach |
Elective surgical treatment |
Parastomal hernia associated Failure of non-operative management of sliding prolapse Fixed prolapse without complications |
Risk of surgical complications More complex surgery |