V2 - Correction of a prolapsed stoma with the “Phillips” ileostomy technique.

Monday, May 12, 2025

10:25 AM – 10:30 AM PT

Location: Ballroom 6B, Upper Level

Video Abstract Presenter(s)

EC

Elizabeth A. Clement, MD, MSc, FRCSC

Colorectal Surgeon
University of British Columbia
Vancouver, BC, Canada

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.

Author(s)

MK

Michelle Kwon, PhD

Medical Student
University of British Columbia
Vancouver, British Columbia, Canada

Disclosure information not submitted.

Senior Author(s)

AK

Ahmer A. Karimuddin, MD, FRCSC

Clinical Associate Professor
University of British Columbia
Vancouver, British Columbia, Canada

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.

Submitting Author(s)

EC

Elizabeth A. Clement, MD, MSc, FRCSC

Colorectal Surgeon
University of British Columbia
Vancouver, BC, Canada

All of the relevant financial relationships listed below have been mitigated.
This individual has no financial relationships with ineligible companies.

All of the relevant financial relationships listed below have been mitigated.

Elizabeth A. Clement, MD, MSc, FRCSC: This individual has no financial relationships with ineligible companies.

Ahmer A. Karimuddin, MD, FRCSC: This individual has no financial relationships with ineligible companies.

Image or Table (Do Not add text here):

Purpose/Background: Stoma prolapse is a common complication that can result in appliance leakage, bowel obstruction, and ischemia. The common approaches for prolapse repair are not robust with recurrence rates as high as 66%. Recently, a novel technique called the “Phillips ileostomy repair” was described. This video submission demonstrates this technique.

Methods/Interventions: Under general anesthesia, the prolapsed stoma is mobilized. The bowel is everted along the distal 2-3 cm segment, and this segment was fixed at 3 locations using a laparoscopic linear non-cutting stapler. The repaired stoma was subsequently secured to the skin. Resection of bowel is not necessary for this technique.

Results/Outcomes: At our center, we have performed the operation four times within the past year, and thus far have had no recurrences.

Conclusion/Discussion: The Phillips ileostomy correction is a technique that preserves the bowel and can be done as a local procedure without the need for laparotomy or laparoscopy. These advantages make this technique an attractive option in the setting of stoma prolapse.