The objective of this video is to demonstrate the various ways in which a laparoscopic subperitoneal colostomy can be performed. This is the case of a female patient presenting a mental handicap and a chronic renal insufficiency with hemodialysis 3 times a week. She has had a definite colostomy for the treatment of anal incontinence, with complete sphincteric destruction.
The colostomy was associated with recurrent episodes of prolapse. A laparoscopic approach is worth performing here in order to have a preperitoneal, subperitoneal tunnel between the right hypochondrium and the left subcostal area where the colostomy is located.