An artificial Ostomy containment device comprising an implantable intra-abdominal sleeve adapted to interfere with movement of a closure assembly positioned within the sleeve; and a closure assembly comprising a hollow stomal insert sized and shaped to conduct waste content from an intestinal portion in an abdominal cavity through said insert and out of a stoma, and a fixation element coupled to said stomal insert sized and positioned to interfere with said intra-abdominal sleeve.