Intraparietal mesh repair for parastomal hernias

SummaryHerniation is a common long-term complication after a permanent stoma and the classical non-prosthetic repairs have a high recurrence rate. This type of hernia should be considered as incisional, so a prosthetic-based repair seems to be the best choice; nevertheless, the need for another lapa...

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Published inHernia (Print) Vol. 4; no. 4; pp. 272 - 274
Main Authors MARTINEZ-MUNIVE, A, MEDINA-RAMIREZ LLACA, O, QUIJANO-ORVANANOS, F, PADILLA-LONGORIA, R, ZAVALA-RUIZ, J. S, HESIQUIO-SILVA, R
Format Conference Proceeding Journal Article
LanguageEnglish
Published Paris Springer 01.12.2000
Springer Nature B.V
Subjects
Abdomen
Biological and medical sciences
Hernia
Medical sciences
Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
Surgery of the digestive system
Human
Prosthesis
Stoma
Suturation
Hernia
Wick
Treatment
Abdominal disease
Surgery
Abdominal wall
Digestive diseases
Intestinal disease
Complication
Technique
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Summary:SummaryHerniation is a common long-term complication after a permanent stoma and the classical non-prosthetic repairs have a high recurrence rate. This type of hernia should be considered as incisional, so a prosthetic-based repair seems to be the best choice; nevertheless, the need for another laparotomy and the ideal plane to place the mesh remain debatable. We describe our initial experience with a novel technique for parastomal hernia repair that combines mesh 1 reinforcement with a local approach, thus avoiding a laparotomy. The anatomic disposition of the rectus sheath allows us to place a wide mesh in an intraparietal/anteromuscular plane, avoiding direct contact with the intestine and providing a reinforced wall. After 13 months of follow-up (3–20 months) our 3 patients have excellent results.
ISSN:1265-4906
1248-9204
DOI:10.1007/BF01201082