Laparoscopic mesh repair of parastomal hernia. Is it a sufficient and free of complication technique? a case presentation and review of the literature

Parastomal hernia is a complication of stoma formation. It is accompanied by high morbidity. It affects stoma's function and patient's quality of life. There several alternative treatment options including stoma relocation, primary prophylactic repair during the stoma construction and open...

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Published inPrague medical report Vol. 112; no. 4; p. 316
Main Authors Sfoungaristos, S, Alexiadis, G, Mpolkas, V, Doulaptsi, M, Koutsopoulos, K
Format Journal Article
LanguageEnglish
Published Czech Republic 2011
Subjects
Adult
Female
Hernia, Ventral - etiology
Hernia, Ventral - surgery
Humans
Ileostomy - adverse effects
Laparoscopy
Surgical Mesh
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Summary:Parastomal hernia is a complication of stoma formation. It is accompanied by high morbidity. It affects stoma's function and patient's quality of life. There several alternative treatment options including stoma relocation, primary prophylactic repair during the stoma construction and open or laparoscopic mesh repair. We describe the case of a young woman with Crohn's disease that presented a parastomal hernia at the site of an ileostomy. We performed a laparoscopic mesh placement and repair of the hernia. After 28 months of follow-up, the patient remains complications and recurrence-free. The laparoscopic mesh repair is a challenging way to treat parastomal hernias. In the studies have been done so far comparing this approach with the other alternative treatments, the laparoscopic way seems to offer remarkable therapeutic results with minor complication and recurrence rates. Our department's experience is suggesting that laparoscopic repair is an effective and sufficient treatment option.
ISSN:1214-6994