ISSN:
1248-9204
Keywords:
Mesh Repair
;
Parastomal hernia
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Summary Herniation 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.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01201082
