Laparoscopic giant parastomal hernia repair with prosthetic mesh

Abstract Development of retro muscular space with transversus abdominis release has reached maturity in endoscopic surgery. Next-level reconstruction is adaptation to parastomal hernia repair alone or in conjunction with another abdominal wall hernia repair. We aim to present this extraperitoneal modified mesh technique based on the Sugarbaker principle with video demonstration and share clinical data and results from twenty-four patients operated with this technique within two years from the spring of 2019 to the spring of 2021. 77% patients had para-colostomy hernia and 41% of the patients had accessory repairs for midline or opposite flank hernia. 18% had prophylactic mesh at index operation, 27% were recurrent parastomal hernia and ostomies were formed median 32 months prior to parastomal hernia repair. 72% of the patients were operated robotically and 28% laparoscopically. Median follow up at time for presentation will be 17 months.

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Parastomal Hernia Repair with a 3D Funnel Intraperitoneal Mesh Device and Same-Sided Stoma Relocation: Results of 56 Cases

World Journal of Surgery ◽

10.1007/s00268-017-4454-0 ◽

2017 ◽

Vol 42 (9) ◽

pp. 3050-3051

Author(s):

Junsheng Li ◽

Weiyu Zhang

Keyword(s):

Hernia Repair ◽

Parastomal Hernia ◽

Intraperitoneal Mesh ◽

Parastomal Hernia Repair

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Laparoscopic Parastomal Hernia Repair

Minimally Invasive Approaches to Colon and Rectal Disease ◽

10.1007/978-1-4939-1581-1_17 ◽

2014 ◽

pp. 189-197

Author(s):

Joshua A. Tyler ◽

Matthew G. Mutch

Keyword(s):

Hernia Repair ◽

Parastomal Hernia ◽

Parastomal Hernia Repair

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Parastomal Hernia Repair with a 3D Funnel Intraperitoneal Mesh Device and Same-Sided Stoma Relocation: Results of 56 Cases: Reply

World Journal of Surgery ◽

10.1007/s00268-018-4473-5 ◽

2018 ◽

Vol 42 (9) ◽

pp. 3052-3053

Author(s):

Gernot Köhler

Keyword(s):

Hernia Repair ◽

Parastomal Hernia ◽

Intraperitoneal Mesh ◽

Parastomal Hernia Repair

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Abdominal Wall Reconstruction and Parastomal Hernia Repair

10.1007/978-3-030-66049-9_55 ◽

2021 ◽

pp. 947-959

Author(s):

Clayton C. Petro ◽

Ajita Prabhu ◽

Michael J. Rosen

Keyword(s):

Hernia Repair ◽

Abdominal Wall ◽

Parastomal Hernia ◽

Abdominal Wall Reconstruction ◽

Parastomal Hernia Repair

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Autologous full-thickness skin graft as reinforcement in parastomal hernia repair: a feasibility study

Techniques in Coloproctology ◽

10.1007/s10151-020-02368-6 ◽

2020 ◽

Author(s):

V. Holmdahl ◽

U. Gunnarsson ◽

K. Strigård

Keyword(s):

Hernia Repair ◽

Skin Graft ◽

Parastomal Hernia ◽

Complication Rates ◽

Full Thickness ◽

Full Thickness Skin Graft ◽

Full Thickness Skin ◽

Thickness Skin ◽

Parastomal Hernia Repair

Abstract Background Parastomal hernia is a common complication of stoma formation and the methods of repair available today are unsatisfactory with high recurrence and complication rates. To improve outcome after surgical repair of parastomal hernia, a surgical method using autologous full-thickness skin grafts as intraperitoneal reinforcement has been developed. The purpose of this study was to evaluate the feasibility of this novel surgical technique in the repair of parastomal hernia. Methods A pilot study was conducted between January 2018 and June 2019 on four patients with symptomatic parastomal hernia. They had a laparotomy with suture reduction of the hernia and reinforcement of the abdominal wall with autologous full-thickness skin. They were then monitored for at least 1 year postoperatively for technique-related complications and recurrence. Results No major technique-related complications were noted during the follow-up Two patients developed a recurrent parastomal hernia at the long term follow-up. The other two had no recurrence. Conclusions Autologous full-thickness skin graft as reinforcement in parastomal hernia repair is feasible and should be evaluated in a larger clinical trial.

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