scholarly journals Parastomal hernia repair: Bielañski hospital experience

2006 ◽  
Vol 53 (2) ◽  
pp. 99-102 ◽  
Author(s):  
Marek Szczepkowski ◽  
Grzegorz Gil ◽  
Adam Kobus
Keyword(s):  
Parastomal Hernia ◽  
Rectus Muscle ◽  
Post Operative Period ◽  
Stoma Formation ◽  
Hernia Formation ◽  
Preoperative Mapping ◽  
Parastomal Hernia Repair ◽  
Mode Of Operation ◽  
Stoma Diameter

The most common occurred long-term stoma complication is parastomal hernia (PH). The incidence of this complication reaches 50% and, according to Goligher1, the parastomal hernia is an inevitable consequence in a certain percentage of all cases of stoma formation. The factors that may affect the incidence of parastomal hernia include the site of stoma, particularly its position relative to the rectus muscle of abdomen, preoperative mapping out of the stoma site, stoma diameter, intraperitoneal or extraperitoneal bringing out of the intestine and its fixation to fascia, closing of the area around the stoma opening, the mode of operation - planned or emergency, and finally the kind of stoma - ileostomy, colostomy, end stoma and loop stoma. None of these factors, however, has been identified to have the key importance in parastomal hernia formation. It seems that the only factor that significantly increases the incidence of parastomal hernia is the length of post-operative period.

158 POST-RADICAL CYSTECTOMY PARASTOMAL HERNIA REPAIR: LONG-TERM FOLLOW-UP

2009 ◽  
Vol 8 (4) ◽  
pp. 160
Author(s):  
Faba O. Rodríguez ◽  
A. Rosales ◽  
J. Palou ◽  
J. Huguet ◽  
P. Pardo ◽  
...  
Keyword(s):  
Hernia Repair ◽  
Radical Cystectomy ◽  
Parastomal Hernia ◽  
Parastomal Hernia Repair ◽  
Long Term Follow Up

scholarly journals Modified Laparoscopic Sugarbaker Repair of Parastomal Hernia With a Totally Extraperitoneal Technique

2021 ◽  
Vol 8 ◽  
Author(s):  
Huiyong Jiang ◽  
Dil Momin Thapa ◽  
Xiangjun Cai ◽  
Chun Ma ◽  
Mofei Wang
Keyword(s):  
Parastomal Hernia ◽  
Special Treatment ◽  
Wound Complications ◽  
Stoma Creation ◽  
Totally Extraperitoneal ◽  
Stoma Formation ◽  
Parastomal Hernia Repair ◽  
The Mean ◽  
Laparoscopic Tep

Purpose: Many patients develop a parastomal hernia within the first 2 years of stoma formation, and even surgical repair is associated with high recurrence rates. An intraperitoneal approach is typically used for the laparoscopic repair of parastomal hernia; it is unknown whether a totally extraperitoneal technique (TEP) is feasible. Here we describe a laparoscopic TEP approach using a modified Sugarbaker method for the repair of parastomal hernia.Methods: Seven patients underwent parastomal hernia repair. The retrograde puncture technique was used to create the extrapneumoperitoneum, and the peritoneum was separated with a laparoscopic TEP approach; the mesh was placed using a modified Sugarbaker technique.Results: All patients had an oncologic etiology for stoma creation. The mean (±SD) size of the hernia defect was 3.1 ± 2.7 cm and the mesh size was 303.4 ± 96.8 cm2. The mean operative time was 195.5 ± 20.7 min and average length of hospital stay after surgery was 4.8 ± 2.1 days. One patient had intraoperative subcutaneous emphysema. The average follow-up time was 8.5 ± 2.7 months; mild pain occurred in 2 patients, 3 experienced seroma formation (with no special treatment required), and 1 had early intestinal obstruction (which was treated with conservative care). There was no hernia recurrence, wound complications, or infections of the surgical site or mesh during follow-up.Conclusion: A laparoscopic TEP technique is technically challenging but feasible. Modified laparoscopic Sugarbaker repair of a parastomal hernia with the TEP technique is safe and effective, although the recurrence rate and late complications require confirmation in more cases with long-term follow-up.

scholarly journals Parastomal Hernia Repair with Intraperitoneal Mesh

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Pia Näsvall ◽  
Jörgen Rutegård ◽  
Michael Dahlberg ◽  
Ulf Gunnarsson ◽  
Karin Strigård
Keyword(s):  
Recurrence Rate ◽  
Parastomal Hernia ◽  
Reoperation Rate ◽  
Hernia Recurrence ◽  
Recurrence Rates ◽  
Prospective Multicentre Study ◽  
Parastomal Hernia Repair ◽  
Short And Long Term ◽  
One Year

Purpose. Parastomal hernia is a common complication following a stoma and may cause leakage or incarceration. No optimal treatment has been established, and existing methods using mesh repair are associated with high recurrence rates and a considerable risk for short- and long-term complications including death. A double-layer intraperitoneal on-lay mesh (IPOM), the Parastomal Hernia Patch (BARD™), consisting of ePTFE and polypropylene, has been developed and tailored to avoid recurrence. To evaluate the safety of and recurrence rate using this mesh, a nonrandomised prospective multicentre study was performed. Method. Fifty patients requiring surgery for parastomal hernia were enrolled. Clinical examination and CT scan prior to surgery were performed. All patients were operated on using the Parastomal Hernia Patch (BARD). Postoperative follow-up at one month and one year was scheduled to detect complications and hernia recurrence. Results. The postoperative complication rate at one month was 15/50 (30%). The parastomal hernia recurrence rate at one year was 11/50 (22%). The reoperation rate at one month was 7/50 (14%), and further 5/50 (10%) patients were reoperated on during the following eleven months.

Intestinal Stomas

2014 ◽  
Author(s):  
J Graham Williams
Keyword(s):  
Parastomal Hernia ◽  
Loop Ileostomy ◽  
Loop Colostomy ◽  
Stoma Closure ◽  
Choice Of Procedure ◽  
Stoma Formation ◽  
Hernia Formation ◽  
End Colostomy ◽  
Intestinal Stoma ◽  
Selection Of

Formation of an intestinal stoma is frequently a component of surgical intervention for diseases of the small bowel and the colon. The most common intestinal stomas are the ileostomies (end and loop) and the colostomies (end and loop). Preoperative counseling, choice of procedure, and selection of stoma site are described. The general principles of the operative technique are listed, as is the creation of the stoma aperture. Types of colostomies are described and include end, loop, and double-barrel. For ileostomy, end, loop, loop-end, split, and continent are described. Details are provided on the stoma closure for loop ileostomy and loop colostomy. The chapter has sections on troubleshooting and complications, including ischemia, stenosis, prolapse, retraction, parastomal hernia, obstruction, and fistula. Figures show an end colostomy, loop colostomy, preparation of terminal ileum and placement of sutures for an end ileostomy, stoma closure for loop ileostomy, stabilization of retracted ileostomy, preperitoneal mesh repair of parastomal hernia, and laparoscopic intra-abdominal placement of polytetrafluoroethylene-coated mesh. Tables show indications for different types of intestinal stomas, incidence of common complications of the intestinal stomas, incidence of parastomal hernia formation, and additional complications arising after stoma formation. This review contains 12 figures, 5 tables, and 106 references.

scholarly journals The Role of Mesh Implants in Surgical Treatment of Parastomal Hernia

Materials ◽  
2021 ◽  
Vol 14 (5) ◽  
pp. 1062
Author(s):  
Karolina Turlakiewicz ◽  
Michał Puchalski ◽  
Izabella Krucińska ◽  
Witold Sujka
Keyword(s):  
Parastomal Hernia ◽  
3D Structure ◽  
Surgical Techniques ◽  
Current Standard ◽  
Intraperitoneal Onlay Mesh ◽  
Stoma Formation ◽  
Causal Treatment ◽  
Onlay Mesh ◽  
Prophylactic Use ◽  
Mesh Implant

A parastomal hernia is a common complication following stoma surgery. Due to the large number of hernial relapses and other complications, such as infections, adhesion to the intestines, or the formation of adhesions, the treatment of hernias is still a surgical challenge. The current standard for the preventive and causal treatment of parastomal hernias is to perform a procedure with the use of a mesh implant. Researchers are currently focusing on the analysis of many relevant options, including the type of mesh (synthetic, composite, or biological), the available surgical techniques (Sugarbaker’s, “keyhole”, or “sandwich”), the surgical approach used (open or laparoscopic), and the implant position (onlay, sublay, or intraperitoneal onlay mesh). Current surface modification methods and combinations of different materials are actively explored areas for the creation of biocompatible mesh implants with different properties on the visceral and parietal peritoneal side. It has been shown that placing the implant in the sublay and intraperitoneal onlay mesh positions and the use of a specially developed implant with a 3D structure are associated with a lower frequency of recurrences. It has been shown that the prophylactic use of a mesh during stoma formation significantly reduces the incidence of parastomal hernias and is becoming a standard method in medical practice.

scholarly journals Ostomy-Related Complications

2019 ◽  
Vol 32 (03) ◽  
pp. 176-182 ◽  
Author(s):  
Douglas Murken ◽  
Joshua Bleier
Keyword(s):  
Gastrointestinal Tract ◽  
Surgical Procedures ◽  
Parastomal Hernia ◽  
Significant Morbidity ◽  
Stoma Formation ◽  
Wide Range ◽  
Peristomal Skin ◽  
Stomal Stenosis

AbstractIleostomy or colostomy formation is an important component of many surgical procedures performed for a wide range of disorders of the gastrointestinal tract. Despite the frequency with which intestinal stomas are created, stoma-related complications remain common and are associated with significant morbidity as well as cost. Some of the most prevalent complications of stoma formation which will be detailed in this article include peristomal skin complications, retraction, stomal necrosis, stomal stenosis, prolapse, bleeding, dehydration from high ostomy output, and parastomal hernia. The authors will review these common complications, detail means to avoid or prevent them, and outline recommendations for management.

LONG-TERM EFFECTS OF INTRACEREBRAL CORTICOID IMPLANTS

1967 ◽  
Vol 55 (3) ◽  
pp. 440-450 ◽  
Author(s):  
Shaul Feldman ◽  
Nisim Conforti ◽  
Julian M. Davidson
Keyword(s):  
Ascorbic Acid ◽  
Median Eminence ◽  
Adrenal Glands ◽  
Long Term Effects ◽  
Unilateral Adrenalectomy ◽  
Post Operative Period ◽  
Steady Decrease ◽  
Medial Hypothalamus ◽  
Post Implantation

ABSTRACT Chronic implantation of cortisol acetate in the basal medial hypothalamus resulted in a steady decrease in weight of the adrenal glands which remained severely atrophic up to 70 days post-implantation. At this time, however, the adrenal ascorbic acid depletion response to unilateral adrenalectomy was normal. The compensatory adrenal hypertrophy (CAH) response, which was inhibited in the immediate post-operative period, reappeared later, and had returned to normal by 21 days postoperatively. Intramuscular administration of cortisol in unimplanted rats inhibited CAH at 14 or 21 days following onset of treatment, and prevented the recovery of CAH in animals implanted 21 days previously with cortisol in the median eminence. The possibility is discussed that the differential recovery of the responses to unilateral adrenalectomy in implanted animals with continuing atrophy of the adrenal cortex is due to some adaptation of central nervous mechanisms subserving the CAH response.

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