Intraparietal mesh repair for parastomal hernias |
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Authors: | A. Martinez-Munive O. Medina-Ramirez Llaca F. Quijano-Orvananos R. Padilla-Longoria J. S. Zavala-Ruiz R. Hesiquio-Silva |
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Affiliation: | (1) Department of Surgery, Hospital ABC, IMSS2 Mexico City, Mexico;(2) Department of Surgery, Hospital Gabriel Mancera, IMSS2 Mexico City, Mexico |
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Abstract: | 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. |
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Keywords: | Mesh Repair Parastomal hernia |
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