First experience for the laparoscopic treatment of parastomal hernia with the use of Parietex composite mesh

Updates Surg. 2010 Dec;62(3-4):195-7. doi: 10.1007/s13304-010-0025-8. Epub 2010 Nov 3.

Abstract

Parastomal herniation is a postoperative complication after colostomy or ileostomy with an incidence rate of 0-48.1%. Its repair is indicated in approximately 10-15% of cases; however, this surgery has been associated with a significant degree of morbidity and recurrence. We describe, for the first time in literature, an experience using a new technique, and a new type of mesh. This new type of laparoscopic parastomal hernia repair appears to be easier and faster. The follow-up was about 240 days. Our preliminary experience in using this technique and mesh appears to be possibly leading to a reduction of recurrences and complications. Randomized multicenter studies are required to assess the true effectiveness of the technique.

MeSH terms

  • Colostomy
  • Hernia, Ventral* / surgery
  • Herniorrhaphy
  • Humans
  • Laparoscopy
  • Surgical Mesh*