Prevention of parastomal hernias with 3D funnel meshes in intraperitoneal onlay position by placement during initial stoma formation
| العنوان: | Prevention of parastomal hernias with 3D funnel meshes in intraperitoneal onlay position by placement during initial stoma formation |
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| المؤلفون: | René H. Fortelny, Helwig Wundsam, M. Lechner, A Hofmann, Klaus Emmanuel, Frank Mayer, Gernot Köhler |
| المصدر: | Hernia. 20:151-159 |
| بيانات النشر: | Springer Science and Business Media LLC, 2015. |
| سنة النشر: | 2015 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Hernia, Ostomy, 030230 surgery, Prosthesis Design, Parastomal hernia, Stoma, 03 medical and health sciences, 0302 clinical medicine, Retrospective analysis, Humans, Medicine, In patient, Herniorrhaphy, Aged, Retrospective Studies, Aged, 80 and over, business.industry, Surgical Stomas, Middle Aged, Surgical Mesh, Surgery, 030220 oncology & carcinogenesis, Enterostomy, Female, Implant, business, Abdominal surgery |
| الوصف: | In patients with terminal ostomies, parastomal hernias (PSHs) occur on a frequent basis. They are commonly associated with various degrees of complaints and occasionally lead to life-threatening complications. Various strategies and measures have been tested and evaluated, but to date there is a lack of published evidence with regard to the best surgical technique for the prevention of PSH development. We conducted a retrospective analysis of prospectively collected data of eighty patients, who underwent elective permanent ostomy formation between 2009 and 2014 by means of prophylactic implantation of a three-dimensional (3D) funnel mesh in intraperitoneal onlay (IPOM) position. PSH developed in three patients (3.75 %). No mesh-related complications were encountered and none of the implants had to be removed. Ostomy-related complications had to be noted in seven (8.75 %) cases. No manifestation of ostomy prolapse occurred. Follow-up time was a median 21 (range 3–47) months. The prophylactical implantation of a specially shaped, 3D mesh implant in IPOM technique during initial formation of a terminal enterostomy is safe, highly efficient and comparatively easy to perform. As opposed to what can be achieved with flat or keyhole meshes, the inner boundary areas of the ostomy itself can be well covered and protected from the surging viscera with the 3D implants. At the same time, the vertical, tunnel-shaped part of the mesh provides sufficient protection from an ostomy prolapse. Further studies will be needed to compare the efficacy of various known approaches to PSH prevention. |
| تدمد: | 1248-9204 1265-4906 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::1adaf30d0184d81a4566ee096912f2a2Test https://doi.org/10.1007/s10029-015-1380-7Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....1adaf30d0184d81a4566ee096912f2a2 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 12489204 12654906 |
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