Laparoscopic modified Sugarbaker parastomal hernia repair with 2-point anchoring and zigzag tacking of Parietex™ Parastomal Mesh technique
| العنوان: | Laparoscopic modified Sugarbaker parastomal hernia repair with 2-point anchoring and zigzag tacking of Parietex™ Parastomal Mesh technique |
|---|---|
| المؤلفون: | Tomoyoshi Okamoto, Yoshiko Uno, Toshiaki Suzuki, Shintaro Nakajima, Katsuhito Suwa, Ken Eto, Shigemasa Sasaki, Katsuhiko Yanaga, Takuro Ushigome |
| المصدر: | Surgical Endoscopy. 30:5628-5634 |
| بيانات النشر: | Springer Science and Business Media LLC, 2016. |
| سنة النشر: | 2016 |
| مصطلحات موضوعية: | Male, medicine.medical_specialty, Incisional hernia, medicine.medical_treatment, Urinary Diversion, 030230 surgery, Anastomosis, Enterotomy, Prosthesis, 03 medical and health sciences, 0302 clinical medicine, Colostomy, medicine, Humans, Hernia, Aged, Retrospective Studies, Aged, 80 and over, business.industry, Postoperative complication, Middle Aged, Surgical Mesh, medicine.disease, Hernia, Ventral, Surgery, 030220 oncology & carcinogenesis, Nephrostomy, Female, Laparoscopy, business |
| الوصف: | The ideal mesh and mesh fixation technique for laparoscopic Sugarbaker (SB) parastomal hernia repair have not yet been identified. Sixteen patients with parastomal hernia who underwent laparoscopic modified SB repair (LSB) between June 2012 and October 2015 were retrospectively analyzed. LSB was performed using a developed standardized 2-point anchoring and zigzag tacking of Parietex™ Parastomal Mesh (PCO-PM) technique. Out of 16 cases, 14 were primary and 2 recurrent hernias; 13 were para-end colostomy and 3 were para-ileal conduit (PIC) hernias. The median longitudinal and transverse diameters of the hernia orifice were 5 cm (2.5–7 cm) and 4.2 cm (2–6 cm), respectively. Five cases had a concomitant midline incisional hernia, which was simultaneously repaired. In all cases, the mesh was placed without deflection. The median operation time was 193 (75–386) min. Perioperative complications occurred in two cases (13 %) with PIC, one intra-operatively and the other postoperatively. The intra-operative complication was enterotomy close to the ureteroenteric anastomosis of the ileal conduit; it was repaired through a mini-laparotomy. LSB was accomplished without any subsequent postoperative complications. The postoperative complication was ureteral obstruction that required creation of nephrostomy. Mini-laparotomy was necessary in those two cases (13 %) because of intra-operative enterotomy and severe intra-abdominal adhesions. The median postoperative length of stay was 9 (5–14) days. No recurrence was observed with a median follow-up of 14.5 (2–41) months. Our LSB using standardized mesh fixation technique is safe and feasible, and the PCO-PM seems to be the most optimal prosthesis. |
| تدمد: | 1432-2218 0930-2794 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::0fc3a63d97a28a3ad5c5d64efa939596Test https://doi.org/10.1007/s00464-016-4927-5Test |
| حقوق: | CLOSED |
| رقم الانضمام: | edsair.doi.dedup.....0fc3a63d97a28a3ad5c5d64efa939596 |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14322218 09302794 |
|---|