Jove
Visualize
Contact Us

Related Experiment Videos

Preventing and treating parastomal hernia.

Leif A Israelsson1

  • 1Department of Surgery and Perioperative Science, Umeå University, Umeå, SE-90187 Sweden. Leif.israelsson@lvn.se

World Journal of Surgery
|June 28, 2005
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Long-term follow-up after incisional hernia repair: Dynamics of recurrence and patient-reported outcome.

World journal of surgery·2024
Same author

Trocar Site Hernia After Gastric Bypass.

Surgical technology international·2017
Same author

Abdominal incision closure: small but important bites.

Lancet (London, England)·2015
Same author

Detecting Incisional Hernia at Clinical and Radiological Examination.

Surgical technology international·2015
Same author

Closure of midline laparotomies by means of small stitches: practical aspects of a new technique.

Surgical technology international·2013
Same author

Prevention of incisional hernias: how to close a midline incision.

The Surgical clinics of North America·2013
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Preventing parastomal hernia requires prophylactic mesh. Using a specific type of large-pore, low-weight mesh in a sublay position during the initial surgery significantly lowers parastomal hernia rates.

Area of Science:

  • Surgical Oncology
  • Gastroenterology
  • Abdominal Surgery

Background:

  • Parastomal hernia is a common complication after ostomy surgery, posing significant surgical challenges.
  • The exact incidence of parastomal hernia is unclear due to a lack of uniform definition, but it is estimated to exceed 30%.

Purpose of the Study:

  • To evaluate the effectiveness of prophylactic prosthetic mesh in reducing parastomal hernia rates.
  • To review surgical techniques for parastomal hernia prevention and treatment.

Main Methods:

  • Analysis of surgical techniques employed for parastomal hernia management.
  • Review of randomized trials investigating prophylactic measures.
  • Evaluation of mesh characteristics (pore size, weight, material composition) and placement (sublay).

Related Experiment Videos

Main Results:

  • Prophylactic mesh use is the only method shown in a randomized trial to reduce parastomal hernia rates.
  • A large-pore, low-weight mesh with reduced polypropylene and increased absorbable material, placed in a sublay position, significantly decreases parastomal hernia incidence.
  • High recurrence rates are observed in parastomal hernia treatment without mesh; mesh incorporation is crucial for improved outcomes.

Conclusions:

  • The use of prophylactic prosthetic mesh, particularly a specific type in a sublay position, is effective in preventing parastomal hernias.
  • Mesh is essential for reducing recurrence rates in the surgical treatment of parastomal hernias.
  • Stoma relocation combined with prophylactic sublay mesh at the new site and mesh repair of the incisional hernia is a standard treatment approach.