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Ring-reinforced prosthesis for paracolostomy hernia
1Department of Surgery, Medical Center Alkmaar, Alkmaar, The Netherlands.
Background:
The reported recurrence rate after paracolostomy hernia repair, with or without mesh, varies between 47 and 100%. We developed a polypropylene mesh prosthesis with a central opening, reinforced with a polypropylene ring, that can be implanted suprafascially through a mucocutaneous incision.
Methods:
The results of a consecutive series of 46 patients with paracolostomy hernia, who were implanted with this prosthesis between October 1988 and November 2000 in 12 hospitals, were analyzed. The mean follow-up was 5 (range 1-13) years.
Results:
The early infection rate was 4.3%. Two patients were lost to follow-up. The late infection rate was 2.3%. Seven patients (15.9%) developed a recurrent parastomal hernia and were all reoperated. The prosthesis was definitively removed in 10 patients.
Conclusion:
Although implantation of this new prosthesis is not without complications, it offers the lowest reported recurrence rate until now.
