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10:52
Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
Published on: September 11, 2021
[Parastomal hernias: background, current status and future prospects]
Gloria Tadeo-Ruiz1, Joaquín-Salvelio Picazo-Yeste, Carlos Moreno-Sanz
1Servicio de Cirugía General y del Aparato Digestivo, Hospital General La Mancha Centro, Alcázar de San Juan, Ciudad Real, Spain.
Cirugia Espanola
|January 16, 2010
Summary
Parastomal hernia (PH) is a common complication after stoma surgery. Prevention with a prophylactic peristomal prosthesis shows promising results in reducing PH incidence.
Area of Science:
- Surgical complications
- Gastrointestinal surgery
Context:
- Parastomal hernia (PH) is the most frequent delayed complication following stoma surgery.
- High recurrence rates after surgical repair limit treatment success.
- Current prosthetic repairs offer suboptimal outcomes, prompting investigation into preventative strategies.
Purpose:
- To review risk factors associated with parastomal hernia.
- To classify diverse surgical repair techniques for PH.
- To propose a management algorithm for PH, emphasizing prevention.
Summary:
- This review examines parastomal hernia (PH) risk factors and surgical repair techniques.
- It highlights the limitations of current PH repair methods due to high recurrence rates.
- The article proposes a management algorithm, including preventative measures like prophylactic peristomal prostheses.
Impact:
- Provides a comprehensive overview of parastomal hernia management.
- Suggests a novel algorithm for clinical decision-making in PH.
- Emphasizes the potential of prophylactic prostheses in reducing PH incidence and recurrence.
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