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Related Concept Videos

Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Hiatal Hernia01:25

Hiatal Hernia

A hiatal hernia is the abnormal protrusion of the stomach or other abdominal organs through the esophageal hiatus of the diaphragm into the thoracic cavity.Normally, the gastroesophageal junction (GEJ) lies below the diaphragm and is supported by the phrenoesophageal membrane, the diaphragmatic crura, and connective tissues. Weakening of these structures—due to aging, congenital defects like a short esophagus, or increased intra-abdominal pressure from coughing, obesity, pregnancy, or heavy...

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Updated: Jun 4, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
10:52

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Parastomal hernia repair.

John G Linn1, Dean J Mikami

  • 1Department of Surgery, The Ohio State University, Columbus, OH 43210, USA. John.Linn@osumc.edu

Journal of Long-Term Effects of Medical Implants
|February 24, 2011
PubMed
Summary
This summary is machine-generated.

Parastomal hernia repair is challenging, with high recurrence rates. Synthetic mesh and biologic prostheses may improve outcomes, while laparoscopic approaches require individualized patient selection for better results.

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Area of Science:

  • General Surgery
  • Colorectal Surgery
  • Surgical Innovation

Background:

  • Parastomal hernias present significant surgical challenges due to complex anatomy and altered abdominal wall mechanics.
  • High recurrence rates and associated morbidity complicate parastomal hernia repair outcomes.

Purpose of the Study:

  • To review current literature on parastomal hernia repair techniques.
  • To evaluate the efficacy of synthetic and biologic prostheses in parastomal hernia repair.
  • To assess the role of laparoscopic approaches in managing parastomal hernias.

Main Methods:

  • Literature review of parastomal hernia repair manuscripts.
  • Focused review on studies utilizing synthetic and biologic prostheses.
  • Synthesis of evidence regarding current repair techniques and outcomes.

Main Results:

  • Parastomal hernia repair is associated with substantial recurrence rates, potentially increased with simultaneous abdominal wall hernia repairs.
  • Synthetic mesh repair demonstrates reduced recurrence compared to primary suture repair.
  • Biologic prostheses may lower recurrence rates and mitigate mesh infection risks.
  • Laparoscopic repair necessitates individualized patient and surgeon considerations.

Conclusions:

  • Parastomal hernia repair outcomes can be improved with advanced prosthetic materials.
  • Synthetic mesh offers a viable option to decrease recurrence.
  • Biologic prostheses present a potential alternative to reduce infection complications.
  • Laparoscopic techniques should be tailored to specific clinical scenarios.