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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:

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Updated: Jun 1, 2026

Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh
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Laparoscopic Repair of Para-Esophageal Hernia Using Absorbable Biosynthetic Mesh

Published on: September 11, 2021

Parastomal hernia repair. An update.

P Wara1

  • 1Colorectal Division, Department of Surgery, Aarhus University Hospital, Aarhus, Denmark. p.wara@dadlnet.dk

Minerva Chirurgica
|May 20, 2011
PubMed
Summary
This summary is machine-generated.

Parastomal hernia repair is challenging, with mesh repair showing promise. Laparoscopic mesh techniques are gaining acceptance, though further research is needed to determine the optimal approach for parastomal hernia management.

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Area of Science:

  • General Surgery
  • Minimally Invasive Surgery

Background:

  • Parastomal hernia repair techniques, including open suture repair and stoma relocation, are associated with high recurrence rates and morbidity.
  • Mesh repair is emerging as a superior option for managing parastomal hernias.

Purpose of the Study:

  • To evaluate the feasibility and outcomes of laparoscopic mesh repair for parastomal hernias.
  • To compare different laparoscopic mesh techniques, including the keyhole and modified Sugarbaker approaches.

Main Methods:

  • Review of published series on laparoscopic mesh repair for parastomal hernias.
  • Analysis of two primary laparoscopic techniques: keyhole mesh with a slit and modified Sugarbaker (mesh without a slit).
  • Consideration of mesh material (polypropylene vs. PTFE) and its impact on recurrence based on technique.

Main Results:

  • Laparoscopic mesh repair demonstrates feasibility and potential for parastomal hernia management.
  • Current evidence is largely observational with short follow-up periods and small sample sizes.
  • No single open or laparoscopic method has definitively proven superior, but laparoscopic repair is increasingly adopted.

Conclusions:

  • Laparoscopic mesh repair, utilizing either keyhole or modified Sugarbaker techniques, is a viable option for parastomal hernias.
  • The choice of mesh material is crucial: polypropylene with an anti-adhesive layer is suitable for both techniques, while PTFE is preferred for the modified Sugarbaker technique.
  • Further controlled trials are necessary to establish definitive superiority among parastomal hernia repair methods.